{"id":3260,"date":"2021-02-11T21:20:40","date_gmt":"2021-02-11T21:20:40","guid":{"rendered":"https:\/\/infection.crto.on.ca\/additional-precautions\/"},"modified":"2023-05-15T14:03:49","modified_gmt":"2023-05-15T14:03:49","slug":"additional-precautions","status":"publish","type":"page","link":"https:\/\/infection.crto.on.ca\/fr\/additional-precautions\/","title":{"rendered":"Pr\u00e9cautions suppl\u00e9mentaires"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ inner_shadow=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb260deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bbrgba(255,255,255,0.55) 0%|rgba(255,255,255,0.8) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(255,255,255,0.55)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(255,255,255,0.8)\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/infection.crto.on.ca\/wp-content\/uploads\/sites\/18\/2021\/08\/precaution.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb50px||50px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_padding=\u00a0\u00bb120px||120px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbTITLE\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ module_alignment=\u00a0\u00bbleft\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Pr\u00e9cautions suppl\u00e9mentaires<\/strong><\/h1>\n

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Les pr\u00e9cautions suppl\u00e9mentaires sont des interventions utilis\u00e9es en plus des pratiques de base, au besoin. Le recours \u00e0 des pr\u00e9cautions suppl\u00e9mentaires est \u00e9tabli en fonction du mode de transmission des microorganismes (p. ex., SARM, ERV, C. difficile<\/em>).<\/p>\n

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Cat\u00e9gories de pr\u00e9cautions suppl\u00e9mentaires :<\/strong><\/h2>\n

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1. Pr\u00e9cautions contre les contacts<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

2. Pr\u00e9cautions contre les gouttelettes<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

3. Pr\u00e9cautions contre la transmission par voie a\u00e9rienne<\/p>\n

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Responsabilit\u00e9 organisationnelle:<\/strong><\/h5>\n

D\u00e8s que l\u2019on remarque des sympt\u00f4mes sugg\u00e9rant une infection transmissible, il faut imm\u00e9diatement prendre des pr\u00e9cautions suppl\u00e9mentaires, et non seulement lorsque cela est confirm\u00e9 par un diagnostic. Chaque \u00e9tablissement de sant\u00e9 doit se doter d\u2019une politique autorisant tout professionnel de la sant\u00e9 r\u00e9glement\u00e9 \u00e0 mettre en place les pr\u00e9cautions suppl\u00e9mentaires appropri\u00e9es d\u00e8s le d\u00e9but des sympt\u00f4mes et \u00e0 maintenir ces pr\u00e9cautions jusqu\u2019\u00e0 l\u2019obtention des r\u00e9sultats de laboratoire confirmant ou infirmant le diagnostic.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Pr\u00e9cautions contre les contacts<\/strong><\/h2>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.20.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]La transmission par contact est le mode de transmission le plus courant des agents infectieux. Il existe deux types de transmission par contact :[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

1. Directe<\/strong> \u2013 transmission de microorganismes lors du toucher d\u2019une personne contamin\u00e9e<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

2. Indirecte<\/strong> \u2013 transmission de microorganismes lors du toucher d\u2019un objet contamin\u00e9<\/p>\n

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Pr\u00e9cautions contre les gouttelettes<\/strong><\/h2>\n

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Il y a transmission par gouttelettes lorsque des gouttelettes transportant un agent infectieux sont expuls\u00e9es des voies respiratoires d\u2019une personne. Les gouttelettes peuvent se propager lorsque la personne parle, tousse ou \u00e9ternue, ou encore par des proc\u00e9dures pratiqu\u00e9es sur les voies respiratoires (p. ex., aspiration, bronchoscopie ou th\u00e9rapies avec a\u00e9rosol de n\u00e9bulisation). Les gouttelettes ne restent pas suspendues dans l\u2019air et parcourent habituellement une distance inf\u00e9rieure \u00e0 deux m\u00e8tres.<\/strong><\/p>\n

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Pr\u00e9cautions contre la transmission par voie a\u00e9rienne
\n<\/strong><\/h2>\n

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La transmission par voie a\u00e9rienne se produit lorsque les particules demeurent en suspension dans l\u2019air et sont respir\u00e9es par d\u2019autres personnes \u00e0 proximit\u00e9 ou qui se trouvent \u00e0 une certaine distance de la source.<\/strong> Parmi les organismes commun\u00e9ment transmis par voie a\u00e9rienne, mentionnons :<\/p>\n

