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DR.T.V.RAO MD
DR.T.V.RAO MD
the suspending medium, b) temperature, c) relative humidity, d) oxygen sensitivity, and e) exposure to UV or electromagnetic radiation. Many vegetative cells will not survive for lengthy periods of time in the air unless the relative humidity and other factors are favorable for survival and the organism is enclosed within some protective cover (e.g., dried organic or inorganic matter)
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for long periods and can be carried considerable distances via air and still remain viable. They may also settle on surfaces and become airborne again as secondary aerosols during certain activities (e.g., sweeping and bed making).
DR.T.V.RAO MD
DR.T.V.RAO MD
2ND SITUATION
The second situation for which environmental sampling may be warranted is in research. Welldesigned and controlled experimental methods and approaches can provide new information about the spread of health-careassociated diseases A classic example is the study of environmental microbial contamination that compared health-careassociated infection rates in an old hospital and a new facility before and shortly after occupancy.
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QUALITY ASSURANCE
FORECAST WITH CAUTION ??? Conducting quality-assurance sampling on an extended basis, especially in the absence of an adverse outcome, is usually unjustified
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AIR SAMPLING
PRINCIPLES AND PRACTICE
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BIOLOGICAL CONTAMINANTS
Biological contaminants occur in the air as aerosols and may include bacteria, fungi, viruses, and pollens. Aerosols are characterized as solid or liquid particles suspended in air.
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TALKING AND SNEEZING HAS GREAT IMPACT ON INCREASING THE AIR PARTICLES
Talking for 5 minutes and coughing each can produce 3,000 droplet nuclei; sneezing can generate approximately 40,000 droplets which then evaporate to particles in the size range of 0.512 m
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To be meaningful, air-sampling results must be compared with those obtained from other defined areas, conditions, or time period
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trapped in the upper respiratory tract and are removed primarily by ciliary action. Particles <5 m in diameter reach the lung, but the greatest retention in the alveoli is of particles 12 m in diameter.
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Several instruments are available for sampling airborne bacteria and fungi Some of the samplers are self-contained units requiring only a power supply and the appropriate collecting medium, but most require additional auxiliary equipment (e.g., a vacuum pump and an airflow measuring device [i.e., a flow meter or anemometer]).
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Sedimentation or depositional methods use settle plates and therefore need no special instruments or equipment
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THE FOLLOWING FACTORS MUST BE CONSIDERED WHEN CHOOSING AN AIR SAMPLING INSTRUMENT:
Viability and type of the organism to be sampled Compatibility with the selected method of analysis Sensitivity of particles to sampling
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THE FOLLOWING FACTORS MUST BE CONSIDERED WHEN CHOOSING AN AIR SAMPLING INSTRUMENT :
Background contamination Ambient conditions Sampler collection efficiency
Availability of auxiliary equipment and utilities (e.g., vacuum pumps, electricity, and water)
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of airborne organisms.
The sampler and/or sampling method chosen should, however, have an adequate sampling rate to collect a sufficient number of particles in a reasonable time period so that a representative sample of air is obtained for biological analysis
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REFERENCE
Guidelines for Environmental Infection Control in HealthCare Facilities Recommendations Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC) U.S. Department of Health and Human Services Centers for Disease Control and Prevention (CDC) Atlanta, GA 30333
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The programme created by Dr.T.V.Rao MD for Health care workers in the Developing World for effective control of Hospital Acquired Infections
Email
doctortvrao@gmail.com
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