hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu...

141

Transcript of hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu...

Page 1: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi
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HOSPITAL INT'ECTION CONTROL

MANUAI-

Sri hnka Co[ege of Mt$obiologsts

Dr (dudu X!@nlne

D. PtilolMr Chndlei.l

D!&y, tiElsftt r.

D. V.nm N.nF !p

)

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CIIAPTER 1

INFECIION CONIROL

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'ihiokiioNtrol',,dtt{dd$tlibit! r:, IiDr{

'r{i:!,$,rltdi6[/ .ilt,,a],r!irll* by,iilalji!,.di'i!r1#,1'"s.1",il,iiil;irld"r ttdbilthri J!'$4fi-ld{finiiidl!'Jg'ti6i€n"i,tu1lt'lldiijli#i$idli{jiil*'ali*ibl,!i,!rH&[ii*idr$&riJi{,9"'iSif il &,Ai;*il!ii*l-il',," "'r4!dr. rda4 driirrliu'ni[i!1]it !fi;ii rui,' ;ij+,ijt ;ri#i,[ji ;ij]lj:"

,qn !64lnir ;uae+.p a, v6rhtrd,iaidn'l'alit+t!d'it!t rt-ii! {iiJrgFr#;B;r}H,i",i;itaiii ii jji#li ii,!lGpb.-ddsdrh-h" na'tP*

fu]oi&rhh6piui'ehdqh,rr$iiei. xi,rtdir&,Urd.iriJ;,luit #Jiil x;1' I rr: 'tw. )liq, " tr t

GnD6 sr e dDry h!f*ri*rii;it'i!#!l? r;,j.r;Ul,;Eit;!,{Uit al,liily

dnirdft*'5l hi; ji drtu/i;isr1;Hli ii:iiriiilc,;d fl u&i :,i:iija 1i1,1;:!hld$iirir , - '

iilrurrisif! ddd'i6{rn{F6 !,

l

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&ii'pdut@boltmffnjbndE^

hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d

Isdd.i butuuodEpdi i*iid*dq sd bdl

'h*. hdad bd

pdn'frcFiloFsn4bi0fudEddiqmd. rib I $€rr Y@Dd) or rh.y roy

lL{Imlydsehnlnt(.dbydopldsuddolshlh.ftfuddulLA.omoy

ulmofbids'blDicdii6ch6!d

tunira b 8.4 w otwn k e tnlptuL

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sbp&!r.M q&6 c@s^I st$o!.prid dsm*rnd.'Firunbb'lunroqcd'pd\n&

datgm@s'€iddslrddifu3fuD lMs (cMpb u r dand b ft

doi tsondb8n!&d ddr mMdiyb 'imd. fre dqonr rlrd.i * idi.

sddiB drd sMArll) PllemoNs (ci4b 3t 1i4 @dd

(cirpd 7) eilD iedns &d nm.3iis rb.& &i€s

n. hlDid slinDndr md.qdpnd shdd h. k p,* by @Fcl:x}Mc,

drpdld d dry @F vAs INAGEiEM (ci4rr I r)

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woRrm (ci,q6rHldryr$Fn "(rh'"€ d,"g I ryq-.lt.sA,b! dsls {rb *'dhlqoq d .

!!Dce!:tr 1::'!ra'r,$F a#.n i$4J+!r.!qb . . .... ," ,". " . ".rAetn) rDlq ld,$\i\sn*";ffm"1ls,ci*,#lis?'

ftru!.r r,!b &ds!.rffi! b siE hoi. ritu6 dsdjlirroric!6ld.frlqtdi'l*lyMi.Fdicdddfut'khrehedqij'E

.c dsdJ) ,rorTrATrq

rt E&d1 {orr^lJtfl, df;A n.rD-rtrtro

i' d L6iib\! !i lt riqd) ?r@ odl

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CIIAPTER 2

ORGANT.aa...-llON

OF

INTECNONCONIROL. . .IN

HOSPITAIS

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o4l6do!dlfu!@lalii.'id

(' 0cc), hrEd@ cd'trr r.m ocr)

xr lwmoN coNmol comeocc)rel lciocddeiffi@t , n+r Eqodbr!*.

gloliuEiigdf.kd6desfmsofi.

nPGiddhgiqebwbdirund0ft

. hndor corturNund3 (rcN)

I dd. dird d.ipriid (driGsrssy. p@dd6. obldie md Mrddo3y d. )

l

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o4ddotrdhlddoldbtwdL

.lfudt!trd€,ddcmic

, eupsrmdMfil're(f 0y)

i bu6 ry olnlr Gg. kimd EFhobsi , &tffi, !fuLr. Krchn

tuffe) a fd whd iE$ry.

t.Tod.dfuIcissuh6chdpid'Eio'i'itdnd$rouipoliciaUdgdelMbd.d$ddn.

