MDR—TB 感染控制.pptVIP

* Filtration..In small rooms, room air cleaners with high efficiency particulate air (HEPA) filters may be a useful alternative to mechanical ventilation which may require infrastructure investments, Room air cleaners may be free standing or permanently attached to floors or ceilings Correct maintenance of the filter is essential * This person is wearing a surgical mask. Surgical masks are designed to capture large, wet particles. During surgery, they prevent contamination of the sterile field by the surgeon’s germs. They do not protect the wearer from inhaling small infectious aerosols. Surgical masks have large pores and lack a tight seal around the edges. [Review slide] Photo courtesy of GB Migliori Surgical masks do not protect health care workers from TB. The picture on the left shows a physician wearing a mask in a former Soviet Union country, in a room where TB patients receive directly observed therapy. If some of the patients are infectious, this mask is not sufficient protection for the health care worker. The picture in the right side shows an operating room in an African hospital. The masks protect the sterile field, not the health care workers. If this is an infectious TB patient undergoing lung surgery with high speed devices, the staff are not adequately protected from TB transmission. Photos courtesy of Paul Jensen (upper left) and GB Migliori (lower right) Both the US and Europe have respirator standards in use throughout the world On the left of the slide, N95 respirators from the US effectively filter out 95% of the particles 0.3 μm in aerodynamic diameter The equivalent respirators according to the European standard are FFP2 and FFP3 (on the right). The FFP2 filters out 94% of the particles 0.4 μm in aerodynamic diameter; the FFP3 filters out 98% Adapted from: Control de infecciones de tuberculosis en establecimientos de salud- Módulo de capacitación. Ministerio de Salud, Peru For providing ro