INFECTION MANAGEMENT DR. JAMES M. ALO. RN, MAN, MAP, PHD

• What is infection? - The process of infecting or the state of being infected. a. Invasion by and multiplication of pathogenic microorganisms in a bodily part or tissue, which may produce subsequent tissue injury and progress to overt disease through a variety of cellular or toxic mechanisms. b. An instance of being infected. c. An agent or a contaminated substance responsible for one's becoming infected. d. The pathological state resulting from having been infected.

4/7/2013

GENERAL NSG CARE FOR CLIENTS W/ INFECTION

1. Increase Host Defense against Infection

• Maintain integrity of skin, mucous membranes (1st line of defense) & other defense mechanisms (coughing, acidic pH)

• Provide adequate hydration, nutrition, rest & sleep

4/7/2013

• Adult Immunization

4/7/2013

2. Precautions to prevent spread of infection

• Frequent & proper handwashing;

• wear gown,

• gloves,

• mask, &

• eyewear when needed; reverse isolation (if immunocompromised);

• correct disposal of contaminated materials

4/7/2013

3. Eliminate Microbiologic Agent

• Use of disinfection,

• sterilization,

• antimicrobial drugs

4/7/2013

4. Monitor VS, especially temperature(fever)

• Use of antipyretics,

• TSB being careful not to cause shivering

4/7/2013

DENGUE HEMORRHAGIC FEVER

4/7/2013

INTERVENTIONS

4/7/2013

TYPHOID FEVER

INTERVENTION

4/7/2013

MALARIA

INTERVENTION

4/7/2013

TETANUS

• Anaerobic bacteria(clostridium tetani)

• Via spores in soil thru: dirty, open wounds

• Prolong & sever muscle spasms

4/7/2013

INTERVENTIONS • Tx: Teatanus Ig

• Prophylaxis: Tetanus toxoid

• Seizure precaution: quiet envi., stimuli, sedation

• Ventilation: suction & O2; ET set & ventilator on standby

4/7/2013

RABIES(Hydrophobia)

• Rhabdovirus bite of infected animal spreads to CNS

• Causing: irritability, paresthesia, hydrophobia, & seizure

• INTERVENTIONS:

• Clean wound

• Administer; rabies Ig (passive), diploid cell vaccine(active)

• Seizure precaution & ventilation

4/7/2013

“No infection if nobody got infected, thus, be wary

of being infected.”

-

4/7/2013

Dr. James Malce Alo