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ANTISEPSIS

Antisepsis is a treatment method of a surgical infection, while asepsis is above all method of infection prophylaxis

Слайды и текст этой презентации

Слайд 1ANTISEPSIS
A.-is complex treatment measures aimed at killing pathogenic (disease-causing) microorganisms

in the wound or the whole human body

ANTISEPSISA.-is complex treatment measures aimed at killing pathogenic (disease-causing) microorganisms in the wound or the whole human

Слайд 2Antisepsis is a treatment method of a surgical infection, while

asepsis is above all method of infection prophylaxis

Antisepsis is a treatment method of a surgical infection, while asepsis is above all method of infection

Слайд 3The most clinically important type of microorganisms causing surgical infections

– BACTERIA

The most clinically important type of microorganisms causing surgical infections – BACTERIA

Слайд 4
A LOCAL INFECTION is limited to the specific part of

the body where the microorganisms remain.

If the microorganisms spread

and damage different parts of the body, it is a SYSTEMIC INFECTION.

BASIC DEFINITIONS

A LOCAL INFECTION is limited to the specific part of the body where the microorganisms remain.

Слайд 5When a culture of the person's blood reveals microorganisms, the

condition is called BACTEREMIA.
When bacteremia results in systemic infection, it

is referred to as SEPTICEMIA.

BASIC DEFINITIONS

When a culture of the person's blood reveals microorganisms, the condition is called BACTEREMIA. When bacteremia results

Слайд 6ACUTE INFECTION generally appear suddenly or lasts a short time.


A CHRONIC INFECTION may occurs slowly, over a very long

period, and may lasts months or years.

BASIC DEFINITIONS

ACUTE INFECTION generally appear suddenly or lasts a short time.  A CHRONIC INFECTION may occurs slowly,

Слайд 7
NOSOCOMIAL INFECTION classified as infection that is associated with the

delivery of health care services in a health care facility.

The

incidence of nosocomial infections is significant. Major sites for these infections are:
RESPIRATORY AND URINARY TRACTS,
BLOODSTREAM
WOUNDS.

BASIC DEFINITIONS

NOSOCOMIAL INFECTION classified as infection that is associated with the delivery of health care services in a

Слайд 8Factors that contribute to nosocomial infection risks are:
invasive procedures,
inappropriate

use of antibiotics,
insufficient hand washing after patient contact and after

contact with body substances.

BASIC DEFINITIONS

Factors that contribute to nosocomial infection risks are: invasive procedures,inappropriate use of antibiotics,insufficient hand washing after patient

Слайд 9TYPES OF ANTISEPSIS:
1. MECHANICAL
Elimination of necroses, evacuates

hematomas, extracts foreign bodies, thus liquidating favorable conditions for bacterial

growth with handle manipulations

THIS IS PRIMARY SURGICAL WOUND TREATMENT

TYPES OF ANTISEPSIS:	1. MECHANICAL   Elimination of necroses, evacuates hematomas, extracts foreign bodies, thus liquidating favorable

Слайд 10MECHANICAL ANTISEPSIS
Sterile technique
Anesthesia
Wound examination and debridement
Removing of necrotic tissues
Hemostasis
Repairing of

anatomical structures
Draining and “dead space” obliteration
Wound closure

MECHANICAL ANTISEPSISSterile techniqueAnesthesiaWound examination and debridementRemoving of necrotic tissuesHemostasisRepairing of anatomical structuresDraining and “dead space” obliterationWound closure

Слайд 11TYPES OF ANTISEPSIS
2. PHYSICAL ANTISEPSIS
Creating of

unfavorable conditions in the wound for bacterial growth, reduction of

toxins and tissue degradation products absorption by physical methods.



TYPES OF ANTISEPSIS	2. PHYSICAL ANTISEPSIS    Creating of unfavorable conditions in the wound for bacterial

Слайд 12PHYSICAL ANTISEPSIS
Physical factors are an important part of modern methods

of treatment of wounds & inflammatory processes. The agents of

this type of antisepsis are:
light,
heat,
sound waves,
phenomenon of hygroscopicity.
PHYSICAL ANTISEPSISPhysical factors are an important part of modern methods of treatment of wounds & inflammatory processes.

