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2550

( 10 24 2463 1-28)

1. 2. ................................. 1 3. 3.1 ........................................................ 3 3.2 ........................................................... 5 3.3 ........................................................ 10 4. 4.1 ................................................................................................................ 14 4.2 .................................................. 18 4.3 ................................................................................. 24 5. 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 .................................................................................. 28 ......................................................................... 40 .......................... 44 .............................................................................................................................. 48 ................................................................... 54 ...................... 58 .............................................................................................................. 62 ......................................................................................................................................... 66

6. 6.1 ...................................................................................................................................................................................... 74 6.2 ............................................................................................................................................................ 76 6.3 ........................................... 78 6.4 .............................................................................................................................................. 90 6.5 ................................................................................................................................................................... 94 6.6 ................................................................................................................... 98 6.7 ................................................................................................................... 102

6.8 .................................................................................................................................................. 106 6.9 ..................................................................................................................................................... 112 7. ........................................................................................................................................................................................................... 115 8. .................................................................................................................................................................................................................. 119

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/ ISO HA HPH 2550 3 5 5.1

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4 1. 3 2. 3 3. 8 4. 9

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3. 3.1 1. 2. 3. - - - - - - -

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3.2 1. 2. 3. - - - - - 1. IC 2. 3. IC 1. 2.

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1. 2. 3. 4. 5. 6. 7. 1. 2. 3. / 4. 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 1. 2.

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3. 4. 5. / 6. 7. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

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3.3 1. / 2. . 1. 2. . 1. 2. 3. . 1. 2. 3. 4. 5. 6. . 1. 2. / 3. 4. 5. 6. 1. 2.

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3. 4. 5. 6. 7. 8. 9. 10. 11.

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4. 4.1 1. 2. 3. 4. 5. 1. 2. (prevalence survey) (point prevalence survey) (period prevalence survey) 3. (continuous surveillance) 4. (priority-directed, site specific, focused targeted surveillance) 5. (incidence)

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(incidence rate) (device-related incidence rate) (incidence of surgical site infection) (incidence density)

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1. (Point prevalence survey) 1-2 2. (Continuous surveillance) I.C.U. 3. (Targeted surveillance) - Catheter Associated Urinary Tract Infection (CAUTI) - Ventilator Associated Pneumonia (VAP) - Central Line Associated Blood Stream Infection (CABSI) - Surgical Site Infection (SSI) - 1. 2. 3. 4. 1. 2. 1. (incidence) 2. (targeted surveillance) 3. (point prevalence) 1 1. 2. 1. 2.

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4.2 / ( 48-72 )

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1. 2. 2.1 2.1.1 2.1.2 2.1.3 2.1.4 2.2 2.2.1 2.2.2 2.2.3 consolidation, pulmonary infiltration, cavitation 1. 1.1 1.2 1.3 100 . 1.4 105 . 2. 2.1 2.2 105 . (surgical site infection : S.S.I.) 1 1. 2. 3. 4.

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S.S.I. 1. (clean wound) 1.1 1.2 1.3 (close drain) 1.4 2. (clean-contaminated wound) 2.1 / 2.2 (open drain) / 2.3 3. (contaminated wound) 3.1 (traumatic wound) 4 / 3.2 / 3.3 4. (dirty wound) 4.1 4 4.2 4.3 (skin and soft tissue infection) 1. (skin infection) 1.1 1.2 1.3 2. (soft tissue infection) 2.1 cellulitis : 2.2 necrotizing fasciitis :

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2.3 myositis : 2.4 gangrene : 3. (decubitus ulcer infection) 3.1 3.2 4. (burn wound infection) 4.1 4.2 4.3 (gastro-intestinal infection) 1. 1.1 1.2 1.3 1.4 1.5 (primary bacteraemia) 1. 2. 3. (cardiovascular system infection) 1. (endocarditis) 1.1 1.2 1.3 (embolic phenomenon, splinter haemorrhage) 1.4 murmur 1.5 echocardiography vegetation 1.6 ()

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2. (arterial or venous infection) 2.1 2.2 2.3 2.4 (tip culture) 3. (reproductive tract infection) 3.1 (endometritis) 3.1.1 3.1.2 3.1.3 3.1.4 3.2 (episiotomy wound infection) 4. (other infections)

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4.3 1. 2. 3. 4.

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- - - 1. Isolation/Precautions 2. 3. 4.

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Standard Precautions

Airborne Precautions

Droplet Precautions

Contact Precautions

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5. 5.1 1. 2. 1. (ascitic fluid) (pleural fluid) (pericardial fluid) (amniotic fluid) (synovial fluid) (semen) (vaginal secretion) 2. -

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1. Standard Precautions 2. Standard Precautions 3. Transmission-based precautions Standard Precautions 3.1 Standard Precautions Airborne Precautions 3.2 Standard Precautions Droplet Precautions 3.3 Standard Precautions Contact Precautions Standard Precautions 1. 2. 3. - ( ) Airborne Precautions 1. 2. - N 95 3. 4. hygienic handwashing 5. - - 6. -

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Droplet Precautions 1. 2. - N 95 3. 4. hygienic handwashing 5. - - 6. - Contact Precautions 1. 2. 3. hygienic handwashing

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Abscess - not draining - draining Actinomycosis Adenovirus (respiratory infections in pediatrics AIDS Amoebiasis - dysentery - liver abscess Anthrax - cutaneous - pulmonary Ascariasis Aspergillosis Blastomycosis Chlamydia trachomatis infection Cholera Additional Precautions Protective Barrier Airborne Droplet Contact Mask Gown Glove +

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Common cold - adult - infant Conjunctivitis Coxsackie virus diseaseCreutzfeldt Jakob disease

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Additional Precautions Protective Barrier

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Croup Cryptococcosis Dengue Dermatophytosis (ring worm) Diarrhea Diphtheria -pharyngeal

Airborne Droplet Contact Mask Gown Glove +

+ + + + + + +

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-cutaneous Ebola viral infection Echovirus disease Encephalitis : Japanese B Enterocolitis Epiglottitis Epstein-Barr virus infection Erythema infectiosum Food poisoning -salmonella -other Furunculosis Gangrene Gastroenteritis Giardiasis Gonorrhea

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Additional Precautions Protective Barrier +

Gonococcal ophthalmitis Granuloma inguinale Guillain-Barre syndrome Hand, foot and mouth disease Hepatitis Herpangina Herpes simplex -encephalitis -disseminated -mucocutaneous -neonatal Herpes Zoster -disseminated -in normal patient Histoplasmosis Hook worm Impetigo Infectious mononucleosis Influenza Kawasaki syndrome Lassa fever Legionnaires