{"id":3456,"date":"2021-08-11T22:13:39","date_gmt":"2021-08-11T22:13:39","guid":{"rendered":"https:\/\/infection.crto.on.ca\/?page_id=3456"},"modified":"2023-04-27T16:39:07","modified_gmt":"2023-04-27T16:39:07","slug":"closed-suction-systems","status":"publish","type":"page","link":"https:\/\/infection.crto.on.ca\/fr\/closed-suction-systems\/","title":{"rendered":"Closed Suction Systems"},"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\u00bb90deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 0%|rgba(255,255,255,0.59) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bb#ffffff\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(255,255,255,0.59)\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/infection.crto.on.ca\/wp-content\/uploads\/sites\/18\/2021\/08\/ClosedSuctionSystems.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\u00bb4.20.0″ module_alignment=\u00a0\u00bbleft\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Syst\u00e8mes d\u2019aspiration ferm\u00e9s<\/strong><\/h1>\n

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Syst\u00e8mes d\u2019aspiration ferm\u00e9s<\/strong><\/h2>\n

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Les syst\u00e8mes d\u2019aspiration ferm\u00e9s (en ligne) sont la meilleure option parce qu\u2019ils aident \u00e0 r\u00e9duire la contamination environnementale et \u00e0 pr\u00e9venir l\u2019exposition aux pathog\u00e8nes respiratoires. La plupart des lignes directrices de pratique clinique qui ont \u00e9t\u00e9 publi\u00e9es pour r\u00e9duire la pneumonie associ\u00e9e aux ventilateurs sugg\u00e8rent que les cath\u00e9ters en ligne n\u2019exigent pas de changements routiniers (Hess, 2003). La coupure d\u2019un circuit de ventilateur pour changer un cath\u00e9ter en ligne pose des risques pour le patient, les th\u00e9rapeutes respiratoires autoris\u00e9s et les autres travailleurs de la sant\u00e9.<\/strong> La controverse d\u00e9coule donc du fait qu\u2019il est pr\u00e9f\u00e9rable, aux fins de pr\u00e9venir les infections, de changer le cath\u00e9ter d\u2019aspiration en ligne seulement lorsque cela est n\u00e9cessaire (comme lorsqu\u2019il est visiblement sale ou ne fonctionne pas bien) et non pas de fa\u00e7on routini\u00e8re en coupant le circuit. Toutefois, certains fabricants de cath\u00e9ters\/syst\u00e8mes d\u2019aspiration en ligne recommandent maintenant que tous les syst\u00e8mes d\u2019aspiration en ligne soient chang\u00e9s toutes les 24 heures.<\/p>\n

Les normes visant la pratique du changement routinier des cath\u00e9ters d\u2019aspiration en ligne pour les patients ventil\u00e9s m\u00e9caniquement semblent diff\u00e9rer selon la source qui recommande cette pratique. La plupart des produits d\u2019aspiration en ligne indiquent dans leur documentation que le cath\u00e9ter doit \u00eatre chang\u00e9 toutes les 24 heures. L\u2019Agence de la sant\u00e9 publique du Canada ne traite pas la question des changements routiniers du cath\u00e9ter d\u2019aspiration. Le CCPMI indique que la protection du visage est n\u00e9cessaire en cas de bris d\u2019int\u00e9grit\u00e9 d\u2019un syst\u00e8me de ventilation m\u00e9canique, par exemple lors du changement de cath\u00e9ters d\u2019aspiration.<\/p>\n

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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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Syst\u00e8mes d\u2019aspiration ferm\u00e9sSyst\u00e8mes d\u2019aspiration ferm\u00e9sLes syst\u00e8mes d\u2019aspiration ferm\u00e9s (en ligne) sont la meilleure option parce qu\u2019ils aident \u00e0 r\u00e9duire la contamination environnementale et \u00e0 pr\u00e9venir l\u2019exposition aux pathog\u00e8nes respiratoires. La plupart des lignes directrices de pratique clinique qui ont \u00e9t\u00e9 publi\u00e9es pour r\u00e9duire la pneumonie associ\u00e9e aux ventilateurs sugg\u00e8rent que les cath\u00e9ters en ligne n\u2019exigent […]<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-3456","page","type-page","status-publish","hentry"],"yoast_head":"\nClosed Suction Systems - Infection Prevention & Control CBPG<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/infection.crto.on.ca\/fr\/closed-suction-systems\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Closed Suction Systems - Infection Prevention & Control CBPG\" \/>\n<meta property=\"og:description\" content=\"Syst\u00e8mes d\u2019aspiration ferm\u00e9sSyst\u00e8mes d\u2019aspiration ferm\u00e9sLes syst\u00e8mes d\u2019aspiration ferm\u00e9s (en ligne) sont la meilleure option parce qu\u2019ils aident \u00e0 r\u00e9duire la contamination environnementale et \u00e0 pr\u00e9venir l\u2019exposition aux pathog\u00e8nes respiratoires. 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