Medical Care for (H1N1) swine flu

Definite or possible A (H1N1) swine influenza Patient Medical Care During the Infection Prevention and Control Guide
  A (H1N1) swine flu epidemic in different regions of the world the situation in many countries are affected

Epidemiological data from human to human transition of the disease in question and that the community-level outbreak of the virus that is capable to lead. This information, in the light of the transition from human to human is likely to continue. Health workers, certain or possible A (H1N1) swine influenza to patients during medical care is very important to take appropriate infection control measures. Diseases of the health care employees, other patients and visitors to prevent infection and prevent general infection control measures in addition to this guide to the rules should be followed.

A (H1N1) swine influenza from person to person is mainly transmitted through droplets. Therefore, to prevent transmitted via droplets should be given priority.
Basic elements of infection prevention strategies

1. Implementation of Standard and Droplet Precautions;

• avoid making the crowd of media,
• Vulnerable patients as more than 1 meter in close proximity to the absence,
• Patient triage,
• Patient deposit and reporting,
• rational use of protective equipment,
• Patients necessary arrangements for the prevention of the infection,
• Infection control infrastructure strengthening.

2. Basic infrastructure of health care facilities, adequate ventilation, proper patient placement and adequate environmental cleaning helps in reducing the spread of some respiratory pathogens.

3. Existing personal protective equipment (KKE) rational use of

4. Appropriate hand hygiene.

CRITICAL MEASURES:

Patients as a crowd gathered Do not allow the patient a certain distance between beds (about 2m) Protect
Close your mouth and nose mask will form here
Please comply with hand hygiene rules

Probable or definitive A (H1N1) swine influenza to patients, providing medical care services for the staff:

Probable or definitive A (H1N1) had been diagnosed with swine flu in direct contact with patients while working in Standard Precautions and Droplet Precautions should be strengthened.

Main elements:

• Surgical masks should be used.
• Hand hygiene should be strictly adhered to

If there is a risk of droplet spread (eg, respiratory aspiration, intubation, resuscitation, bronchoscopy, autopsy, etc..)

• Use protective eyewear must also FFP3 mask,
• clean, wear long-sleeved gowns and gloves.
• Personal Protective Equipment to hand hygiene after removing the note.
• Protective equipment is being removed;

i. Gloves are removed first, then apron.
ii. Wash hands with disinfectant or alcohol-based hand rub is
iii. Glasses are removed,
iv. Mask is removed,
v. Re-or alcohol-based hand wash hands with disinfectant scrub.

• Personal protective equipment should be located in the doorway of patient rooms, patient rooms without leaving used equipment should be removed and the room for them in the appropriate box should be taken into waste.

HEALTH CARE FOR OTHER IMPORTANT MATTERS

1. Basic infection control recommendations for all health institutions;
Given to patients with acute feverish respiratory droplets during maintenance standards and measures should be taken.

2. Respiratory hygiene / cough measures
Patients, relatives and health workers in the mouth and nose when coughing and with disposable wipes off and wash your hands after coughing should.

3. Probable or definitive A (H1N1) swine influenza infection control measures for infection
A room with adequate ventilation to the patient insert. If there is no possibility of single rooms, certain cases may be placed in the same room. Possible cases should be credited to a single room if possible. It is not possible for at least 2 m distance between them have invested in the same room to be provided. To increase the effectiveness of isolation measures should be kept closed doors, possible and definite cases are equipped with bath and toilet rooms available to be ventilated and must be deposited. Isolation room for everyone entering and Droplet Precautions Standard Precautions should be implemented.

4. Possible A (H1N1) cases of swine flu triage, early recognition and reporting
Before symptoms start within 7 days of swine flu identified were located in one of the region or were located in these regions with one theme in a person with acute, fever, respiratory disease, swine flu, if you consider the possibility.

5. Nosocomial A (H1N1) swine influenza virus from infecting additional measures to reduce
A (H1N1) swine flu, which health workers contact with patients / family members / visitors Reduce the number of.

6. Sampling and transfusion in health care facilities
Standard Precautions and Droplet Precautions in taking the sample, the sample was transported Apply Standard Precautions. Fully observe the rules of laboratory biosafety.

7. Accompanying measures and visitors
The patient’s next visit should be limited to the attendant and the patient should not be taken. Regarding patient care must be circumstances accompanying note. They also applied infection control measures to comply with health workers should be provided.

8. Health institutions in transplant patients
Possible or definite A (H1N1) had been diagnosed with swine flu patients should wear surgical masks.

9. Care outside hospital
Measures to be applied potential and the final A (H1N1) swine influenza patients in hospital care practices are the same.

10. Protection and monitoring of health workers
A (H1N1) swine influenza patients, health workers in contact with the health status should be monitored closely. Where necessary antiviral prophylaxis should be initiated. Symptoms of sudden health report employees should be given rest and resting at home should be provided.

11. Control of medical waste
A (H1N1) swine influenza virus in the contaminated waste every kind, and this type of infection should be treated as medical waste collection and transport of waste in the mask and gloves should be used.

12. Dishes / eating utensils
Routine and general practices (washing with detergent and water) is sufficient. Patients do not need to wash the dishes separate containers. Rubber gloves should be worn during this process.

13. Bed sheets and clothes
Washing with water and detergent is sufficient. Of patients with bed sheets and washing does not need to be washed separate. Washing should not be whipped before. Rubber gloves should be worn during this process.

14. Environmental cleaning and disinfection
Door handle, chair, desk, remote control, telephone, etc.. touching contaminated surfaces are often at least twice a day and visible pollution is clean with disinfectants.

15. Of patient care equipment
A (H1N1) swine flu patients and used equipment (degree, intubation kit, oxygen mask, blood pressure instruments, etc.) please reserve. This is not possible for patients using other suitable methods before you clean and disinfect.

16. A (H1N1) swine influenza infection control measures duration
These measures should be continued as long as symptoms persist.

17. Patients to be discharged
A (H1N1) swine flu patient discharged from symptoms improved, the family members at home to apply appropriate infection control measures should be informed about the verbal and in writing.

18. Mortuary care
Mortuary staff and washing team should apply the standard measures. Appropriate hand hygiene measures should be taken and gloves, plastic aprons, masks and goggles should be used.

19. Administrative services in health institutions
All personnel working in health care facilities must be made to the education and information, and will do this job and training materials should be assigned adequate staff must be prepared. Relevant personnel contact information should be updated.

20. Home health care
Should be reduced in patients with contact persons and visits should be limited. Close contact with patients is inevitable and hands droplet precautions should be taken should be washed frequently.