Semey state medical university Chair of Surgery SIW

Semey state medical university Chair of Surgery SIW Prevention of HIV in surgical departament L/O/G/O Prapared by: Oralkan Aset Chacked by: Ashubaeva Arna Kuanyshevna Semey 2013

Plan of my work Introduction The general concept of HIV infection Prevention of HIV Concludion List of literature

Introduction • Preventing HIV infection in surgery involves identifying the virus carrier patients with HIV infection, strict adherence to safety regulations for medical staff and changing the rules of sterilizing instruments. Any patient, especially in emergency surgery and has the potential to be HIV-positive, so when you work with him to carefully observe the safety precautions.

The general concept of HIV infection • The virus from the group of retroviruses. A parasite in human cells have cell receptor DC-4 (mainly lymphoid cells). Little virus is resistant to the active factors of the environment, for example, at a temperature of 56 degrees C inactivated for half an hour at a temperature of 100 degrees C - for 1 - 2 minutes. At the same time, the frozen HIV may persist for several years. In the dried blood on the needles and syringes, as well as in solutions of psychotropic drugs (drugs) can remain active up to 3 weeks or more (at room temperature), and in some cases and perhaps up to a month, which is one of the most important factors behind its distribution among the consumers of narcotic drugs.

• In order to prevent HIV infection all surgical patients should be screened for HIV, the medical staff of the surgical department 1 at 6 -month leases blood test for HBsantigen, Wasserman, antibodies to HIV. To ensure the safety of the medical staff, all manipulations in which the possible contact with blood should be carried out only with gloves.

When carrying out operation or operations to the patient with HIV infection need to work in special masks (with glasses), mail or double gloves, tools only pass through the tray, to have an emergency kit with a full set of drugs, to be manipulated in the presence of a second specialist who can break in case gloves or cut to continue its execution; nail phalanxes treat the skin with iodine before putting on gloves.

• After contact with contaminated liquid on the skin should be treated with its 70% alcohol, wash with soap and water and redecontaminated with 70% alcohol;

• the mucous membrane - handle 0. 05% solution of potassium permanganate, in the mouth and throat Rinse with 70% alcohol or 0. 05% potassium permanganate solution;

• for injections and cuts - squeeze blood out of the wound and treat it a 5% solution of iodine. Within 30 days taking for preventing timazid 800 mg / day.

After contact with body fluids on desks and apparatus their surface disinfected. In order to prevent possible use disposable syringes, tools, systems for intravenous infusion. Instrumentation disinfected after use in a 3% chloramine solution for 60 min or 6% hydrogen peroxide solution 90 min.

In the operating room, dressing room, treatment room in an easily accessible place must necessarily be an emergency first aid kit "anti-AIDS", which consists of 3% solution of chlorine bleach, 6% solution of hydrogen peroxide, 70% ethyl alcohol, 1% solution protargola, 1% aqueous boric acid, 1% solution of silver nitrate, 5% alcoholic solution of iodine, 0. 05% potassium permanganate solution, spare gloves and gown, fingertips, pipettes, glass rods, adhesive plaster and plaster bactericidal, scissors, sterile wipes.

Concludion Conscious attitude and thorough implementation of the requirements of the medical staff and disease prevention regime will prevent the incidence of professional staff, which will significantly reduce the risk of HIV infection and other sexually transmitted infections and save the health of patients.

1. Lishvic D. М. . Practical issues of disinfection and sterilization / / FARMindeks Practitioner - № 7 -2005 2. href=http: //medi. ru/doc/8591113. htm 3. http: //promolink. ru 4. Pokrovsky VI, Park, SG, Briko, NI, Danilkin BK Infectious diseases and epidemiology. Textbook. Moscow: GEOTAR MED. List of literature

Thank You! L/O/G/O www. themegallery. com