(p€l!tnd. tui&,3PEed htur duE, ortunid4 )

3,ToB!.dlou!PfibbmsiiIcha

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Eso,&blelowlncibmspeas

.sFi'cpdtkdcd&ljBd&LinPkftdq

. sft hi& (foi msA. cdM rhrd iiftdoN.b)

.srjfuiftdqc@ftli'w!!6d

c@tum d hlghr up d *db dowi. Irs. cM !n b. p'iBiri?! md

Gd a w4r dryd) nay

fuqd!sdlid*nlr*'

6RgFidbli'yDuf&giEbawdldnc d. ndis. tu Ic r.b (*. ebw) vdB b e Ddn q4dG d

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. Phi or&ror tu y6 (vhd wodd iddo

12 MmoNcoNTROLNoCn

. Mqobbbcilr (trddhbb)

. rifa.idco olMdrdofllr( dLbD

'fuBIdc4]ngq'hdq&trvi&6

.cade@rnmree'obvet(

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orydld@dhldlqdddbkllbk

n*r rc nicnborosid ddry ftidy dr.ar io 15 hirbt b phi d! dly bd e

a hT[crroN coNTRof, NI/RSE U6)

hMcobbbgjsdfuc'n'l}d0&rs.$idned.i.Mtddosjs'

. n6ft3(fmd diirmr)

.lnphEfuig@ekdgd&liid

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CAAPIER,3

STANDARI' PRECAUTI(D{S|

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fteys!s.o'gdd]h6vhihs@ld

bdheogiizdsd!E{@gned$urc*

db' (rP) (*ich \m ed+d bmd,d, a',foic 6a14,,, (BsD (!h.h

js]holg.kiiP{hoeB.lnnoisl

'*Picraui]omusddtgbEs'fuNeq'cban'hjqqEadqwt'

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To'tnbod'ddd!'l0li!fu8uddi!J|'!

&dmie,'ii nd *"r' itu. lody rrnb iD\de eF, p,.nrnd4 Fild trdd od md. tud smtur ierud. rud Eds lp,h4

YlhE!L.plftoLlnffidlllude?asye&*jbdiifuldm

s.id Ftund. :sry b bld, d body nuid, leFm sd .redsl&@r

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ForhoEhlohldonffbdtlgi4.ntr(hrlkr5'

hl b {6b hdd ,e/orc.dbd lri ey

hb&dffongdyDryhdidorcush|yl

"ixx#Fr;;:i:f i:8"^"!""iy:if"i##iy:$B:;:":,9:

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N.d d.m ebG (smE cbEs ARE Nor MEssAR, vh{

clua @ rd c sMnn kt hMhc

fuvcdngglqsvldsr'a.lsFtrc.ln@jbbolnjidiffs'stdhgloEsrErci0!q$dy6t4Id4ngbresiEid4uc.cloEs

.R@q!glo$rnFlyelW!

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I

!, ESON^L RONCAtrT EQUIIMENT (PE)

PPEri&!ardEpl$icrlh{trid

m hd!&. 9or.. n*, gd"i, !pbn. gdseLs, bd d 6F hc mr sourd

b.rsoidrlde4icr]'lsh@fn6kci?d43@i@l

b&ftrhdrybPdfu

r w.e ' 30*n (r crdi. id{dr. cok i! rd.eur) d a pradc @r 6

p{idlmrdjdd46dc[blybs

.wlearyyhngiighrrpdid's nd dlii d,hr &4t'tuclru e.6 c@sA) or 3D@!@dtur6tui(6R9 b pBqrsi

.RmdEisdgows@pdyd

rDui4Flmmdp!dd'.cd{b oi rods o. br@4 dy fld&

F@lemuuft4hlaBof

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, Pnfla'r cam EalJm,Gl'r*|ft.Fld{Eeeidi@

.furdndiglcuFieE@d(ttuld, ir sEi iiN h3v. ro b m&d, cLhi4 rid hi8h LE! didddd

cbdigtdendjcpii$.d{qdn

rfushksoldb,coouBhbcmPl

d4ihB r*ePdddoisbp€E Phs ud ijuo.

