The place of residence of a patient with tuberculosis is usually called the focus of tuberculosis infection. In order to prevent infection of persons living with the patient, the room must be carefully treated daily.
It is necessary
- - Disinfectants (5% chloramine solution, 0.5% activated chloramine solution and 0.5% activated bleach solution);
- - overalls (dressing gown, hat, mask, respirator).
It is important to understand that the causative agents of tuberculosis (mycobacteria) are extremely resistant in the environment. Ultraviolet irradiation and disinfectants containing chlorine have the most detrimental effect on them.
To treat the premises, a solution of chloramine 5%, activated chloramine 0.5% and a solution of activated bleach 0.5% are used. You can use any product of your choice. All drugs are sold as powders or compressed into tablets. Before processing, the powder should be diluted strictly according to the instructions on the package.
A patient with tuberculosis should stay in a separate room and leave this room as little as possible. Only the most necessary things can be left in the room. Whenever possible, use items made of materials that are easy to process. All upholstered furniture should be covered with covers, and carpets or other floor coverings should be removed altogether. It is advisable to remove curtains and tulle and replace with plastic blinds.
The room must be wet cleaned daily. The person who directly carries out it must change into special clothes in advance. Wear a gown, headscarf or cap (to tuck in your hair), rubber gloves, and a four-layer gauze bandage or respirator.
According to the instructions, the disinfectant solution should be diluted. To process one room, you will need about 10 liters of liquid. First of all, it is worth wiping all shelves, window sills, batteries, doors and doorknobs. Lastly, wipe the floor with the same solution. Covers are removed from upholstered furniture and put on clean ones. The windows in the room must be open during cleaning. If there is a germicidal ultraviolet lamp, it should be turned on twice a day for 30 minutes.
Ventilation of premises is another essential component of disinfection. The windows should be opened at least 2 times a day for 30 minutes at any time of the year.
Bedding (pillows, blanket, mattress) must be knocked out periodically by wrapping it in wet sheets. Bed and underwear of the patient, as well as covers from upholstered furniture, must be collected in a special tank and tightly closed. The linen must be soaked in a disinfectant solution at the rate of 5 liters of solution per 1 kg of dry linen for 2-3 hours. Then it can be washed with regular detergent. You can also boil things for 15 minutes in a 2% baking soda solution or for 30 minutes in water without adding baking soda. It is recommended to steam clothes that cannot be boiled once a week. In the summer, all things should be kept in the sun as long as possible.
Cleaning equipment and overalls must be processed after each use, in the same way as decontaminating the patient's clothes.
After eating, the patient's dishes should also be processed. First, the plates, glasses and spoons are cleaned of food debris, and then boiled in a 2% solution of soda ash for 15 minutes (or without baking soda for 30 minutes). Instead of boiling, the dishes can be immersed in one of the disinfectant solutions for 2 hours and then rinsed with running water.
Food waste must also be boiled for 30 minutes in water (or 15 minutes in a 2% soda ash solution). You can pour disinfectants over half-eaten food in a 1: 5 ratio and leave for 2 hours. After processing, the products can be poured down the drain.
Typically, people with pulmonary tuberculosis produce phlegm. It must be collected in special glass jars. There should be two of them. When one container is filled, it is placed (along with the phlegm) in a tank of water and boiled for at least 30 minutes. The water level should be higher than the level of the jar itself. If instead of water you pour a 2% solution of soda ash into the tank, you can boil the jar for 15 minutes. If mycobacteria are found in the urine and feces of the patient, they are also subjected to disinfection. To do this, the discharge is poured or covered with disinfectants, and then poured into the sewer.
Final disinfection - treatment of the premises after the patient's recovery, hospitalization or death. It is carried out by special sanitary services at the request of a phthisiatrician.