Hospital-acquired pneumonia prevention: Difference between revisions
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* Whenever possible, use steam sterilization (by autoclaving) or high-level disinfection by wet heat pasteurization at >158 F (>70°C) for 30 minutes for reprocessing semicritical equipment or devices | * Whenever possible, use steam sterilization (by autoclaving) or high-level disinfection by wet heat pasteurization at >158 F (>70°C) for 30 minutes for reprocessing semicritical equipment or devices | ||
*Use sterile water for rinsing reusable semicritical respiratory equipment and devices when rinsing is needed after they have been chemically disinfected. | *Use sterile water for rinsing reusable semicritical respiratory equipment and devices when rinsing is needed after they have been chemically disinfected. | ||
*Do not routinely sterilize or disinfect the internal machinery of mechanical ventilators | *Do not routinely sterilize or disinfect the internal machinery of mechanical ventilators | ||
*Wear gloves to perform the previous procedure and/or when handling the fluid | |||
*Use sterile (not distilled, nonsterile) water to fill bubbling humidifiers | |||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | Mechanical ventilators | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Do not routinely sterilize or disinfect the internal machinery of mechanical ventilators | |||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | Breathing circuits with humidifiers | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Do not change routinely, on the basis of duration of use, the breathing circuit (i.e., ventilator tubing and exhalation valve and the attached humidifier) that is in use on an individual patient. Change the circuit when it is visibly soiled or mechanically malfunctioning | |||
*Periodically drain and discard any condensate that collects in the tubing of a mechanical ventilator, taking precautions not to allow condensate to drain toward the patient | |||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | Ventilator breathing circuits with heat-and-moisture exchangers (HME) | |||
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | | |||
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* No recommendation can be made for the preferential use of either HMEs or heated humidifiers to prevent pneumonia in patients receiving mechanically assisted ventilation | |||
*Change an HME that is in use on a patient when it malfunctions mechanically or becomes visibly soiled | |||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
Revision as of 18:38, 15 December 2014
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Hospital-acquired pneumonia Microchapters |
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Differentiating Hospital-Acquired Pneumonia from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Hospital-acquired pneumonia prevention On the Web |
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American Roentgen Ray Society Images of Hospital-acquired pneumonia prevention |
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Directions to Hospitals Treating Hospital-acquired pneumonia |
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Risk calculators and risk factors for Hospital-acquired pneumonia prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Overview
Prevention
Sterilization or Disinfection and Maintenance of Equipment and Devices
| Preventive Measures | Description |
|---|---|
| General measures |
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| Mechanical ventilators |
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| Breathing circuits with humidifiers |
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| Ventilator breathing circuits with heat-and-moisture exchangers (HME) |
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| Table adapted from CDC[1][2] | |
References
- ↑ "CDC Guidelines for Preventing Health-Care--Associated Pneumonia, 2003".
- ↑ Coffin, Susan E.; Klompas, Michael; Classen, David; Arias, Kathleen M.; Podgorny, Kelly; Anderson, Deverick J.; Burstin, Helen; Calfee, David P.; Dubberke, Erik R.; Fraser, Victoria; Gerding, Dale N.; Griffin, Frances A.; Gross, Peter; Kaye, Keith S.; Lo, Evelyn; Marschall, Jonas; Mermel, Leonard A.; Nicolle, Lindsay; Pegues, David A.; Perl, Trish M.; Saint, Sanjay; Salgado, Cassandra D.; Weinstein, Robert A.; Wise, Robert; Yokoe, Deborah S. (2008). "Strategies to Prevent Ventilator‐Associated Pneumonia in Acute Care Hospitals •". Infection Control and Hospital Epidemiology. 29 (S1): S31–S40. doi:10.1086/591062. ISSN 0899-823X.