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Infection Prevention and Control

Infection Prevention and Control

Dinah Gould | Christine Brooker

(2008)

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Book Details

Abstract

This is the updated version of the hugely popular Applied Microbiology for Nurses, providing essential information about how infection occurs, methods to prevent it and the precautions required to contain it. The new edition is fully revised to include primary infection control issues alongside important concepts of applied microbiology.

'Although it has been written for nurses and nursing students, this is a useful text for all healthcare workers. This book would be well thumbed in the clinical setting.' - Jane Brown, Nursing Standard


DINAH GOULD is Professor of Applied Health at City University, London. Her programmes of research include infection prevention, especially hand hygiene, patient safety and the prevention of iatrogenesis. She has been teaching nurses and other health professionals since 1982.
CHRIS BROOKER is a self-employed nursing author, editor and lecturer. She worked as a ward sister before moving into nurse education in 1976 and has taught nurses in a variety of settings.  Since 1988 she has written and edited many books for nurses and other professionals.
This is the updated version of the hugely popular Applied Microbiology for Nurses, providing essential information about how infection occurs, methods to prevent it and the precautions required to contain it. The new edition is fully revised to include primary infection control issues alongside important concepts of applied microbiology.

Table of Contents

Section Title Page Action Price
Front Cover\r Front Cover
Title Page\r iii
Table of Contents\r v
List of Figures xi
List of Tables xii
Preface xiii
Foreword xv
Part 1: Microbiology\r 1
1 Microorganisms and disease\r 3
Introduction to medical microbiology and microorganisms causing disease\r 3
Bacteria 4
Pathogenic activity 4
Infection and colonization 5
Describing bacteria 6
Establishing infection 11
Invasion: portals of entry 11
Virulence 12
Bacterial growth requirements 13
Bacterial reproduction and genetics 15
Escape and dissemination 17
Viruses 20
Viruses and malignancy 23
Fungi 23
Protozoa 24
Rickettsiae and chlamydiae 25
Mycoplasmas 26
Helminths 26
Threadworms 26
References\r 29
Further reading and information sources\r 30
2 Response of the body to infection\r 31
Introduction to the immune response, immunity and immunology\r 31
Types of immunity 32
Innate immunity: preventing invasion 32
Innate immunity: limiting spread 33
Adaptive immunity 42
Individual variation in the immune response and pre disposition to infection\r 47
Immunity throughout the lifespan 47
Immunity and community health 48
Standard immunization against infectious diseases 50
Health promotion 53
Environmental factors, epidemics and vaccines 54
Risks in hospital 55
References\r 56
Further reading and information sources\r 58
3 The microbiology laboratory\r 59
Introduction to the microbiology laboratory 59
Diagnostic laboratory services 60
Initial examination 60
Microscopic examination 60
Identifying bacteria 62
Virology: identifying viral infections 65
Identifying fungal infections 65
Specimens for microbiological examination 66
Principles of good practice 66
Collecting different types of specimens 66
Safe transport of specimens 71
The interpretation of laboratory results 71
References\r 72
Further reading and information sources\r 72
4 Antimicrobial drugs\r 73
Introduction to antimicrobial drugs 73
The purpose of antibiotic therapy 74
Historical development of antibiotic therapy 75
Range of antibiotic action 77
Mode of antibiotic action 77
Adverse reactions to antibacterial drugs 79
Bacterial resistance to antibiotics 81
Principles of antibiotic therapy 84
Main groups of antimicrobial drugs 85
Penicillins 85
Cephalosporins 87
Aminoglycosides 87
Tetracyclines 87
Macrolides 88
Antituberculosis drugs 88
Examples of other antimicrobial drugs 89
Antiviral drugs 92
Antifungal drugs 92
References\r 94
Further reading and information sources\r 95
Part II: Principles of Infection Prevention and Control\r 97
5 Infection control policies in healthcare settings\r 99
Introduction to strategies that prevent infection 99
Risk factors associated with hospital admission and in other healthcare settings\r 100
The importance of preventing the spread of infection in healthcare settings\r 101
Policies and procedures to prevent infection 101
Standard and high-risk situations 102
Decontamination 104
Cleaning the environment 104
Disinfection 106
Hand hygiene 111
Sterilization 114
Disposing of waste, dealing with laundry and other contaminated items\r 116
Waste disposal policies 116
Untitled 118
Crockery and cutlery 118
Personal protective equipment 119
Aprons, gowns and tabards 119
Surgical masks 119
Hair covering 120
Overshoes 120
Theatre precautions 120
Reducing the risks of infection in theatre 120
Isolation policies 122
Disease-specific isolation precautions 123
Categories of isolation 123
Protective isolation 124
References\r 125
Further reading and information sources\r 129
6 Preventing infection in healthcare settings\r 131
Introduction 131
The significance of healthcare-associated infection 131
The extent of healthcare-associated infection 132
Monitoring healthcare-associated infection\r 133
