IC

PT U E
S E I Q
A HN
E C
T
• Using practices and procedures to prevent
contamination from pathogens.

• Prevent spread of infection/minimize the risk

of infection.

• These aseptic techniques are used in surgery

rooms, clinics, out patient care .
Where to use aseptic technique?
• Helping with a baby’s birth by vaginal delivery
• Inserting a urinary catheter
• Inserting central intravenous (IV) or arterial
lines
• Handling surgery equipment
• Performing various surgical techniques
• Inserting chest tubes
Aspects of aseptic technique

• Barriers

• Patient equipment and preparation

• Environmental controls

• Contact guidelines
 Barriers
- Protect the patient from the transfer of
pathogens from a healthcare worker, from the
environment, or from both.
• Sterile gloves
• Sterile gowns
• Masks for the patient and healthcare provider
• Sterile drapes
* Specially packaged and cleaned items.
 Patient equipment and
preparation
- Apply cleansing and bacteria – killing
preparations (antiseptic solution) to the
patient’s skin before a procedure.
- Common antiseptic soln
 Environmental controls
- Requires keeping doors closed during an
operation.
- Minimum personnel inside the theatre.
- Fumigation /fogging/Laminar flow
 Contact guidelines
- Once healthcare providers have on sterile barriers,
they should only touch other sterile items.
- Avoid touching nonsterile items.
 Urinary catheterisation
• Barriers
– sterile gloves
• Patient and equipment preparation
- open sterile packaging that contains the sterile
catheter.
- prepare the patient’s skin.
• Environmental controls
- only one or two providers in a room
• Contact guidelines
- not touch any non sterile surface with the hand that
advances the catheter into the patient’s urethra.
 Aseptic technique VS clean technique
• To eliminate germs entirely differs To reduce the
number of germs whenever possible.
• Routinely done
• Washing hand and putting clean gloves
• Aren’t using sterile items or aseptic technique.
Eg:
Giving an injection ( I M)
Nasogastric tube insertion
Emptying a urinary catheter drainage bag
Inserting IV peripheral and removal
Removal catheter
Dressing in the wards
 Which is aseptic technique /clean
technique
• IV cannula Clean
• Urinary catheterisation Aseptic
• Self catheterisation
Clean
• Dressing in the ward
Clean
• Intra-articular injection
• Naso gastric feeding
Aseptic
• Central line insertion Clean
• Suturing of wound Aseptic
Aseptic
Surgery - which is clean, contaminated and
infected cases
1) Cataract surgery
2) Thyroidectomy
3) Open reduction internal fixation of fractures
4) Inguinal hernia
5) Hysterectomy (vaginal, abdominal )
6) Tonsillectomy
7) Appendicectomy
8) Septic arthritis of knee
Complications
• Catheter associated UTI’s n.
er
c
n stream
• Central line associated blood
c o
infections
a re
c
lth
• Surgical site infections
a
he
j or
Ma
• Post operative infection would be a disaster to the
patient as well the surgeon