[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

La Mycobacterium tuberculose<\/p>\n

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Le virus de la varicelle (zona diss\u00e9min\u00e9)<\/p>\n

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Le virus de la rub\u00e9ole (rougeole)<\/p>\n

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Les patients qui sont ou pourraient \u00eatre infect\u00e9s par un organisme transmis par voie a\u00e9rienne doivent \u00eatre trait\u00e9s dans une chambre isol\u00e9e contre les transmissions par voie a\u00e9rienne<\/strong> avec la porte ferm\u00e9e. Les caract\u00e9ristiques importantes d\u2019une telle chambre sont :<\/p>\n

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Un seul patient<\/p>\n

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Pression n\u00e9gative vis-\u00e0-vis le corridor\/les zones adjacentes (alarmes audiovisuelles)<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Minimum de 12 \u00e9changes d\u2019air par heure (en utilisant le syst\u00e8me de ventilation de l\u2019installation ou une filtration HEPA de l\u2019air dans la chambre)<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Circulation d\u2019air con\u00e7ue pour d\u00e9placer l\u2019air qui se trouve pr\u00e8s de la t\u00eate\/du visage du patient dans une autre direction que celle pr\u00e9vue du travailleur de la sant\u00e9[\/et_pb_blurb][et_pb_text _builder_version=\u00a0\u00bb4.20.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]M\u00eame lorsqu\u2019un patient a quitt\u00e9 une chambre, toute personne qui y entre doit porter un respirateur N95 pendant la dur\u00e9e indiqu\u00e9e dans la politique de votre employeur.[\/et_pb_text][et_pb_blurb title=\u00a0\u00bbRESSOURCE\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb image_icon_width=\u00a0\u00bb80px\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_font=\u00a0\u00bb|700|||||||\u00a0\u00bb icon_font_size=\u00a0\u00bb80px\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Temps requis pour qu\u2019une chambre d\u2019isolement pour infections \u00e0 transmission a\u00e9rienne puisse \u00e9radiquer M Tuberculosis. <\/strong>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbessentialelements\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

\u00c9l\u00e9ments essentiels des pr\u00e9cautions suppl\u00e9mentaires<\/strong><\/h2>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]H\u00e9bergement sp\u00e9cialis\u00e9<\/strong> (p. ex., une chambre individuelle dot\u00e9e d\u2019une toilette priv\u00e9e est hautement recommand\u00e9e)[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Affichage<\/strong> (indiquant la liste des pr\u00e9cautions)[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]\u00c9quipement d\u00e9di\u00e9,<\/strong> lorsque c\u2019est possible[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

\u00c9PI appropri\u00e9<\/strong><\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Mesures de nettoyage suppl\u00e9mentaires<\/strong><\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Proc\u00e9dures relatives au transport<\/strong> (le transport des patients\/pensionnaires est limit\u00e9 \u00e0 l\u2019ext\u00e9rieur de leur chambre)[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#81AC50″ icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Communication claire<\/strong> avec tous les membres de l\u2019\u00e9quipe de soins (patient, membres de la famille, autres professionnels de la sant\u00e9)[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ background_image=\u00a0\u00bbhttps:\/\/infection.crto.on.ca\/wp-content\/uploads\/sites\/18\/2021\/02\/Did-you-know.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#81AC50″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb1″ module_class=\u00a0\u00bb et_pb_row_fullwidth\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ background_color=\u00a0\u00bbrgba(255,255,255,0.3)\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_type=\u00a0\u00bbcircular\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bbrgba(255,255,255,0.9) 41%|rgba(255,255,255,0.21) 82%\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(255,255,255,0.9)\u00a0\u00bb background_color_gradient_start_position=\u00a0\u00bb41%\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(255,255,255,0.21)\u00a0\u00bb background_color_gradient_end_position=\u00a0\u00bb82%\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb width_tablet=\u00a0\u00bb100%\u00a0\u00bb width_phone=\u00a0\u00bb\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_tablet=\u00a0\u00bb100%\u00a0\u00bb max_width_phone=\u00a0\u00bb\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_css_main_element=\u00a0\u00bbpadding-top:130px;||padding-bottom:130px;\u00a0\u00bb make_fullwidth=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbLe Saviez-Vous?\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bbu||divi||400″ image_icon_width=\u00a0\u00bb55px\u00a0\u00bb content_max_width=\u00a0\u00bb50%\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh2″ text_orientation=\u00a0\u00bbcenter\u00a0\u00bb custom_padding=\u00a0\u00bb|50px||50px|false|true\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ icon_font_size=\u00a0\u00bb55px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb content_max_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″ content_max_width_tablet=\u00a0\u00bb80%\u00a0\u00bb content_max_width_phone=\u00a0\u00bb80%\u00a0\u00bb]<\/p>\n