Слайд 13PHYSICAL ANTISEPSIS
Physical antisepsis includes the following methods:
application of hygroscopic

dressing material;
hypertonic solutions (5-10% solutions of NaCl);
draining;
usage of sorbents;
usage of

laser, UV & X-rays, US etc.
PHYSICAL ANTISEPSISPhysical antisepsis includes the following methods: application of hygroscopic dressing material;hypertonic solutions (5-10% solutions of NaCl);draining;usage

Слайд 14TYPES OF PHYSICAL ANTISEPSIS
By hygroscopic drapes and drainage tubes they

accelerate the evacuation of the wound containment and bacteria

Open treatment

of wounds – face burns – open air makes the wound dry and stops bacterial growth.

The same effect have
Ultraviolet exposition
and Physiotherapeutic procedures
TYPES OF PHYSICAL ANTISEPSIS		By hygroscopic drapes and drainage tubes they accelerate the evacuation of the wound containment

Слайд 15TYPES OF ANTISEPSIS:
3. Chemical antisepsis
It may have local and general

mode of action when antibacterial drugs (antiseptics) applied through a

wound or in a bloodstream
TYPES OF ANTISEPSIS:		3. Chemical antisepsisIt may have local and general mode of action when antibacterial drugs (antiseptics)

Слайд 16ANTISEPTICS - REQUIREMENTS
1. Bactericidal or bacteriostatic effect.
2. Nontoxic

for cells tissues, organs.
3. To act in contact with

live tissues.
4. To be stable – not to evaporate
5. To be affordable – not very expensive
7. Not to oppose local defense and regeneration mechanisms
8. To be easy for storage.
ANTISEPTICS - REQUIREMENTS 1. Bactericidal or bacteriostatic effect. 2. Nontoxic for cells tissues, organs. 3. To act

Слайд 17ANTISEPTICS
Halogens:
Iodine (waterbased or spiritbased solutions) – is used for treatment

of wounds
Hibitane – 20% water solution of chlorine-hexidine gluconate.

Strong bactericidal effect. For lavage of abscess cavities, infected wounds. For disinfection of skin.
ANTISEPTICSHalogens:Iodine (waterbased or spiritbased solutions) – is used for treatment of wounds Hibitane – 20% water solution

Слайд 18Oxydizers – in contact with tissues liberates O2 :
Hydrogen Peroxide–

3% aqueous solution of Hydrogen Peroxide. It has weak bactericidal

effect. Used for mechanical wound cleansing like foam, in anaerobic infections.
КМnО4 – violet crystals, easily dispersible. 1% solution with good bactericidal action. For lavage in proctology and gynecology especially for anaerobic infections.

ANTISEPTICS

Oxydizers – in contact with tissues liberates O2 : Hydrogen Peroxide– 3% aqueous solution of Hydrogen Peroxide.

Слайд 19Alcohols (ethyl spirit, isopropyl spirit)
Used as a solvent for other

disinfectants and antiseptics;
Most commonly used skin antiseptic;
Irritating to tissues and

painful on open wounds;
Repeated use dries skin;
Forms coagulum in presence of tissue fluid

ANTISEPTICS

Alcohols (ethyl spirit, isopropyl spirit)Used as a solvent for other disinfectants and antiseptics;Most commonly used skin antiseptic;Irritating

Слайд 20TYPES OF ANTISEPSIS:
4. Biologic – when specific treatment with drugs

of biological nature is maintained:

Antibiotics;
Bacteriofages;
Anatoxines;
Immune-globulin application – when transfusion

of plasma and blood is performed;
Proteolytic ferments (hemotripsine) for lesion of devitalized tissues.
TYPES OF ANTISEPSIS:		4. Biologic – when specific treatment with drugs of biological nature is maintained:Antibiotics;Bacteriofages;Anatoxines; Immune-globulin application

Слайд 21TYPES OF ANTISEPSIS:
5. Mixed– in combination of action of several

curative factors on bacterial cell and macro-organisms

Primary surgical management is

a combination of a mechanical manipulations, physical factors and chemical antiseptics
TYPES OF ANTISEPSIS:5. Mixed– in combination of action of several curative factors on bacterial cell and macro-organismsPrimary

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