Reverse isolation
The reverse isolation too - protective insulation or protective insulation called - protects a weakened immune system and infections for patients from potential infectious agents . For this he is accommodated in a single room. With certain measures, the germs that are harmful to him are largely kept away from his environment and his body's own germs are reduced.
It is based on the fact that every person carries a large number of bacteria and viruses with them, but those who are reversely isolated are so weakened that their immune system is unable to fend off a "normal" number of germs . He is at high risk of becoming infected and getting sicker as a result. If, on the other hand, he comes into contact with fewer pathogens, the risk of infection is significantly reduced.
indication
A significant disturbance of the immune system can e.g. B. occur in certain diseases or their treatment and in large-scale burns and require temporary reverse isolation. This includes, for example, immunosuppression by
Accommodation
Isolation takes place primarily on special isolation wards in hospitals . The rooms have their own wet room and are connected to a special ventilation system. They each have an anteroom, a so-called lock . Among other things, there is the protective clothing for visitors and staff: long-sleeved (disposable) gowns, mouth and nose protection , protective hoods and gloves as well as disposable overshoes . Anyone who comes into direct contact with the reverse insulated person must first dress appropriately and take certain hygienic measures . Visitors are not allowed to use the patient toilet.
restrictions
The patient does not leave his room if possible. Should it be necessary - e.g. B. to get to examination rooms - the patient himself wears protective clothing and mouth and nose protection. Only those closest to you are allowed to visit. Staff and visitors must be healthy and comply with the necessary protective measures. The room should only contain items that can be easily disinfected. Cut flowers or potted plants are usually not allowed. The patient has to forego certain foods such as fresh salads, fruit that cannot be peeled, dairy products and blue cheese. Opened beverage packs will be disposed of after 24 hours at the latest.
Personal hygiene
In order to reduce the body's own germs, which multiply excessively due to the immune deficiency and thus trigger an opportunistic infection, the patient must regularly carry out personal hygiene measures and disinfect their hands after going to the toilet or wear protective gloves for intimate hygiene. A disposable toothbrush is used for each tooth cleaning and the mouth is rinsed several times a day with disinfecting solution. Towels, bed linen and underwear are changed at least once a day.
See also
Web links
- Special Unit Infection Hygiene - Explanations of the checklist "Care of immunosuppressed patients". Bavarian State Office for Health and Food Safety (LGL); Status: November 2014
- Protection against germs during your therapy: reverse isolation. Patient information from the Alfried Krupp Hospital Rüttenscheid (Essen)
Individual evidence
- ↑ A. Heuwinkel-Otter, A. Nümann-Dulke, N. Matscheko (eds.): People care - the practical companion for care professionals. Springer-Verlag, Heidelberg 2009, ISBN 978-3-540-79320-5 , pp. 288f.
