Upload
zimm-basubas
View
239
Download
0
Embed Size (px)
Citation preview
7/25/2019 Sars Prevention
1/18
General Protective Measures ForPrevention Of SARS Infection
(Click on your screen to change slides)
Dr. Chandana Samaranayake MDClinical Specialist
7/25/2019 Sars Prevention
2/18
!hat !e "no# A$out SARS
% &iral infection ' a ne# utation ofcoronavirus is susected as the cause*
% A+ects all age grous, highest nu$erof deaths have $een aong eole#ith re-e.isting chronic conditions*
% Susected to have originated in
Guandong, China*% Causes atyical neuonia in infected
atients*
7/25/2019 Sars Prevention
3/18
/
!hat Is Atyical Pneuonia0
%1yical neuonia is a lung infection, #herethe alveoli in the a+ected area 2ll u #ithe.udates, $locking the o.ygen transfer* Chest3-ray sho#s a clearly dearcated shado#*
% In atyical neuonia, the tissue surroundingthe alveoli s#ells, collasing the alveoli,reducing the $lood suly to the area, ando$structing the o.ygen transfer* Chest 3-raysho#s a fu44y shado# #ithout clear$oundaries*
7/25/2019 Sars Prevention
4/18
5
1yicalPneuonia
AtyicalPneuonia
PneuoniaPneuonia
7/25/2019 Sars Prevention
5/18
6
Coronavirus Faily
% Cause ild to oderate resiratory illnesses such as coon
cold*% A$le to survive in dry air for u to / hours*
% Can $e killed $y e.osure to ultra-violet light, so they #ill notsurvive under sunlight*
% Mutate easily, and each utation triggers o+ an eideic of
resiratory disease*
% A ne# utation, #hich arose inGuangdong is susected ofcausing SARS*
%1he nae 7coronavirus8 refersto the rotein oleculessurrounding the virus, akingit look like a cro#n (n*7corona8lat 9 cro#n)*
7/25/2019 Sars Prevention
6/18
:
Methods Of 1ransission
% Most fre;uent ethod oftransission of coronavirus fro
erson to erson is drolettransission*
% If the sick erson coughs or snee4es,
the virus can $e carried in salivadrolets to eole near$y, infectingthe*
7/25/2019 Sars Prevention
7/18oat in the air likedust*
% It is susected that the SARS virus can $e transitted in
this anner*ScheaticScheatic
vie# of avie# of a
crystalli4edcrystalli4ed
virusvirusarticlearticle
7/25/2019 Sars Prevention
8/18?
Infectivity And &irulence
% Infectivity is the a$ility of a virus to @ufro one erson to another* 1he reciientust receive a dose large enough to causethe disease* Fro eideic reorts, itaears that SARS virus has lo# infectivity
(ie it re;uires a large dose to ass on to thereciient)* Other e$ers of the coronavirusfaily have very high infectivity*
% &irulence is the roerty of the virus tocause daage to the atients organs* 1heSARS virus is very virulent* Other e$ersof the coronavirus faily have lo# virulence*
7/25/2019 Sars Prevention
9/18B
Incu$ation Period
% After the virus enters the $ody, it re;uires/-D days incu$ation eriod $efore thedisease aears*
% According to current data, infected eoledo not ass on the virus to others duringthe incu$ation eriod*
%1hey $ecoe infectious only #hen the 2rst
sytos aearE cough, snee4ing ' #hichsread drolets containing virus articles*
7/25/2019 Sars Prevention
10/18D
Attenuation
% Attenuation is a henoenon seen in soee$ers of the coronavirus faily, #herethe virulence decreases #hen it @us froerson to erson*
%1he SARS virus sees e.hi$it thishenoenon (ho#ever, there are no
studies yet to rove this)*
7/25/2019 Sars Prevention
11/18
Sytos
% Cough, nasal congestion, snee4ing% igh fever (/BC or higher)
% Severe uscle and @oint ain
% Hiculty in $reathing ' siilar toastha
% Continuous locali4ed ain in the chest,
#hich increases #hen taking a $reath
7/25/2019 Sars Prevention
12/18
Risks at !orking Places
% Peole #ho visit hositals are under risk ofcontracting SARS, and ust takerecautions*
% In the event an eloyee is susected ofhaving contracted the disease, he=sheust ust take stes not to e.osecolleagues and custoers to risk*
7/25/2019 Sars Prevention
13/18/
Custoer &isits
% Precautions ust $e taken #hen entering
all ICJ, MICJ, CCJ, SICJ and resiratorytheray units, regardless of #hether thehosital=unit is kno#n to have SARS cases*
% osital ust $e visited only #herea$solutely necessary, and seciali4edsafety rocedures in lace at the hosital
ust $e follo#ed*
7/25/2019 Sars Prevention
14/185
Precautions 1o 1ake !hen &isitingICJs
% Keave all ersonal $elongings, not relevant to the visit,in the oce*
% 1ake a LB6 or FFP-grade ask fro the oce*
% efore entering the unit, ut on the ask as er
instructions, and check for leakage*% After entering the unit, ask for a air of surgical gloves
$efore handling e;uient*
% Ho not lace $elongings, tools etc on the >oor or one.osed surfaces* Re;uest a aer to#el fro the sta+
to sread on the surface*% If you need to $ring e;uient=arts $ack to the oce,
have the sterili4ed according to hosital rocedure $ya e$er of the ICJ sta+*
7/25/2019 Sars Prevention
15/186
!hen Keaving 1he ICJN
% After e.iting the unit,reove the ask 2rst and
discard it, then reove thegloves*
% !ash hands thoroughly #ithchlorhe.idine scru$ solution*
% Ho not re-use a ask*
% Ho not touch a used ask#ithout #earing gloves*
7/25/2019 Sars Prevention
16/18
:
Safety In Pu$lic Places% So far, all recorded SARS cases have develoed the disease
only after having rolonged and close contact #ith a atient(eg* faily e$ers, doctors and nurses)*
% 1here are no recorded instances, #here the disease #astransitted via casual contact, traveling in u$lic transort etc*
% A erson can only ass on the infection after sytos aear*
% Only a very sall ercentage of the oulation have thedisease (eg BD out of 5 illion), and they are se;uestered*
% 1herefore, #earing asks in u$lic laces and transort #ill notgive any arecia$le rotective $ene2t*
% o#ever, if you susect that you have $ecoe infected #ithSARS, #earing a ask #hen traveling to the hosital is yourcivic resonsi$ility*
7/25/2019 Sars Prevention
17/18