. Rie h hd "rd

(ltc) urb$ cot iiddtd

. kpd4iiig4dpnarGrusdddotu)dai ddry bcNer u*.

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I

dNp or b dE (b drq ri . &r bdrd w nd d6v @y d@hg) od by

Pidhrtindlsouldbevkibl'dU.

4}ionn4l&1.d4i.dlv{ihldlnd4pdldlodilhl.fuio'sedkj'.{lutulshd.dcg'spilk.jsli'joiiMs

.x.qhopsedb[ktdo.&ydh{nd'

3jlhnem ordur

o so* up fllid *iis rMdr i&dd (npd rords.3e {ddi4).o tur r*hscroi€drtor 00,mpnd dhbLcDode)dl

ocbd*rd'hdddgdidwak.iddry'

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betodyfindqx}.&fu!ud!fr

(prpdek, ry. eddis)o om @ qt d4d d vrb {d dry d@udryoDidgMadhidv4L

@ dorl4 .rn e'dutu d e hddErrrl'lmi nf* 6rD66 d d drd Eftr.brebr 1r,

.fub'tmpodrdpr@*dLd

lircidtidfunp{iobhsiud

niiubsi6!vd@dol6edE!.'crB.d]iisldbedggdddjli

Page 23: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

'o*@!essoddhcdopldbdl

.AldddEJ@wM4qpsde

.AYoiddsliigudidhs'trt6i

i6hs'in$byhud'

iDndhbiy @d rels EaE do rnng 'ld

. Prdc edb sI]n$ d Etu i

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. c? tutds, rslddio' b.$

folt$dbdolnFdidlbh'

apidsmoui6of{*rq3dh.'

do ii ! FiEa nom f srid hm

rcl@go$'idglqgouldcud

db06{msdsch.sPjldDss

Page 25: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

CEAPIER 4

ADDITIONAL PRECAUfiONS

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m. Mq,ttatosa noe be wM t toa btuc tutul

dar aidm.llgudm (eddrudcidr). ridividud l!@ vitl' da@ qbh$. (ftis bde, lec FdhL,

qdEP6ls|fuddd;hdd:o!d& Ney nlb iMb du6)

.safili@ldqwiaiaftcrc'n4k

.,1, DmpLipHufub, ldbpldnebi>5M)

. srddd rui.d eldh 0nor m*s (nd r sle nsk) ftr h!*n ce

sqddluk L hstuItrn

r hdliddn]@tueitu' rd

l^evisddbermd!i4Ftd

'id]il'.Flidmddl€viigedm

Page 27: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

ft . M,cntubds sh@a h..or r.d MMi@ (frk iidu&. wh.E pGdbrc

o!dd. Nay tu iiob dudt

.Ms*.grds,gMioP,q.pl.rdq

u* otdi.PdL Gi4L{.).quirsr

dbiiftcdq,nddisbry

Ap@d6!@Ddridhbd@n4erorFl6tlFdnhilfuh6'6dd.Eddv'lui&.nsrh''Fjsarcdm

th drry .lt tu, b PsF4 d..$did6e&LcdsiEdddvbdry'

FdP!+Allwl*l2Qt.bNl

. tu rot h$h tu db 4d aiturq

. u*.d.d@idsMsdsdsryGsmIF)

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CHAPIER 5

EAND fiY.GIENE

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df.diEigchi6!ldGdo!.dd. rh@rc I ir hirotur dd H6 !G yorta4 crcs) *old Md!

iT. INDICATIONS FOR HANIN'SSINC

rllldflbbgd br. dc pnc b

lModngfuo'fudtodyde

s' rdh! d br. !t' {r-

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5,A EAMWASSINCTECNIO!'

iAPply.dp.Migdildegdfuid&,

ffnF, e 6@h| ud dc fiiF f.b8. (tuta ffsm ,)

H.i4*oddbddtofughlywid'c

L.s.d.qul.jigbkhudNd!bAjdes.dik

e rwdr iu vdi4 ud Eue

lovid. 3mdr te6 Nhrh .hddd e j$tuk j sn rc Md j! d&d (6 ji I dkh)

. rs-4*.hluh4idiE3l!6 kO a

. tu rd u. Ja, ituD tua.d rtu.

.g4lgdlindl€edvil'R.'idmledli'ybPi

. Da*tut dc E444ffirwd.

