By Georges Mathé (auth.), Georges Mathé (eds.)
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Additional info for Aseptic Environments and Cancer Treatment
During the months of isolation the boy showed a quite normal psycho-motor development, stimulated among else by daily visits of the physical therapist. For the handling of the infant two nurses were needed, one in sterile dress and one for assistance. They were very quickly accustomed to this nursing technique. It appeared that for the proper performance of this task, including e. g. preparation of materials for sterilization etc. the routine nursing staff of this paediatric ward had to be increased with one extra nurse during 15 hours per day assisted by a second extra nurse during 4 hours per day.
F. HOLLAND, B. SAMAL, and J. YATES Fig. 1. Plan of double occupancy vertical laminar flow room with personnel in pseudopodia and at patient care walls Communication between patient and nurse is accomplished by radio. Parenteral solutions are kept outside the unit and sterile tubing transverses the wall through special ports. Autoclaved food and water is passed through ultraviolet locks, and excreta are passed out. The patient may be removed from the laminar flow room into an enclosed sterile cart with its own air filtration system by coupling the cart to a special interface on the wall, sterilization of the interface by peracetic acid and opening of the cart door and a porthole in the room.
Most such approaches have combined multiple techniques of asepsis, antisepsis, and antibiosis, in conjunction with some degree of physical isolation [3, 9, 10]. Certain pros and cons of these various procedures are listed in Table 2. Table 2. Components of protected environment Air filtration Advantages Disadvantages 1) Reduction of airbourne 1) Expense 2) Discomfort (noise) 1) Reduction of local 1) Inadequacy of current microorganisms (exogenous and endogenous) 2) ? Reduction of lower and upper respiratory tract infection 3) Reduction of crosscontamination Topical antisepsis Skin Upper respiratory tract Mouth Perineal and perianal infection 2) ?
Aseptic Environments and Cancer Treatment by Georges Mathé (auth.), Georges Mathé (eds.)