hosted by lincolnshire teaching primary care trust working with you to improve health pandemic flu...

Hosted by Lincolnshire Teaching Primary Care Trust

Working with you to improve health

Pandemic Flu Pandemic Flu

Infection Prevention & ControlInfection Prevention & Control

Emma.K.Lee

Associate Nurse Specialist

Infection Prevention & Control, LCHS


TransmissionTransmission

Incubation periodIncubation period - - time from exposure to onset time from exposure to onset of symptoms of symptoms - likely to be 1- - likely to be 1-

4 days 4 days (2-3 typical) (2-3 typical)

Period of infectivityPeriod of infectivity - -when someone is capable of when someone is capable of infecting others - infecting others -

immediatelyimmediately from the onset of symptomsfrom the onset of symptoms

3-5 days in most children3-5 days in most children

7-8 days in most adults7-8 days in most adults


Infectivity

Period of infectivity may be reduced by early treatment with anti-viral medication i.e.Tamiflu® (within 12h)

*may be in short supply*

Infectiousness proportional to symptoms

‘Safe’ option is to assume infectious until symptoms

have resolved


Possible Modes of Spread

Large dropletsLarge droplets:: virus laden secretions virus laden secretions coughs, sneezes which can coughs, sneezes which can

travel up to 3 feettravel up to 3 feet

Contact:Contact:

DIRECT DIRECT persons touching each persons touching each other skin-skin other skin-skin

INDIRECTINDIRECT persons touching persons touching surfaces contaminated surfaces contaminated

by viruses by viruses


Hard surfaces:

viruses detectable for up to72h

transferable and detectable on hands for around 24h

Soft surfaces/furnishings:

detectable for up to 24h

transferable and detectable on hands for around

15 minutes

Survival on hands after transfer:

around 5 minutes

Virus Survival


Easily inactivated on surfaces by:

* household cleaners

* bleach solutions

* standard detergents

Easily inactivated on hands by:

* soap, water and drying

* alcohol hand rub

Virus Clearance


PANDEMIC INFLUENZA & PERSONAL PROTECTIVE EQUIPMENT (PPE)


General Guidance

If in close contact with a case or suspected case of If in close contact with a case or suspected case of

influenza during a pandemic situation the infection influenza during a pandemic situation the infection

control guidance is the same as in a non-pandemic control guidance is the same as in a non-pandemic

situationsituation i.e. i.e. use of appropriate PPE to use of appropriate PPE to

avoid acquisition/spread of infectionavoid acquisition/spread of infection


Wear a surgical mask,

then…

Direct care to be provided?

NOMask only for entry to area

with no patient contact

YESDon disposable

gloves and plastic apron


• Work from Clean to Dirty

• Limit opportunities for touch contamination

• Protect yourselves, others and the environment

• Discard as hazardous waste.

• Don't touch your face or adjust PPE with contaminated gloves

• Don't touch environmental surfaces except as necessary during patient care

• Don’t Re-use PPE

Dos & Don’ts


Advice to Service Users



6 Point Technique

Step 1

Wet hands and take a measure of cleansing agent

Step 2

Rub palms together

Step 3

Interlace fingers and rub

Step 4

Cup hands and rub side to side

Step 5

Rotate thumbs in palm of hands

Step 6

Rotate wrists in palm of hands

Make sure you rinse all the soap off your hands under running water, and dry your hands thoroughly


Your Responsibilities

• Acting as a role model – good infection control procedures on a day-to-day basis at work & at home

• People who become symptomatic at work should go home as quickly as possible and isolate themselves where practical

• National provision of PPE is being discussed, guidance is available at:

HSE - www.hse.gov.uk/biosafety/diseases/pandemic.htm

DoH - Pandemic influenza: guidance for infection control in hospitals and primary care settings


Further Information & Questions?

• Websites – further infection control informationDepartment of Health (DoH)

Health Protection Agency (HPA) World Health Organisation (WHO)

LPCT – NHS Lincolnshire

• DoH Pandemic Flu FAQ –delegate packs

• [email protected]

• [email protected] • (NHS Lincolnshire – Pandemic Flu Planning Coordinator)



Any Questions?

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