IllustratedYes
Table Of ContentAirborne Nosocomial Infections Introduction Nosocomial Infection Epidemiology Airborne Nosocomial Pathogens Airborne Infection Categories Infection Control Precautions Infections in Health Care Workers Multidrug Resistance Toward Airborne Infection Control References Airborne Nosocomial Epidemiology Introduction Airborne Transmission Routes Epidemiological Principles Dosimetry of Airborne Disease Survival of Microbes Outside the Host Settling of Microbes in Air References Hospital Aerobiology Introduction Airborne Levels of Bacteria Airborne Levels of Fungal Spores Airborne Virus Levels References Airborne Nosocomial Microorganisms Introduction Airborne Nosocomial Pathogens Airborne Nosocomial Bacteria Airborne Nosocomial Viruses Airborne Nosocomial Fungi Database of Airborne Nosocomial Pathogens References Airborne Nosocomial Etiology Introduction Pathogen Aerosolization Aerobiological Pathways Airborne Transmission of Respiratory Infections Airborne Transport of Fungal Spores Shedding of Bacteria Shedding of Clostridium difficile Spores References Hospital Facilities Introduction Hospital Ventilation and Filtration Systems Hospital Zones and Rooms Pressurization Control References Ventilation and Dilution Introduction Ventilation Dilution The Steady State Model Transient Modeling Multizone Transient Modeling References Air Filtration Introduction Filters and Performance Curves Filtration of Airborne Nosocomial Pathogens HEPA and ULPA Filters Face Masks and Respirators References Hospital Disinfection Introduction Cleaning, Disinfection, and Sterilization Decontamination Methods Disinfectants and Antiseptics Disinfection of the Inanimate Environment References Hand Hygiene Introduction Skin Flora Etiology of Hand Contamination Strategies of Hand Hygiene Skin Antiseptics Handwashing Protocols Generic Handwashing Protocol References Respiratory Infections Introduction Respiratory Tract Infections (RTIs) Nosocomial Respiratory Infections Nosocomial Pneumonia Nosocomial Tuberculosis References Surgical Site Infections Introduction SSI Microbes Aerobiology of Operating Rooms Airborne SSIs Airborne SSI Etiology Control of Airborne SSIs References ICUs and Patient Rooms Introduction Intensive Care Units Patient Rooms and General Wards Hospital Laboratories Other Hospital Areas References Pediatric Nosocomial Infections Introduction Pediatric Bacterial Infections Pediatric Viral Infections Nurseries and Childcare Facilities References Immunocompromised and Burn Wound Infections Introduction Immunodeficiency Infections Burn Wound Infections Cancer Clinics References Nursing Homes Introduction Nursing Home Bacterial Infections Nursing Home Viral Infections Nursing Home Options References Procedural Controls and Guidelines Introduction Hygiene and Disinfection Procedures and Controls Infection Management Procedures Building and Facility Guidelines References Air and Surface Sampling Introduction Air Sampling with Settle Plates Air Sampling with an Air Sampler Surface Sampling Virus Detection and Sampling Air and Surface Disinfection Standards References UVGI Air Disinfection Introduction Airstream Disinfection Air Handling Units Recirculation Units Upper-Room Systems Barrier Systems UV Air Disinfection Field Trials Combination of UV and Filtration References UVGI Surface Disinfection Introduction UVGI Surface Disinfection Modeling Equipment Disinfection Whole Room Disinfection Floor Disinfection Overhead Surgical Site UV Systems Cooling Coil Disinfection References Alternative Air Cleaning Technologies Introduction PCO Systems Ozone Ionization Plasma and Corona Systems Pulsed Light Passive Solar Exposure Vegetation Air Cleaning Material Selectivity References Appendix: Database of Airborne Nosocomial Pathogens Index
SynopsisAlthough nosocomial, or hospital-acquired, infections have been well cataloged and are fairly well understood, traditional solutions have failed to completely eliminate the problem. Even the most modern hospitals find themselves stymied by the persistence of these pathogens in hospital wards and operating rooms. The degree to which most of these infections are airborne is not known, but a growing body of evidence indicates that airborne transmission plays a role in many hospital-acquired infections. Addressing one of the most important topics in health care, Hospital Airborne Infection Control is the first book to deal with the control of airborne nosocomial infections in detail. It identifies all pathogens known or suspected to be airborne, along with their sources in hospital environments. It also summarizes all epidemiological evidence for airborne transmission. The text addresses respiratory, surgical site, burn wound, immunocompromised, pediatric, nursing home, and non-respiratory infections. In each category, an extensive number of examples show that inhalation is not the only airborne route by which infections may be transmitted. Noting that airborne transmission and surface contamination are virtually inseparable, the author emphasizes that both air and surface disinfection, including hand hygiene, are important factors in controlling the transmission of airborne disease. He also proposes a variety of new solutions and technologies, including ultraviolet, ionization, ozone, plasma, and vegetative air cleaning systems. A compendium of scientific and medical information, this book helps hospitals control nosocomial infections and outbreaks spread by the airborne route as well as by direct contact and contact with fomites or contaminated equipment.
LC Classification NumberRA969