Control de infecciones y anestesia/Infection control and anesthesia

http://www.smo.edu.mx/jornada2013/

Prevención de infecciones durante la ventilación en anestesia utilizando filtros respiratorios.


Infection prevention during anaesthesia ventilation by the use of breathing system filters (BSF): Joint recommendation by German Society of Hospital Hygiene (DGKH) and German Society for Anaesthesiology and Intensive Care (DGAI).
Kramer A, Kranabetter R, Rathgeber J, Züchner K, Assadian O, Daeschlein G, Hübner NO, Dietlein E, Exner M, Gründling M, Lehmann C, Wendt M, Graf BM, Holst D, Jatzwauk L, Puhlmann B, Welte T, Wilkes AR.
Institute for Hygiene and Environmental Medicine, University Greifswald, Germany.
GMS Krankenhhyg Interdiszip. 2010 Sep 21;5(2). pii: Doc13. doi: 10.3205/dgkh000156.
Abstract
An interdisciplinary working group from the German Society of Hospital Hygiene (DGKH) and the German Society for Anaesthesiology and Intensive Care (DGAI) worked out the following recommendations for infection prevention during anaesthesia by using breathing system filters (BSF). The BSF shall be changed after each patient. The filter retention efficiency for airborne particles is recommended to be >99% (II). The retention performance of BSF for liquids is recommended to be at pressures of at least 60 hPa (=60 mbar) or 20 hPa above the selected maximum ventilation pressure in the anaesthetic system. The anaesthesia breathing system may be used for a period of up to 7 days provided that the functional requirements of the system remain unchanged and the manufacturer states this in the instructions for use.THE BREATHING SYSTEM AND THE MANUAL VENTILATION BAG ARE CHANGED IMMEDIATELY AFTER THE RESPECTIVE ANAESTHESIA IF THE FOLLOWING SITUATION HAS OCCURRED OR IT IS SUSPECTED TO HAVE OCCURRED: Notifiable infectious disease involving the risk of transmission via the breathing system and the manual bag, e.g. tuberculosis, acute viral hepatitis, measles, influenza virus, infection and/or colonisation with a multi-resistant pathogen or upper or lower respiratory tract infections. In case of visible contamination e.g. by blood or in case of defect, it is required that the BSF and also the anaesthesia breathing system is changed and the breathing gas conducting parts of the anaesthesia ventilator are hygienically reprocessed.Observing of the appropriate hand disinfection is very important. All surfaces of the anaesthesia equipment exposed to hand contact must be disinfected after each case.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2951096/pdf/KHI-05-13.pdf




Control de infecciones en anestesia

Infection control in anaesthesia.
Association of Anaesthetists of Great Britain and Ireland.
Anaesthesia. 2008 Sep;63(9):1027-36. doi: 10.1111/j.1365-2044.2008.05657.x.
1.0. Summary
(1) A named consultant in each department of anaesthesia should liaise with Trust Infection Control Teams and Occupational Health Departments to ensure that relevant specialist standards are established and monitored in all areas of anaesthetic practice. (2) Precautions against the transmission of infection between patient and anaesthetist or between patients should be a routine part of anaesthetic practice. In particular, anaesthetists must ensure that hand hygiene becomes an indispensable part of their clinical culture. (3) Anaesthetists must comply with local theatre infection control policies including the safe use and disposal of sharps. (4) Anaesthetic equipment is a potential vector for transmission of disease. Policies should be documented to ensure that nationally recommended decontamination practices are followed and audited for all reusable anaesthetic equipment. (5) Single use equipment should be utilised where appropriate but a sterile supplies department (SSD) should process reusable items. (6) An effective, new bacterial viral breathing circuit filter should be used for every patient and a local policy developed for the re-use of breathing circuits in line with manufacturer's instructions. The AAGBI recommends that anaesthetic departments should consider changing anaesthetic circuits (7) Appropriate infection control precautions should be established for each anaesthetic procedure, to include maximal barrier precautions for the insertion of central venous catheters, spinal and epidural procedures and any invasive procedures in high risk patients.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2773534/pdf/ana0063-1027.pdf




Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org