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The importance of infection control in POCT

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Point-of-Care Testing

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Abstract

When using POCT, basic hygiene (infection control) measures to protect patients and staff must be specified in the hygiene plan. Annually, the staff must receive documented training in the updated versions. The spread of pathogens during sample transport to and from the POCT has to be prevented. All team members should be protected from infections and unwanted colonization by applying strict guidelines. POCT has been used increasingly for the patient-related and near-patient diagnosis of infection risks. This chapter discusses, among others, PCR-based, risk-adapted MRSA screening, instant electronic transmission of microbiological results to the infection control team, field studies to identify infection sources and the review of reprocessing procedures.

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References

  1. Caspari G (2016) Laboratorien mit Infektionsrisiken. In: Kramer A, Assadian O, Exner M, Hübner NO, Simon A (Ed.) Hospital - und Praxishygiene, 3rd Edition Elsevier, Munich, p. 615

    Google Scholar 

  2. Fenger S, Bartels C (2017) Unternehmen Krankenhaus unter besonderer Berücksichtigung der Hygiene im Krankenhaus. In: Eikmann T, Christiansen B, Exner M, Herr C, Kramer A (Ed.) Hygiene in Krankenhaus und Praxis.·Ecomed-Verlag, Landsberg am Lech.

    Google Scholar 

  3. Gruner E (2015) Hygieneregeln im Umgang with Point-of-Care testing (POCT). Pipette – Swiss laboratory medicine No 4: 10–1

    Google Scholar 

  4. Kramer A, Fleßa S, Hübner C, Hübner NO, Leesch L, Ryll S, Wegner C (2013) Die Greifswalder MRSA-Präventionsstrategie und die Rolle von POCT. In: Eiff W v. (Ed.) POCT Management. Heidelberg: Medhochzwei 20: 239–62

    Google Scholar 

  5. Kramer A, Wicker S (2016) Sofortmaßnahmen nach akzidenteller Kontamination: In: Kramer A, Assadian O, Exner M, Hübner NO, Simon A (Ed.) Hospital- und Praxishygiene, 3rd Edition Elsevier, Munich, p. 511–5

    Google Scholar 

  6. Siegel JD, Rhinehart E, Jackson M, Chiarello L (2007) Guideline for isolation precautions: Preventing transmission of infectious agents in healthcare settings. www.cdc.gov

  7. Wicker S, Kramer A, Pitten FA (2016) Impfprophylaxe and Personalschutz. In: Kramer A, Assadian O, Exner M, Hübner NO, Simon A (Ed.) Hospital- und Praxishygiene, 3rd Edition Elsevier, Munich, p. 132–5

    Google Scholar 

Laws, regulations, ordinances, guidelines, guidance statements, recommendations, standards

  1. Working Group ‘Hospital & Practice Hygiene’ of AWMF (2015) Händedesinfektion und Händehygiene. AWMF Guidelines Register No. 029/027. 8/2015. HygMed 40(9) 369–85. http://www.awmf.org/uploads/tx_szleitlinien/029-032l_S1_Hygiene_respiratorisch_ uebertragbare_Infektionen_2016-01.pdf

  2. Working Group ‘Hospital & Practice Hygiene’ of AWMF (2015) Hausreinigung und Flächendesinfektion: Hygienische Anforderungen. AWMF Guidelines Register No. 029/006. 9/2015. HygMed 40(10): 418–24

    Google Scholar 

  3. Working Group ‘Hospital & Practice Hygiene’ of AWMF (2016) Hygieneanforderungen bei ausgewählten respiratorisch übertragbaren Infektions-Erkrankungen (aerogen und Tröpfchen). AWMF Guideline Register No. 029–032.1/2016

    Google Scholar 

  4. Berufsgenossenschaftliche Vorschrift für Sicherheit und Gesundheit bei der Arbeit (1997) Unfallverhütungsvorschrift Gesundheitsdienst vom Oktober 1982, in der Fassung vom 1. Januar 1997 (BGV C8)

    Google Scholar 

  5. Deutsche Gesellschaft für Krankenhaushygiene (DGKH) (2013) Konsensuspapier Blutzuckermessung. 2013. http://www.krankenhaushygiene.de/pdfdata/hm/HM_06_2013_blutzuckermessung. pdf

  6. Deutsche Gesellschaft für Krankenhaushygiene (DGKH) (2015) Versorgung mit Arbeitskleidung (synonym Dienst- oder Berufskleidung) von Leasingpersonal und Hospitanten, Praktikanten, Aushilfen, Grünen Damen/Herren in Krankenhäusern/Pflegeeinrichtungen. http://www.krankenhaushygiene.de/ccUpload/upload/files/sektionen/ 2015_12_DGKH_kleidung_leasingpersonal.pdf

  7. Deutsche Gesellschaft für Krankenhaushygiene (DGKH) (2015) Schutzkittel bei medizinischen und pflegerischen Tätigkeiten sowie bei Barrieremaßnahmen und Isolierungen. http://www.krankenhaushygiene.de/pdfdata/hm/2015_HM_01–2_schutzkittel.pdf

  8. Recommendation issued by the Commission for Hospital Hygiene and the Prevention of Infection (KRINKO) at the Robert Koch Institute (RKI) (2004) on hygiene requirements for cleaning and disinfecting surfaces. BGBL Gesundheitsforsch Gesundheitsschutz 47:51–61

