Disinfector

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A disinfector of the Cologne fire brigade monitors the disinfection of an ambulance

The state-certified disinfector is mainly in hospitals, community facilities (e.g. day-care centers, old people's homes, cruise ships) and by order of the health department, where "objects are afflicted with notifiable pathogens" (Section 17, Infection Protection Act, IfSG), with the execution of disinfection - and disinfestation measures employed. For this he can be self-employed or employed by a cleaning or pest control company or in a hospital or by the fire department.

State-certified disinfectors are trained in Berlin, North Rhine-Westphalia, Saxony, Schleswig-Holstein and Rhineland-Palatinate through a three-week course at a state-recognized training center. The participants preferably already have vocational training in the health sector (e.g. paramedic , nurse ), but neither this nor any vocational training is an entry requirement. Consequently, the 'Recommendation' of the Robert Koch Institute (RKI) on the 'Personnel and organizational requirements for the prevention of hospital infections' instead of disinfectors describes the well-trained hygiene officers and hygiene specialists as well as hygiene officers doctors and hospital hygienists.

Knowledge and skills

State-certified disinfectors should be able to prepare precisely concentrated disinfectant solutions (e.g. 3% solution) in order to reduce the number of pathogens from e.g. B. HIV , hepatitis , malaria , trypanosomes , yellow fever not only to reduce (and thus to breed resistant germs), but to combat them effectively (infection protection). He should also be able to protect himself, his employees, bystanders and the environment from the harmful properties of the disinfectants (protection against hazardous substances).

To this end, he has knowledge of the most important infectious diseases, in particular their routes of infection (e.g. air, hands, surfaces, animals, food), contagiousness and infectivity (infectiousness) and knows the spectrum of activity and dangerous properties of the disinfectant groups (e.g. Alcohols, quaternary ammonium compounds (quats), aldehydes, peroxides). He is also familiar with the common disinfection processes, knows epidemiological relationships and the legal basis on which the field of hygiene is based, e.g. B. what legal requirements arise

  • the Infection Protection Act (IfSG),
  • the Biological Agents Ordinance and the Hazardous Substances Ordinance (in particular for risk assessment ),
  • the technical rules for hazardous substances (e.g. TRGS 525: Hazardous substances in medical care facilities, TRGS 400: Risk assessment for activities with hazardous substances, TRGS 401: Risk through skin contact, TRGS 402: Activities with hazardous substances - inhalation exposure, TRGS 512: Fumigation , TRGS 900: Occupational Exposure Limits) and
  • the technical rules for biological agents (e.g. TRBA 200: specialist knowledge, TRBA 400: risk assessment, TRBA 500: basic measures for activities involving biological agents) and the ABAS resolution 610: protective measures for activities in the care of patients [...] with highly pathogenic pathogens, as well
  • Standards such as B. the chemical protection glove standards DIN / EN 374 and 16523,

devoted to his work.

He is also familiar with the waste disposal of infected material and disinfectant residues, labeling and storage.

For example, the risk assessment required before starting work (in accordance with Section 5, Paragraph 3, Occupational Safety and Health Act) may only be carried out "professionally", i. H. With regard to microorganisms, only if the disinfector can provide evidence of at least suitable professional training and relevant professional activity in the near future (Section 2, Paragraph 11, in conjunction with Section 4, Paragraph 1, Biological Agents Ordinance) and with regard to disinfectants and other hazardous substances only if he has appropriate professional training, professional experience or a corresponding professional activity that has been carried out in a timely manner as well as participation in specific further training measures in the area of ​​hazardous substances (Section 2, Paragraph 16, in conjunction with Section 6, Paragraph 11, Hazardous Substances Ordinance).

The database of the Robert Koch Institute (RKI) and the biological material database of the Hazardous Substance Information System (GESTIS) provide an impression of the necessary knowledge about the pathogens.

Fields of activity

Typical fields of activity for disinfectors are participation in the hygiene commission of a hospital, as a hygiene officer in the rescue service and as a clerk in the health department . A disinfector should also act as a role model in its facility.

Individual evidence

  1. ↑ Disinfector. at: berufenet.arbeitsamt.de , accessed on April 15, 2013.
  2. ↑ Ulrich v. Hintzenstern (ed.): Emergency doctor guide. Urban & Fischer-Verlag, 2007, ISBN 978-3-437-22462-1 , p. 14. (online)
  3. ↑ M. Seel: The care of people. Schlütersche, 2003, ISBN 3-87706-996-7 , p. 495, (online)
  4. ^ Robert Koch Institute: Personnel and organizational requirements for the prevention of nosocomial infections . In: Federal Health Gazette - Health Research - Health Protection . tape 52 , no. 9 , September 1, 2009, ISSN  1436-9990 , p. 951 , doi : 10.1007 / s00103-009-0929-y ( springer.com [accessed July 20, 2017]).
  5. ↑ Hazardous Substances Information System (GESTIS) on www.dguv.de ; Retrieved July 19, 2017