.kslmoi|digddctnd{s.df}hgddlt ce b. @FF! ii hou* (er nrd ?0*

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[email protected]'d'gdcl

haid..q@{y and rcdr€ iiftcion

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Auol'hhudndft.Nd'ond

I Not M6sd

I Mosr nequenny missed

. hove dr jeedra_y &fm m6bis

Amry 3-5 d d f(@!c dsFr Gg. 4

m. dBirtui@ pftdr nui& olgh

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CEAPIER 6

CLEANING, DISINTECTION

AND

STERTIZATION

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slLldqniDffipl*didmdoio.cm'.EmpliMbyDi!.rHldyid'd'{.8d4!rr'd{ddcidi.dl&

lq!4i?.dpdbgdicoeim'btrdcubl6bpt![.!bylfuedbqdd

crHi.d' (dditubr d&!dc), w [gh, b!4 *@ .b. ftt @td h. dhhr8i M' d$ftda d tfl kd dituo.

^ dbiiftasr j.

' riqdd doi€t rpprid d b mFriuis Ndlq (4 tun.t.

M4dc n ! iquid chdd 4pfi.d s b nuie dl!@ Gs. d4 ijuiut

pldbjdfadq&drd'ndid'cldh

Page 35: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

ft8 d.ed n rh. me offt rh b b sj44 s! ribry d6ud

Page 36: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi
Page 37: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi
Page 38: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi
Page 39: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

ni'i (us nd. ,{d rd ldrirtr

otr pbsric & rubbd (m.kibsh.

Page 40: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

wshiicPDadvdfimdd4hsil'hlodhNqlqqnoF md brckb doi, dry ed hvtrkd

edmei'FddJJTohd.mid5$o!k6edhi

souPiu:dusieibsd.hdcdd(t{Fbvdl

R.."* 6. :ho&,, .,rii, ,"d d"d :: d,","",

Foi'dtdddMRSA.cM'c'Astohqq..d!'

Page 41: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

hl4'd (MRSA, cRE cp. ^

s@b@co9 pdar

$rno€[a) Poudq dkii€chr hb hv{ory Ni or

vc&AlovBbdoE6eprcdu!4dNshhidsftl

Page 42: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

STERILIZATION OF EOUIPMIN I

G.eir e rn! I ns i 4run. dr;i

€m @& 5 du& r. bbft rer. { w* cMtr!;

rnDss4 6e rbhs u ,s shbalbhy& ro ril

jtor d4^ rbhF dd sd @!ded

Rsnonbc6suallysi04ldrc&dqdsd

FqEse'daniecalcdoNbyFnn}ffnh!ftbqYsvdqddc4qiudslhEeb!'ud

Page 43: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

ludkvd ( bd nbb).Ar.dsriEly, lhedcd

Mo b. usd 6reud4r o oFdig rtr eolided

wipeh.idPhesdT0%dcohol'sbEdry'

Ff Ere, de@ vid cPD. Eth bEr dilidcnoi by

I

Page 44: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

viicPD d.udkw( {lrqhwbrodsehth

6q!{r( @ &i4e sysEn, daoionim€ Ii^'R.i.i ctuplq r D. (adodly6L &d b cssD ifr.r

Page 45: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi
Page 46: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

A lruom mus .dhbd8 54 Phior (Lysor) tu spdln

shoddhdn@*dbybunhcqdrcPb!ryiogafr{

wipevidT09Atdd'gcPDtro€nly

Page 47: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

cbdmrolbdlj'udbyhdsrikj'

GMRSA.cREG''AsPdqas

Ausndti@q*dbyldie,(@rcd

4. brood udc r&6

enbs, dr!;ftd6 rd .qnbb

p,ttr6fisdbsdlins&@.g.liHfurp!i.dqiddbdclg,

. Dnly rbo 3h0td b Mh.d Nid rtur (h.r wds vh

bsholrddb.mi.ddolgcddonubgd'

Page 48: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

A]ediy.lvlh.vshoE

r rydis d h h tu by he4 diqb rd hlq duly gro€ d

.Munt.mpodhdr*'yabrnu.h.ejhi&udye!fuFfuld

Page 49: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

CHAPTER 7

CLINICAL GUIDELINES

Page 50: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

.trdepdi.ibo}ibbellL€icb

*oddedb*.dbdrycssiil'tr

Page 51: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

[email protected]@dtrE6g'lunb[9!mqlfrgspincPgsfu{di'dl.bi$i.s

7'usrhpEFndlobrbnno@d@

clqiih.shwidTo4.6y'dsdddlov.od!y,

TJ,sldnrFndmrau@dolhc. Aslric !@urioB rl'@rd hc tu (tutu 42)