Pathogens causing healthcare-associated infection 135
Staphylococcal infection 135
Clostridium difficile 138
Streptococcal infection 138
Enterococci 140
Gram-negative infections 142
Infection prevention and control services 142
The role of infection prevention and control services in hospital 142
Infection control policies, guidelines and standards 144
References\r 144
Further reading and information sources\r 148
Part III: ApplyingKnowledgeto Practice\r 149
7 Urinary infection and catheterization\r 151
Introduction: urinary infection and catheterization 151
The use of urinary catheters 151
Urinary tract infection (UTI) and urinary catheterization 152
The closed urinary drainage system 155
Portals of entry 155
Recommendations for clinical practice: reducing the problems of catheterization\r 156
Patient/resident education 157
Choice of catheter material 157
Catheter length 158
Catheter gauge 158
Balloon size 158
Catheter insertion 158
Meatal hygiene care 159
Management and choice of drainage system 159
Auditing the use of urinary catheters 160
References\r 161
Further reading and information sources\r 164
8 Wound infections\r 165
Introduction to wounds, healing and wound infection 165
Historical aspects of wound care 167
Classifying wounds 167
Wound healing 168
Proliferative phase of wound healing 169
Phase of maturation of wound healing 172
Surgical intervention and approaches to wound repair 173
Wound (surgical site) infection 174
Auditing wound infection 176
Identifying wound infection 176
Factors associated with surgical wound infection 179
Aseptic dressing technique 185
References\r 186
Further reading and information sources\r 188
9 Respiratory infections\r 190
Introduction: the importance of respiratory infections 190
Lower respiratory tract infections 190
Community-acquired pneumonia 192
Hospital-acquired pneumonia 192
Upper respiratory tract infections 198
Coughs and colds 198
Acute otitis media and otitis media with effusion 200
Croup 201
Respiratory syncytial virus 201
Pertussis 201
Diphtheria 201
Influenza 202
References\r 205
Further reading and information sources\r 207
10 Infections associated with intravascular devices\r 208
Introduction 208
Infections associated with intravascular devices 210
Bacterial colonization and infection of intravascular devices 210
Presentation of infection associated with intravascular cannulation 211
Risk factors associated with intravascular infection 212
Types of intravascular device 214
Prevention of infection associated with intravascular devices 215
Insertion of the intravascular catheter 216
Maintaining the intravascular system 216
References\r 218
Further reading and information sources\r 220
11 Enteric infection\r 221
Introduction 221
Incidence of enteric infection 221
Risk factors 222
Food infection and intoxication 223
Invasive gastrointestinal infection 224
Food-borne intoxication 231
Investigating outbreaks of enteric infection in hospitals, care and nursing homes\r 232
Enteric infection caused by viruses 233
Viruses involved in enteric infections 233
Protozoal causes of enteric infection 235
Giardia intestinalis 235
Cryptosporidium spp. 235
Entamoeba histolytica 236
Preventing food-borne infection 236
Legal requirements 236
Training for food-handlers 237
Safe practice at home: educating the public 237
Using new methods safely 239
References\r 240
Further reading and information sources\r 242
12 Infection risks from blood and body fluids\r 244
Introduction: the risk of infection and health and social care practitioners\r 244
Human immunodeficiency virus 245
Transmission of HIV 246
Occupational health risks 246
Public health: reducing the risks of HIV infection 247
Hepatitis 247
Hepatitis B 248
Hepatitis C 251
Hepatitis D 252
Other hepatitis viruses 252
Reducing the risk of exposure to blood-borne viruses 253
Handwashing and decontamination 253
Personal protective equipment 253
Other equipment 254
Dealing with sharps 255
Dealing with sharps injuries 256
Contamination of the conjunctivae and mucous membranes 257
Spillage of blood and body fluids 258
References\r 259
Further reading and information sources\r 261
13 Sexually transmitted infections\r 262
Introduction 262
Incidence of sexually transmitted infections 262
Sexual health and the role of sexual health clinics 263
Sexually transmitted infections 264
Syphilis 265
Gonorrhoea 269
Chlamydia 270
Genital warts 271
Herpes simplex 272
Candidiasis (candidosis) 274
Trichomoniasis 275
Bacterial vaginosis 276
Human immunodeficiency virus 276
References\r 283
Further reading and information sources\r 285
14 Epidemiology: changing trends of communicable diseases\r 286
Introduction 286
Introduction to epidemiology 286
Epidemiological patterns: the distribution of contagious disease 287
Factors affecting the incidence of infectious disease 289
Interpreting epidemiological data 290
International recommendations 291
Control of communicable disease in the UK 291
Notifiable infections 292
Changing trends of communicable diseases 293
Malaria 293
Meningitis 296
Toxoplasmosis 298
Creutzfeldt–Jakob disease 300
Enteric fevers 301
Cholera 303
Legionnaires’ disease 304
Tuberculosis 305
Severe acute respiratory syndrome 308
Viral haemorrhagic fevers 309
Rabies 310
References\r 312
Further reading and information sources\r 315
Appendix I: Answers to self-assessment questions\r 317
Appendix II: Glossary\r 319
Back Cover\r 353