Le mat\u00e9riel et les fournitures n\u00e9cessaires \u00e0 l’interaction (et qui ne peuvent \u00eatre laiss\u00e9s dans la pi\u00e8ce) doivent \u00eatre assembl\u00e9s en premier et apport\u00e9s dans la pi\u00e8ce apr\u00e8s que l’\u00c9PI a \u00e9t\u00e9 enfil\u00e9.<\/p>\n

[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/infection.crto.on.ca\/wp-content\/uploads\/sites\/18\/2021\/02\/crto-patterngreen-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#81AC50″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbacutecare\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Pr\u00e9cautions suppl\u00e9mentaires dans les \u00e9tablissements de courte dur\u00e9e<\/strong><\/h2>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_code _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t
<\/td>Contact<\/strong><\/th>Gouttelettes<\/strong><\/th>Transmission a\u00e9rienne<\/strong><\/th>\n<\/tr>\n<\/thead>\n
H\u00e9bergement sp\u00e9cialis\u00e9<\/strong><\/td>Chambre individuelle munie d\u2019une toilette individuelle et d\u2019un lavabo. La porte peut \u00eatre ouverte.<\/td>Chambre individuelle munie d\u2019une toilette individuelle et d\u2019un lavabo. La porte peut \u00eatre ouverte.<\/td>Chambre isol\u00e9e contre les transmissions par voie a\u00e9rienne
\nGarder la porte ferm\u00e9e.<\/td>\n<\/tr>\n
enseignes (exemples)<\/strong><\/td>\"\"<\/td>\"\"<\/td>\"\"<\/td>\n<\/tr>\n
\u00c9quipement d\u00e9di\u00e9<\/strong><\/td>\u00c9quipement d\u00e9di\u00e9, si possible<\/td>\u00c9quipement d\u00e9di\u00e9, si possible<\/td>Pratiques de base<\/td>\n<\/tr>\n
\u00c9PI appropri\u00e9<\/strong><\/td>Gants en tout temps
\nBlouse s\u2019il est possible que la peau ou les v\u00eatements touchent l\u2019environnement du patient
\n<\/td>		Protection du visage \u00e0 moins de deux m\u00e8tres du patient<\/td>Seulement le personnel vaccin\u00e9 contre les oreillons, la varicelle (N95 non requis)
\n
\nPorter un respirateur N95 ajust\u00e9 et v\u00e9rifier l\u2019\u00e9tanch\u00e9it\u00e9 avant d\u2019entrer<\/strong>
\n
\nRetirer le respirateur N95 \u00e0 l\u2019ext\u00e9rieur de la chambre du patient.
\n<\/td>\n<\/tr>\n
Mesures de nettoyage
\nsuppl\u00e9mentaires
\n<\/strong><\/td>		Les chambres abritant des patients atteints d\u2019ERV ou de C difficile <\/em>n\u00e9cessitent un nettoyage sp\u00e9cial (nettoyage de base pour toutes les autres)<\/td>Nettoyage de base<\/td>Nettoyage de base<\/td>\n<\/tr>\n
Proc\u00e9dures
\nrelatives au transport
\n<\/strong><\/td>		Le personnel charg\u00e9 du transport doit porter des gants et une blouse pour les contacts directs
\navec des patients
\npendant le transport
\n<\/td>		Les patients portent un masque chirurgical pendant le transport
\n
\nLe personnel charg\u00e9 du
\ntransport doit porter un
\nmasque appropri\u00e9 pendant le transport
\n
\nLimiter le transport, \u00e0 moins que \u00e7a ne soit n\u00e9cessaire aux fins de diagnostic ou de traitement
\n<\/td>		Les patients portent
\nun masque chirurgical pendant le transport
\n
\nLe personnel charg\u00e9 du
\ntransport doit porter un N95 pendant le transport
\n
\nLimiter le transport, \u00e0 moins que \u00e7a ne soit n\u00e9cessaire aux fins de diagnostic ou de traitement<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n[\/et_pb_code][et_pb_text _builder_version=\u00a0\u00bb4.20.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb header_3_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_5_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb background_color=\u00a0\u00bb#81AC50″ custom_padding=\u00a0\u00bb35px|35px|35px|35px|true|true\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Pour en savoir plus sur les pr\u00e9cautions suppl\u00e9mentaires au sein des \u00e9tablissements de soins continus complexes, de soins de longue dur\u00e9e, de soins ambulatoires et les soins \u00e0 domicile, voir Pr\u00e9vention et contr\u00f4le des infections dans les foyers de soins de longue dur\u00e9e (publichealthontario.ca)<\/a><\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb animation_style=\u00a0\u00bbflip\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_toggle title=\u00a0\u00bbR\u00c9F\u00c9RENCES\u00a0\u00bb admin_label=\u00a0\u00bbGLOSSARY\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Association for the Advancement of Medical Instrumentation (AAMI). (2015). FDA proposes new criteria for surgical gowns.<\/em> Tir\u00e9 de Association for the Advancement of Medical Instrumentation, site Web : www.aami.org\/newsviews\/newsdetail.aspx?ItemNumber=2650<\/a><\/p>\n

