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ALCOHOLS
LARSON, E. (1991). « Alcohols. », Disinfection, Sterilization and Preservation, 4e édition, chapitre 11, p.191-203.Download PDF (24 Kb)
ANTISEPTIC
BROUILLETTE, F. (1996). « Les antiseptiques et les désinfectants », Le Médecin du Québec, avril, p. 63-70.Abstract:
- La population bactérienne (flore normale) varie selon le site (moins de micro-organismes sur le thorax que sur le visage ou le cuir chevelu).
- Éviter les associations simultanées d’antiseptiques ou de savons, car cela pourrait les inactiver ou produire des composés toxiques.
- Pour l’asepsie préopératoire, on recommande la chlorhexidine ou l’alcool isopropylique 70 % suivis de povidone iodée (iodophore).
- Si une faute se glisse dans le procédé de fabrication, il peut y avoir contamination par les Pseudomonas à l’intérieur du contenant de chlorhexidine ou de povidone iodée.
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COBBETT, S. (1999). « IV SITE INFECTION: A prospective Randomized Clinical Trial comparing the Efficacy of 3 Methods of Skin Antisepsis », Yarmouth, Western General Hospital, 48 p. Download PDF (122 Kb)
JARRELL, NICOLE M., RNC, MSN1 , MAHER, KEVIN O., MD2 (2007). « Minimizing the Risk of Catheter Related Blood Stream Infections From Multiple Line Accesses in a Pediatric Cardiac Intensive Care Unit », Children's Healthcare of Atlanta 1/2 Emory University2 school of medicine.
LARSON, E. (1988). « Guideline for use of topical antimicrobial agents », AJIC, Vol. 16, No. 6, p. 253-266.
Abstract: This Guideline is based on published data available at the time of writing. The ideal means for comparing performance of various antimicrobial agents is through the conduct of carefully designed, large-scale clinical trials. Recommendations contained in this Guideline are subject to modification as additional data become available. It particularly should be noted that the implementation of universal precautions or body substance isolation has resulted in marked increase in the use of gloves for direct patient contact. Whether there is an additional cost-benefit rationale for handwashing with an antimicrobial agent remains to be studied.
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McDONNELL, G. and RUSSELL Denver A. (1999). « Antiseptics and Disinfectants: Activity, Action and Resistance », Clinical Microbiology Reviews, January, 12, p. 147-179.
Abstract: Antiseptics and disinfectants are extensively used in hospitals and other health care settings for a variety of topical and hard-surface applications. A wide variety of active chemical agents (biocides) are found in these products, many of which have been used for hundreds of years, including alcohols, phenols, iodine, and chlorine. Most of these active agents demonstrate broad-spectrum antimicrobial activity; however, little is known about the mode of action of these agents in comparison to antibiotics. This review considers what is known about the mode of action and spectrum of activity of antiseptics and disinfectants. The widespread use of these products has prompted some speculation on the development of microbial resistance, in particular whether antibiotic resistance is induced by antiseptics or disinfectants. Known mechanisms of microbial resistance (both intrinsic and acquired) to biocides are reviewed, with emphasis on the clinical implications of these reports.
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ASEPSIS
HADAWAY, LC. (2003). « Skin flora and infection », Journal of Infusion Nursing, January and February, 26(1), p. 44-48.
Abstract: Human skin provides a great living environment for the growth of microbes. The types and numbers of microbes vary according to the part of the human body and the age and gender of the individual. These microbes have a definite impact on the incidence of catheter-related infections. By understanding the process of how infections develop, appropriate choices can be made for techniques and methods that prevent these infections.
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CHLORHEXIDINE GLUCONATE
DENTON, G. W. (1991). « Chlorhexidine », Disinfection, Sterilization and Preservation, chapitre 16, p. 274-289.Download PDF (28 Kb)
HUCHON-BECEL, D. (1990). « La Chlorhexidine », Hygiène hospitalière pratique, Paris, Éditions Médicales Internationales, 2e édition, chapitre 13, p. 314-346.Download PDF (31 Kb)
GUIDELINESAORN 2008 CDC - Catheter Guidelines, 2002 CDC - Guidelines for Haemodialysis, 2000 CDC - Guidelines for Hand Hygiene, 2002 Guidelines for Prevention of Surgical Site Infection, 1999 Canadian tuberculosis standards, 6th Edition-2007.pdf Pediatrics CVL BSI Prevention Guidelines, 2002
POVIDONE-IODINE
DAUPHIN, A. (1990). « Les produits iodés », Hygiène hospitalière pratique, Paris, Éditions Médicales Internationales, 2e édition, chapitre 6, p. 130-148.
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