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Slide 1:

Infection control in Laundry Dr. Kauser Jabeen Assistant Professor, Clinical Microbiology Aga Khan University

How big is the risk?:

How big is the risk? Risk of actual disease transmission appears negligible Hygienic and common-sense storage and processing of clean and soiled linen are recommended

Slide 3:

The provision of clean linen is a fundamental requirement of care. Incorrect handling, laundering and storage of linen can pose an infection hazard

Employer Responsibilities :

Employer Responsibilities Employers must launder workers' personal protective garments or uniforms that are contaminated with blood or other potentially infectious materials

Laundry Facilities and Equipment :

Laundry Facilities and Equipment Special laundry area with separate ventilation and a flow through system, so that dirty laundry can arrive through one door and be quickly decontaminated, before drying and removal through a separate exit to a clean storage area

Laundry Facilities and Equipment:

Laundry Facilities and Equipment Maintain the receiving area for contaminated textiles at negative pressure compared with the clean areas of the laundry

Laundry Facilities and Equipment:

Laundry Facilities and Equipment Ensure that laundry areas have hand washing facilities and products and appropriate PPE available for workers

Routine Handling of Contaminated Laundry :

Routine Handling of Contaminated Laundry Handle contaminated textiles and fabrics with minimum agitation to avoid contamination of air, surfaces, and persons Bag or otherwise contain contaminated textiles and fabrics at the point of use

Routine Handling of Contaminated Laundry:

Routine Handling of Contaminated Laundry Do not sort or pre rinse contaminated textiles or fabrics in patient-care areas Use leak-resistant containment for textiles and fabrics contaminated with blood or body substances Identify bags or containers for contaminated textiles with labels, color coding, or other alternative means of communication as appropriate

Danger of Sharps:

Danger of Sharps

Transport:

Transport

Sorting before washing :

Sorting before washing Establish a facility policy to determine when textiles or fabrics should be sorted in the laundry facility (i.e., before or after washing)

Sorting after washing :

Sorting after washing Establish a facility policy to determine when textiles or fabrics should be sorted in the laundry facility (i.e., before or after washing)

Laundry Process :

Laundry Process If hot-water laundry cycles are used, wash with detergent in water > 160ºF ( > 71ºC) for > 25 minutes Follow fabric-care instructions and special laundering requirements for items used in the facility

Laundry Process:

Laundry Process Choose chemicals suitable for low-temperature washing at proper use concentration if low-temperature (<160ºF [<70ºC ]) laundry cycles are used

Storage of clean laundry:

Storage of clean laundry Package, transport, and store clean textiles and fabrics by methods that will ensure their cleanliness and protect them from dust and soil during inter facility loading, transport, and unloading

Microbiologic Sampling of Textiles :

Microbiologic Sampling of Textiles Do not conduct routine microbiologic sampling of clean textiles Use microbiologic sampling during outbreak investigations if epidemiologic evidence indicates a role for health-care textiles and clothing in disease transmission

Mattresses and Pillows :

Mattresses and Pillows Keep mattresses dry; discard them if they remain wet or stained, particularly in burn units Clean and disinfect mattress covers by using disinfectants that are compatible with the materials to prevent the development of tears, cracks, or holes in the covers Maintain the integrity of mattress and pillow covers Replace mattress and pillow covers if they become torn or otherwise in need of repair Do not stick needles into a mattress through the cover

Mattresses and Pillows:

Mattresses and Pillows Clean and disinfect moisture-resistant mattress covers between patient use If using a mattress cover completely made of fabric, change these covers and launder between patient use Launder pillow covers and washable pillows in the hot-water cycle between patients or when they become contaminated with body substances

Accidents and Incidents:

Accidents and Incidents

Questions???:

Questions???

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