Institut canadien pour la s\u00e9curit\u00e9 des patients. (Aucune date.). Pneumonie associ\u00e9e au ventilateur (PAV). <\/em>Tir\u00e9 du site Web de l\u2019Institut canadien pour la s\u00e9curit\u00e9 des patients : www.patientsafetyinstitute.ca\/en\/topic\/pages\/ventilator-associatedpneumonia-(vap).aspx<\/a><\/p>\n

Centers for Disease Control and Prevention. (2011). Central line-associated bloodstream infections: Resources for patients and healthcare providers.<\/em> Tir\u00e9 du site Web de Centers for Disease Control and Prevention : www.cdc.gov\/HAI\/bsi\/CLABSI-resources.html<\/a><\/p>\n

Secr\u00e9tariat des soins aux malades en phase critique (2012). Trousse d\u2019outils de pr\u00e9vention de la <\/em>pneumonie acquise sous ventilation m\u00e9canique et les infections par cath\u00e9ter central.<\/em> Tir\u00e9 du site Web de Services ontariens des soins aux malades en phase critique : www.criticalcareontario.ca\/EN\/Toolbox\/Performance%20Improvement%20Collaborative\/VAP%20and%2 0CLI%20Toolkit%20(2012).pdf<\/a><\/p>\n

Immunize Canada. (2016). ImmunizeCA app.<\/em> Tir\u00e9 du site Web d\u2019Immunisation Canada : http:\/\/immunize.ca\/en\/app.aspx<\/a><\/p>\n

Loeb, M., Dafoe, N., Mahony J., John, M., Sarabia, A., Glavin, V., Walter, S.S. (2009). Surgical mask vs N95 respirator for preventing influenza among health care workers: A randomized trial.<\/em> JAMA, 302(17), 1865- 1871. doi:10.1001\/jama.2009.1466. Tir\u00e9 de http:\/\/jama.jamanetwork.com\/article.aspx?articleid=184819<\/a><\/p>\n

CCPMI. (2012a). Pratiques exemplaires \u2013 Programmes de pr\u00e9vention et de contr\u00f4le des infections en Ontario <\/em>(3e<\/sup><\/span> \u00e9dition).<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/BP_IPAC_Ontario_HCSettings_2012.pdf<\/a><\/p>\n

CCPMI. (2012b). Pratiques de base et pr\u00e9cautions suppl\u00e9mentaires dans tous les \u00e9tablissements de soins de <\/em>sant\u00e9 (3e<\/sup><\/span> \u00e9dition).<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/RPAP_All_HealthCare_Settings_Eng2012.pdf<\/a><\/p>\n

CCPMI. (2013). Annexe B : Pratiques exemplaires en mati\u00e8re de pr\u00e9vention de la transmission des infections <\/em>aigu\u00ebs des voies respiratoires dans tous les \u00e9tablissements de soins de sant\u00e9.<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/CCPMI-IPC_Annex_B_Prevention_Transmission_ARI_2013.pdf<\/a><\/p>\n

CCPMI. (2014). Pratiques exemplaires d\u2019hygi\u00e8ne des mains dans tous les \u00e9tablissements de soins de <\/em>sant\u00e9, (4e<\/sup><\/span> \u00e9dition).<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/2010-12%20BP%20Hand%20Hygiene.pdf<\/a><\/p>\n

