Current disinfection

Current disinfection is a disinfection that is carried out in the cell in the presence of the source of infection and is aimed at the destruction of pathogens as they are released by the patient or the carrier.

Current disinfection in infectious disease hospitals is carried out in order to prevent intra-hospital infections and prevent the spread of infection outside the hospital. By order of the medical institution, the chief doctor entrusts one of the doctors with the responsibilities of management and control of the current disinfection, while ensuring that he is adequately trained in disinfection issues. Direct implementation of current disinfection measures in infectious disease hospitals is carried out by junior medical personnel.

Measures of current disinfection in the conditions of an infectious hospital should be carried out during the entire period of stay of patients in the hospital, starting from their admission to discharge. Premises where patients are admitted are subjected to wet disinfection after examination of each patient according to the nature of the infection. Special attention should be paid to the disinfection of objects that patients came into contact with during the reception.

Dishes in which food is given from home for infectious patients should be returned to relatives only after disinfection.

Linen and other washable soft things used by patients are collected in containers with lids or bags moistened with disinfectant solutions and sent to the laundry. In those cases where it is not possible to store contaminated laundry separately in the laundry, it is collected in a compartment in an isolated room and subjected to wet disinfection before being sent to the laundry.

Toys must be individual and must be disinfected after being used by a sick child. Low-value toys are to be burned. Special devices should be used more widely in practice to disinfect secretions and dishes from under them. In the absence of them in the toilet of the hospital, it is necessary to use galvanized tanks with a lid and a mark - 5, 10, 20 liters to collect secretions of patients with intestinal infections. After filling the tank to a certain height with fecal masses, the latter are subjected to disinfection in the specified way, and a spare tank is set up for use.

Bedding, underwear, robes and other things are subject to mandatory disinfection after discharge. The patient's personal belongings must be returned upon discharge after they have been disinfected by a chamber method and ironed, and the linen - after washing in the hospital's laundry room. General cleaning of all premises is carried out once every 7-10 days. Particular attention should be paid to the mode of use and disinfection of cleaning equipment. It should be separate for wards, toilets and utility rooms (clean and dirty), be disinfected after each use.

It is necessary to carefully monitor the patients' compliance with the rules of personal hygiene. In children's infectious disease departments, systematic sanitary and educational work should be conducted among mothers who care for sick children, with the preventive value of current disinfection in hospital and home conditions. Medical personnel who care for patients must strictly follow the rules of personal prevention (thorough washing and disinfection of hands after the end of patient care, before distributing food, feeding bedridden patients, children, etc.). It is mandatory to use respirators in departments for patients with aerosol infections. Reception of food by staff in wards and corridors is prohibited.

In infectious hospitals and on their territory, a systematic fight against flies, other insects and rodents should be carried out, and hospital areas and outdoor sanitary installations should be kept in full sanitary order.

Vehicles on which infectious patients are transported to a hospital must be disinfected before leaving its territory.

Disinfection regimes in morgues must be especially strictly observed: infectious materials must be promptly and completely destroyed. The rules for burying corpses of people who died from infectious diseases should be strictly observed. All premises of the morgue are subject to systematic thorough disinfection.

Special control is necessary for the operation of the infectious hospital chlorinator and its serviceability.

Peculiarities of the disinfection regime in somatic hospitals. In the reception department, after examining the patient, the oilcloth covering the couch is washed with a disinfectant solution. All patients are examined for pediculosis and scabies. In a special room, full sanitary treatment of incoming patients is carried out.

In medical departments, before the patient is admitted, the bed, bedside table, and the stand for the bed are treated with a disinfectant solution. Bed linen is disinfected in a steam chamber or by steam-air method; wards are ventilated 4 times a day. A bath for patients and a change of bedding and underwear are prescribed once every 7-10 days.

The transfer of clothes from one patient to another is possible only after disinfection in the cell. Shoes are treated with a swab soaked in a 25% solution of formalin, acetic acid, placed in a bag for 2 hours, and then ventilated for 10-12 hours until the smell disappears.

General cleaning of the operating unit is carried out once a week with 0.1% KlinDez 401, supplemented with ultraviolet treatment.

In wards for patients with anaerobic infection, ceiling and wall bactericidal irradiators are installed. Wards are treated twice a day with a 0.1% disinfectant solution.

In specialized departments for patients with purulent surgical diseases in the reception department, after examining the patient, the hands of the staff should be treated in 70% ethyl alcohol or with a 0.5% solution of chlorhexidine bigluconate in 70% ethyl alcohol (5-8 ml of the solution is poured into the palm of the hand and rubbed for 2 minutes ). Individual towels are issued to the staff for 1 day.

Cleaning is carried out twice a day in the "Eklin-N" department, the wards are equipped with closed-type ultraviolet bactericidal irradiators. When transporting the patient, they use oilcloth aprons, which are wiped with a rag moistened with a disinfectant solution.

Current disinfection in anti-tuberculosis facilities involves reliable disinfection of patient secretions and their belongings, patient spittoons, urns, linen, handkerchiefs, table and tea utensils, bed linen and patient care items, dressings, cleaning equipment, and all premises , where there are sick people.

Anti-tuberculosis institutions must have a disinfection chamber, an autoclave for disinfecting sputum and spittoons. After disinfection, sputum is poured into the sewer, and spittoons are washed with a 0.1% disinfectant solution.

Current disinfection in isolation units and quarantine groups of children's preschool institutions is carried out in the same way as in infectious hospitals.

Disinfection stations and disinfection departments of centers of hygiene and epidemiology carry out general management of current disinfection, systematic quality control of carried out disinfection, training of medical personnel on disinfection issues.