Global infection prevention initiative launched
03 June 2003
Baltimore, Md. – Jhpiego is pleased to
announce the publication of Infection Prevention Guidelines for Healthcare Facilities
with Limited Resources. The manual features infection prevention (IP) guidelines
for outpatient settings as well as hospitals providing general medical, surgical,
and obstetric services.
In the last decade, considerable progress has been made in
understanding the basic principles of IP, and in acceptance and use of evidence-based
IP practices. This information and new practical interventions informed the
manual's content and aided in addressing the demand for IP guidelines for use
at district hospitals.
A key purpose of the manual is to enable hospital administrators,
clinic managers, and healthcare professionals working in limited-resource settings
to develop their own uniform IP policies and service delivery guidelines. The
content is not all encompassing; it is intended as a quick reference to essential,
universally applicable IP principles and scientific information. The material
selected highlights the practices and procedures that are practical even in the
poorest settings-minimizing cost and the need for expensive technology or fragile
equipment while assuring a high degree of safety.
To facilitate the manual's adaptation and use, each chapter has
a set of learning objectives and is fully referenced. This allows the manual to
be used in a variety of ways-as a text for preservice education, group-based
training, or on-the-job learning programs, or as content for developing teaching,
job, or behavior change aids.
The manual is divided into four parts. Within the Fundamentals of Infection Prevention are several chapters based
on the new Standard Precautions (introduced in 1996 by the Centers for Disease
Control and Prevention). Standard Precautions are the first level of the
revised isolation guidelines that replace the older Universal Precautions and
Body Substance Isolation Precautions. The section Processing
Instruments, Gloves, and Other Items gives healthcare workers the information
they need to solve instrument and equipment problems and reprocessing issues.
Implementing Infection Prevention in Healthcare
Facilities focuses on coordinating and managing the special IP needs and
services at district level hospitals, where the volume and type of healthcare
services offered are greater than in the ambulatory setting. Information about
accidental injuries and exposures to bloodborne pathogens has been included for
staff providing blood bank and transfusions services, or working in the operating
room and routine laboratories.
The Nosocomial Infections section contains
guidelines for monitoring IP program activities cost-effectively, managing food
and water safely in hospitals, and investigating outbreaks of serious infections.
Hospitals now need practical, symptom-based isolation guidelines to prevent patients
and healthcare workers at all levels from being inadvertently exposed to serious
infectious diseases. Specific information targets the prevention of the most common
and serious nosocomial infections in hospitalized patients-urinary tract infections,
diarrhea, and pneumonia-as well as infections following surgery, maternal and
newborn infections, and those associated with the use of intravascular devices.
An Infection Prevention Learning Resource Package (IP LRP) will be
published in the summer of 2003. The 6-day standard course is designed to provide
basic IP knowledge and skills to all levels of healthcare workers, enabling them
to use recommended IP principles and practices in primary and hospital care
settings with limited resources. The IP LRP can be used as an IP "group-based"
training course, adapted for a self-directed learning package, or incorporated
into preservice training in obstetrics, gynecology, and general surgery.
Two videos are also available, for use with the IP LRP. Safe
Practices in the Operating Room and Infection Prevention for
Healthcare Facilities with Limited Resources: Overview and Practical Training
Demonstration Segments. These videos demonstrate the importance of IP
practices to protect clients and healthcare workers, as well as the main steps
of instrument processing.
Table of Contents
Infection Prevention Guidelines for Healthcare Facilities
with Limited Resources
Part 1. Fundamentals of IP
- Intro to IP
- Standard Precautions
- Hand Hygiene· Gloves· Personal Protective Equipment and Drapes
- Surgical Antisepsis
- Safe Practices in the Operating Room
- Waste Management
Part 2. Processing Instruments, Gloves,
and Other Items
- Overview of Recommended Processes
- Decontamination and Cleaning
- Sterilization
- High-Level Disinfection
- Processing Linen
- Reprocessing Disposable (Single-Use) Items
Part 3. Implementing IP in Healthcare
Facilities
- Traffic Flow and Activity Patterns
- Housekeeping
- Clinical Laboratory Services
- Blood Bank and Transfusion Services
- Management of an IP Program
Part 4. Nosocomial Infections
- Preventing Nosocomial Infections
- Isolation Precaution Guidelines for Hospitals
- Preventing Urinary Tract Infections
- Preventing Surgical Site Infections
- Preventing Infections Related to Use of Intravascular Devices
- Preventing Maternal and Newborn Infections
- Preventing Infectious Diarrhea and Managing Food and Water Services
- Preventing Pneumonia
- Infection-Monitoring Activities
For more information on these publications, please
contact us. To order, see
Publications.
About Jhpiego
For nearly 40 years, Jhpiego, (pronounced "ja-pie-go"), has empowered front-line health
workers by designing and implementing simple, low-cost, hands-on solutions that
strengthen the delivery of health care services, following the
household-to-hospital continuum of care. We partner with community- to
national-level organizations to build sustainable, local capacity through
advocacy, policy and guidelines development, and quality and performance
improvement approaches.
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