CCPMI. (2015a). Pratiques exemplaires de pr\u00e9vention, de surveillance et de contr\u00f4le des nouvelles infections <\/em>respiratoires dans tous les \u00e9tablissements de soins de sant\u00e9.<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : http:\/\/www.publichealthontario.ca\/en\/eRepository\/Best_Practices_Novel_Respiratory_Infections.pdf<\/a><\/p>\n

CCPMI. (2015b). Pr\u00e9vention et contr\u00f4le des infections pour la pratique en cabinet et en clinique.<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/IPAC_Clinical_Office_Practice_2013.pdf<\/a><\/p>\n

CCPMI. (2016). Pr\u00e9paratifs : Triage, d\u00e9pistage et gestion des patients ayant une infection au Coronavirus du <\/em>syndrome respiratoire du Moyen-Orient (MERS-CoV) dans les \u00e9tablissements de soins actifs.<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/eRepository\/CCPMI-IPC_Preparedness_Tools_MERS_CoV_2013.pdf<\/a><\/p>\n

Agence de la sant\u00e9 publique du Canada. (2013). Guide canadien d\u2019immunisation.<\/em> Tir\u00e9 du site Web de Agence de la sant\u00e9 publique du Canada : http:\/\/phac-aspc.gc.ca\/publicat\/cig-gci\/p03-work-travail-fra.php#a1<\/a><\/p>\n

Agence de la sant\u00e9 publique du Canada. (2014). Normes canadiennes pour <\/em>la lutte antituberculeuse (7e<\/sup><\/span> \u00e9dition).<\/em> Tir\u00e9 du site Web de Agence de la sant\u00e9 publique du Canada : https:\/\/www.canada.ca\/content\/dam\/phac-aspc\/migration\/phac-aspc\/tbpc-latb\/pubs\/tb-canada-7\/assets\/pdf\/tb-standards-tb-normes-ch7-fra.pdf<\/a><\/p>\n

Agence de la sant\u00e9 publique du Canada. (2016). R\u00e9sum\u00e9 de l\u2019\u00e9valuation du risque associ\u00e9 au coronavirus du <\/em>syndrome respiratoire du Moyen-Orient (MERS-CoV) pour la sant\u00e9 publique au Canada.<\/em> Tir\u00e9 du site Web de l\u2019Agence de la sant\u00e9 publique du Canada : www.phac-aspc.gc.ca\/eri-ire\/coronavirus\/risk_assessment-evaluation_risque-fra.php<\/a><\/p>\n

Sant\u00e9 publique Ontario. (n.d.a). Cha\u00eene de transmission et \u00e9valuation des risques : Glossaire.<\/em> Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : www.publichealthontario.ca\/fr\/LearningAndDevelopment\/OnlineLearning\/InfectiousDiseases\/IPACCore\/Documents\/CORE_Trainers_COT_and_RA_Module_Glossary_April_2014.pdf<\/a><\/p>\n

Sant\u00e9 publique Ontario. (n.d.b). Algorithme des risques guidant l\u2019utilisation des \u00c9PI. Tir\u00e9 du site Web de Sant\u00e9 publique Ontario : file:\/\/\/C|\/Users\/carso\/AppData\/Local\/Temp\/ www.publichealthontario.ca\/fr\/eRepository\/IPAC_Clinical_Office_Practice_Risk_Algorithm_PPE_2013.pdf<\/a><\/p>\n

Organisation mondiale de la Sant\u00e9. (2015). Coronavirus du syndrome respiratoire du Moyen-Orient (MERSCoV). Tir\u00e9 du site Web de l\u2019Organisation mondiale de la Sant\u00e9 : www.who.int\/mediacentre\/factsheets\/mers-cov\/fr\/<\/a><\/p>\n

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Pr\u00e9cautions suppl\u00e9mentairesLes pr\u00e9cautions suppl\u00e9mentaires sont des interventions utilis\u00e9es en plus des pratiques de base, au besoin. Le recours \u00e0 des pr\u00e9cautions suppl\u00e9mentaires est \u00e9tabli en fonction du mode de transmission des microorganismes (p. ex., SARM, ERV, C. difficile).Cat\u00e9gories de pr\u00e9cautions suppl\u00e9mentaires :1. Pr\u00e9cautions contre les contacts2. Pr\u00e9cautions contre les gouttelettes3. 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