Summary
Samenvatting Overzicht Asepsie Algemene Heeelkunde
- Course
- Institution
overzicht in puntjes van het hoofdstuk Asepsie Algemene Heelkunde.
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✨Asepsie
Inleiding
Definities
hygiene
alle handelingen + handelswijze → mens blijft gezond
chirurgische ingreep = ... + ...
antiseptica + asepsie
asepsie
nastreven kiemvrijheid
types asepsie
antiseptica
doodt MO op levend weefsel
geen beschadiging levend weefsel
desinfectantia
doodt MO op inert materiaal
→ volledige steriliteit bekom je nooit
waarom asepsie
vermijden SSI! (surgical site infection)
kan tot 30d na ingreep
verschillende soorten antiseptica
Alcohol
verdund (60-70%)
denaturatie eiwitten
op wat werkt het?
bacteriën
virussen met enveloppe
schimmels
op wat werkt het niet?
virussen zonder enveloppen, spores
chloorhexidine
= zout
= neuro + ototoxisch (residu)
op wat werkt het?
bacteriën
hoge vs lage conc
Asepsie 1
, laag: lekkage celmembraan → bacteriostatisch
hoog : coagulatie celinhoud → bacteriocide
beperkt op schimmels en virussen
%
2-4% zepen
5% oplossingen
1/10 → desinfectie
1/100 → wondzorg
jodium/jodoforen
joodtictuur (I2 in ethanol)
jodoforen → povidone-iodine
%
10% H2O oplossing → 1/100 voor desinfectie
nadelen
geen residuele werking
bruine verkleuring
inactivatie organisch materiaal
Hygiëne
Handhygiëne
wanneer handhygiene
voor en na patient manipulatie
na manipulatie op 2 versch plaatsen patient
na contact lichaamsvocht
na eten
na toiletbezoek
na gsm , .. aanraken
na uittrekken handschoenen
handen wassen met zeep
40-60 sec
11 stappen
Asepsie 2
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