Слайд 1Semey state medical university
Semey 2013
Chair of Surgery
SIW
Prevention of HIV in
surgical departament
Prapared by: Oralkan Aset
Chacked by: Ashubaeva Arna Kuanyshevna
Слайд 2Plan of my work
Introduction
Concludion
List of literature
Слайд 3Preventing HIV infection in surgery involves identifying the virus carrier
patients with HIV infection, strict adherence to safety regulations for
medical staff and changing the rules of sterilizing instruments. Any patient, especially in emergency surgery and has the potential to be HIV-positive, so when you work with him to carefully observe the safety precautions.
Introduction
Слайд 4The general concept of HIV infection
The virus from the group
of retroviruses. A parasite in human cells have cell receptor
DC-4 (mainly lymphoid cells). Little virus is resistant to the active factors of the environment, for example, at a temperature of 56 degrees C inactivated for half an hour at a temperature of 100 degrees C - for 1 - 2 minutes. At the same time, the frozen HIV may persist for several years. In the dried blood on the needles and syringes, as well as in solutions of psychotropic drugs (drugs) can remain active up to 3 weeks or more (at room temperature), and in some cases - and perhaps up to a month, which is one of the most important factors behind its distribution among the consumers of narcotic drugs.
Слайд 5In order to prevent HIV infection all surgical patients should
be screened for HIV, the medical staff of the surgical
department 1 at 6-month leases blood test for HBs-antigen, Wasserman, antibodies to HIV. To ensure the safety of the medical staff, all manipulations in which the possible contact with blood should be carried out only with gloves.
Слайд 6When carrying out operation or operations to the patient with
HIV infection need to work in special masks (with glasses),
mail or double gloves, tools only pass through the tray, to have an emergency kit with a full set of drugs, to be manipulated in the presence of a second specialist who can break in case gloves or cut to continue its execution; nail phalanxes treat the skin with iodine before putting on gloves.
Слайд 7After contact with contaminated liquid on the skin should be
treated with its 70% alcohol, wash with soap and water
and re-decontaminated with 70% alcohol;
Слайд 8the mucous membrane - handle 0.05% solution of potassium permanganate,
in the mouth and throat - Rinse with 70% alcohol
or 0.05% potassium permanganate solution;
Слайд 9for injections and cuts - squeeze blood out of the
wound and treat it a 5% solution of iodine. Within
30 days taking for preventing timazid 800 mg / day.
Слайд 10After contact with body fluids on desks and apparatus their
surface disinfected. In order to prevent possible use disposable syringes,
tools, systems for intravenous infusion. Instrumentation disinfected after use in a 3% chloramine solution for 60 min or 6% hydrogen peroxide solution 90 min.
Слайд 11In the operating room, dressing room, treatment room in an
easily accessible place must necessarily be an emergency first aid
kit "anti-AIDS", which consists of 3% solution of chlorine bleach, 6% solution of hydrogen peroxide, 70% ethyl alcohol, 1% solution protargola, 1% aqueous boric acid, 1% solution of silver nitrate, 5% alcoholic solution of iodine, 0.05% potassium permanganate solution, spare gloves and gown, fingertips, pipettes, glass rods, adhesive plaster and plaster bactericidal, scissors, sterile wipes.
Слайд 12Concludion
Conscious attitude and thorough implementation of the requirements of the
medical staff and disease prevention regime will prevent the incidence
of professional staff, which will significantly reduce the risk of HIV infection and other sexually transmitted infections and save the health of patients.
Слайд 13 1. Lishvic D.М.. Practical issues of disinfection
and sterilization / / FARMindeks Practitioner - № 7 -2005
2.
href=http://medi.ru/doc/8591113.htm
3. http://promolink.ru
4. Pokrovsky VI, Park, SG, Briko, NI, Danilkin BK Infectious diseases and epidemiology. Textbook. - Moscow: GEOTAR MED.
List of literature