    Google Scholar 

  9. Recommendation issued by the Commission for Hospital Hygiene and the Prevention of Infection (KRINKO) at the Robert Koch Institute (RKI) and by the Federal Institute for Drugs and Medical Devices (BfArM) (2012) on requirements governing hygiene during the reprocessing of medical devices. BGBL 55:1244–310

    Google Scholar 

  10. Recommendation issued by the Commission for Hospital Hygiene and the Prevention of Infection (KRINKO) at the Robert Koch Institute (RKI) (2012) on hygiene measures infections or colonization with multi resistant gram-negative rods. BGBL 55:1311–54

    Google Scholar 

  11. Recommendation issued by the Commission for Hospital Hygiene and the Prevention of Infection (KRINKO) at the Robert Koch Institute (RKI) (2015) recommendations for the prevention and control of “methicillin-resistant Staphylococcus aureus (MRSA) in medical and care institutions. BGBL 2014; 57:696–732

    Google Scholar 

  12. Recommendation issued by the Commission for Hospital Hygiene and the Prevention of Infection (KRINKO) at the Robert Koch Institute (RKI) (2015) Prevention of infection within the scope of care and treatment of patients with transmissible diseases. BGBL 58:1151–70

    Google Scholar 

  13. Recommendation issued by the Commission for Hospital Hygiene and the Prevention of Infection (KRINKO) at the Robert Koch Institute (RKI) (2016) Hand hygiene at healthcare facilities. BGBL 59:1189–220

    Google Scholar 

  14. EN 374 (2003) Protective gloves against chemicals and microorganisms. Beuth, Berlin

    Google Scholar 

  15. Gesetz zur Änderung des Infektionsschutzgesetzes und weiterer Gesetze (IfSGuaÄndG) of 4 August 2011. BGBl I 2011; (41):1622 (2016) Verordnung zur Anpassung der Meldepflichten nach dem Infektionsschutzgesetz an die epidemische Lage (IfSG-Meldepflicht-Anpassungsverordnung – IfSGMeldAnpV) of 18 March 2016. BGBL Part 13: 515

    Google Scholar 

  16. German Federal Working Group for Waste (LAGA) (2015) Vollzugshilfe zur Entsorgung von Abfällen aus Einrichtungen des Gesundheitsdienstes

    Google Scholar 

  17. Robert Koch Institute (2016) Richtlinie für Krankenhaushygiene und Infektionsprävention. Grundwerk inkl. Lieferung 18 zur Fortsetzung. Munich: Urban Fischer. http://www.rki.de/DE/Content/Infekt/Krankenhaushygiene/Kommission/kommission_node.html

  18. Robert Koch Institute (2007) Anforderungen der Krankenhaushygiene und des Arbeitsschutzes an die Hygienebekleidung und persönliche Schutzausrüstung. Epid Bull subsec.1:3–4

    Google Scholar 

  19. Schneider A, Bierling G (2016) HuR Hygiene und Recht. Entscheidungssammlung – Richtlinien. Loose-leaf collection. mhp, Mainz

    Google Scholar 

  20. STIKO (2015) The Standing Committee on Immunisation (STIKO) at the Robert Koch Institute/Status: August 2015. Epid Bull subsec. 24: 327–60

    Google Scholar 

  21. Technical Regulations for Biological Materials 250 (TRBA 250) (2014) Biologische Arbeitsstoffe im Gesundheitswesen und in der Wohlfahrtspflege. GMBl No. 10/11 of 27 March 2014: 1–78; 1st amendment GMBl No. 25 of 22 May 2014: 535; 2nd amendment GMBl No. 29 of 21 July 2015: 577

    Google Scholar 

  22. Technical Regulations for Biological Materials 100 (TRBA 100) (2014) Schutzmaßnahmen für Tätigkeiten mit biologischen Arbeitsstoffen in Laboratorien. GMBl 2014, No. 51/52 of 17 October 2013: 1–50; amendment of 30 June 2014, GMBl No. 38: 814

    Google Scholar 

  23. Ordinance on Safety and Health Protection at Workplaces Involving Biological Agents (Biological Agents Ordinance - BioStoffV) of 15 July 2013 (Federal Law Gazette [BGBl.] Part I p. 2514)

    Google Scholar 

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Author information

Authors and Affiliations

  1. Universitätsmedizin Greifswald, Institut für Hygiene und Umweltmedizin, Walther-Rathenau-Straße 49A, 17489, Greifswald, Germany

    Prof. Dr. Axel Kramer

  2. Deutsches Beratungszentrum für Hygiene, BZH GmbH, Schnewlinstraße 10, 79098, Freiburg/Breisgau, Germany

    Dr. Eva Gruner

Authors
  1. Prof. Dr. Axel Kramer
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  2. Dr. Eva Gruner
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Editor information

Editors and Affiliations

  1. Klinikum rechts der Isar, München, Germany

    Peter B. Luppa

  2. Universitätsklinikum Schleswig-Holstein, Kiel, Germany

    Ralf Junker

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Kramer, A., Gruner, E. (2018). The importance of infection control in POCT. In: Luppa, P.B., Junker, R. (eds) Point-of-Care Testing. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54497-6_29

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