.w6bl'd59idsadlfipiqb.dg&prtdu€.d.dsilemdr]lwbdry

rrepabtthNilob!ft4ico

.UjigrsE'ilercdle0d!3F4.d.*bdrol.uloEddbeEm4dvt6atd.piilud

Page 52: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

OF TTTfuVASCUL^R OV)

.au.&AliB$ouldh..bryldin

!qa'ds$ouldbeN6h.du6$apl

AnqiRnjoi.cuNhnNe*{Ed.b

c nurr s .,& r? 'tu

42ddartforiI

.FsbiBdimgadod6.andhpEi€I$lylvojdd

'h. b&cdo Pons. viF pd wi'i 706 d.

[email protected]'nu{b.!h

Page 53: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

7,*, Atudrlsfi*E/CEt r@@!cidd.B (cvc)

ilgur qtDd3ic!..4% db&ridh.) n $$ h!pdtrb

[email protected]'

!3?106dpd'!thFdrti4,

. Rouriie qidndrph@{r d cvcat int{tiq. h th. pesrc? d hJ.dior EPbtunt d cvc qq th, etde

Page 54: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

idu|dispo$bbdaPgFdroieu

'c!'ltlsshoddbisndsi4ePeldqe

laudssldilh.ialdtnPld!a&

h.d i.d {tkd ( H!.

Page 55: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

. fhe qhe boc 'ibt tutt b.b' tu kwLqf tu btadiet at att th{,

!'diD&lJae.Jj+.u'.G.b.

.Uicesgsholde.hsgdoie@id & dsgd dery No 'eh

e!lidd&fde.hiftryftPnidb

7J''cdlnddfu3!.dltGrdrdunilesFnged.iedh.

.Toenbln*iGnmed]ehi

@klwL'qndflqn$sheld

Page 56: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

?,r.6, c$'r. t!Fo,,r, , ,,,.r. RcruE rl! €me a lms pdnh!r kr.y cd.6 (Lc) d'sld b. ciqd .q a dai. s tu ceh

Page 57: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

7/'lsN'bodqdr@qsgdloE

icd hsk (io. r gtu- h*) ed, r

rclobdbydnsFiotr$ds

lghs@t$o'!flgi

Page 58: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

Pekgin8'Edof'n..leghLe'!idid.d!Fdui,ilis€mtdvi'nd.lbdidiffitlyFjt

'cdlmtdigdecldicuoini4ftm.'6ddvidd'nhdhum'o&Eeinhrylful

dbbwGj'egloft!ud$e

.hbt.EilMdhald'lhomgbly{ued

T6Mqdddmboldaldhd4

Page 59: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

!]dbeedfulebpalidl*hesl

&lehpdd''Ird}*ro'Fljbb

. As{dc Etuqu. wei idsry (indudi4 ue d dd. gro{s d

choleolrlfid'qlEft

sdcbd tud siE, (Rs. R.dirc)

Page 60: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

'wob&daldb.Mbdvilhr4dc@biiqes,

esMeI!fuld(fr4L,n r-5&F ans slrg!ry) uhs h! h a diftd idadoi sud d

ftftrcpqghedbygi{.mdodMmfild

.hmmya$debdehotmy]jedosh

sddMidhygine$ouldbFciedbydjarr'

Page 61: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

?%LysolsotlioDoEmighl,&brc

Page 62: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

CIIAPTER 8

INFECTION CONTROL

.SPECIALIZEI} UNITS

Page 63: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

NnNSM C{m om 0cu)

! odck d uninp,ftd G* or ${f 6 p.n*.!s(relkkid.pl#liE'sldidmbolb.FedinBIdisNuhiqtrdd4iic

. a 3 b.d !ni., wi.h 2 d isba(d h bg3M)dd2bbdooDsGi'sle b.d) @ uffid

fufuhdlqd3p!.&@

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dr.h!ns* Fl hou) ro k .! 'ft@e

lffi n ! rw Lvd

Page 64: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

3'l'eod{suryridsepn.pEoudm

'c!pr''!dollTl'@o

UFal%byrodEtrdgenbdh*d4!

wdmo!6h0'l*i'ldldtdly'

'wden.d]ly$|hcDiruldlu6hed4s'

Page 65: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

siped66PDhftFij.itseddry.hm!31']y

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isdiBbno!frdErsin6hdios,by d'diftil

dP,tft}idfubcnlqi,ddu'cED{@dE@iishsiiEspind}hcmAiiepdlo']

Page 66: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

kmFren54h5ft bb4 \q!q4l c}ms;

imm.dg de ubj4 i 2% sr'enr@hr& i; r0

Dind$ dd itr. }d sadL w;

be!164!q dcPD d a&'ftss. (is4d0jisvi$ddbvdrt'o($d&eisvddgd

d{re! Dr 8,4,$! ! e &h,!cb;l0mmu+.

cha4.eiyq -$ d. cfi[-d'/q;ibr-

Page 67: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

Fo&uqd€'i9jdcPDHishtrcldihitcdobi

q hcPDmdtubd c (redhY6b) q u! hsihwr dkhildo by inne64 iie h64 i 1$

fqw (trops dEhs 3Fm, eotrhhib ru{

Page 68: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

IrfimnuhvidaPD'piREl9hF@dd€hb

wlpe ddyr.4 cD. tuE sldM.omeLdy

cheeJl4ui!me[.8d43h6,

PrEcPb]trdd4&'qhPdr5

Page 69: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

Arn j8 b I sbtr Mue plretu mN '*h

Ms do@rnN Ei6 deii* I lfrs rddDg@Fdtu

FdbqFm6lsui&'6onlafdlgsdRdq64filL

Folovedpide|iido[eo'fuer6'7

Page 70: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi
Page 71: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

GPD.a.8!rP!lpD.@3eib

ckmsdGD@d2%cddqidie.trhbynjpt

wiPwIaDh.NelFdsaddry6Nqy'

rq'rc&bofb€nmbFd

Page 72: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

crair{44Fri ores v4arNirs nrdlffiildhd! rN *bk. dsn s ddared hn!

.dd,i 4 rotrb mn.D iede ruhi!Err3ldftd&hyde.ol30ni@t'frFcelt&idrq'o

Page 73: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

I

Ptunde 4d6iw be^' trdt,

Inod& ii Mdbn sLdoo 0?5 opn

Page 74: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

Plas€i..3liddjBuhdhEi6c(ch'tl5)sdoaEPdcpqd@5

cssD.c{tdsdlidid&su@IcsDivtbl

'Mo'lht.liru'd'ily9id0'14hy@hldi€D1 6e EoF b sddhr md ioE M ds u6rd. dow

.wsh@3iiol6i'pdldt'dly'

Drm!dufd6cPDdyMdbclw{Pnci6Drydddol

od"id04lDF(fuonafiEdrc'd3y'.Pd*,oie.d*.dss.

Page 75: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

fuichnnE,d$iddhlod*dl

csso.6d sh;D o &-s40ra h mi

- rnmG to 0 l% hleodbdEnia;d;id;;e r

[email protected]@nfub|@|2lhsw4hqilhcPDiiudisdr4!'0ddJy0ofughl'

tu!re ( oFdtuiaserydem,d.o lniu€ffEr.

Page 76: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

Dnlf4'q'h7@Jsiol$FudfuEdq'

wiE ird Die. eid [email protected] shdry.siigl.N&sbleffieEmmdd

Br@dlp!s.mddiq6odyn!dl,Rdfi]'ll

Page 77: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

uanoird{im

Folo* srud ei&r6q {sk dissd Ffrch+ir ID,sdor l. P-{erh.

E\rqrtr!!!s@ll0d'm!U,6krqchlpkl2

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CIIAPIER 9

INFECflONCONTROL

IN

OPERATING TIIEATRES

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Page 114: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

CHAPTER 10

MANAGEMENT

OF

OI'TBREAKS

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CIIAPTER 11

H(XIPITAL

WASTEMANAGEMENT

Page 141: hnka - aidscontrol.gov.lk · &ii'pdut@boltmffnjbndE^ hody nuia bd dq @ e &quid rim rpplmdy deu obteb oi dss uch d Isdd.i butuuodEpdi i*iid *dq sd bdl 'h*. hdad bd pdn'frcFiloFsn4bi0fudEddi

CHAPTER 12

TNFDCTION CONTROL

IN

HMLTIICARE WORXERS