Index

Healthcare Associated Infection Control and Biocides Najat Rashid, Ramnik Sood

CHAPTER 1:Standard Precautions
- PURPOSE
- TARGET POPULATION
- MANAGERS OF HEALTHCARE FACILITIES
- INFECTION CONTROL COMMITTEE (ICC)
- INFECTION CONTROL TEAM (ICT)
- ENVIRONMENT
- PROTECTIVE ENVIRONMENT
- WATER
- ROUTINE CLEANING
- WASTE MANAGEMENT
- PRECAUTIONS ACCORDING TO THE TRANSMISSION RISK
- INFECTIOUS AGENT
CHAPTER 2:Handwash
- SUBSTANCES USED
- TECHNIQUES
- INFECTION CONTROL TIPS ON HAND WASHING
CHAPTER 3:Antimicrobial Prophylaxis in Surgery
- PURPOSE
- ETIOLOGY OF SURGICAL SITE INFECTIONS
- PROPHYLACTIC ANTIBIOTICS ADMINISTRATION
- PREVENTION OF SSI
CHAPTER 4:Central Venous Catheter Insertion
- PURPOSE
- EQUIPMENTS
- INSERTION
- TYPES OF CENTRAL VENOUS CATHETERS
  - Type of CVC Inserted Depends on the
  - Standard Precautions
- PREPROCEDURE
- PROCEDURE
- COMPLICATIONS OF CENTRAL VENOUS THERAPY
  - If Catheter is Disconnected
- CENTRAL VENOUS CATHETERS (CVC) AND HEALTHCARE-ASSOCIATED INFECTION (HAI)
CHAPTER 5:Healthcare-associated Pneumonia
- PROPOSED STRATEGIES TO PREVENT PULMONARY NOSOCOMIAL INFECTIONS
- BREATHING CIRCUITS, HUMIDIFIERS, HEAT AND MOISTURE EXCHANGERS
CHAPTER 6:Endotracheal Tube Insertion
- TYPES OF TRACHEAL TUBE
- PURPOSE
- ADVANTAGES OF ENDOTRACHEAL INTUBATION
- DISADVANTAGES OF ENDOTRACHEAL INTUBATION
- EQUIPMENTS
  - Standard Precautions
- PROCEDURES
  - Auscultating for Bilateral Breath Sounds
  - Removal of Endotracheal Tube
- RISK FACTORS
- VENTILATOR-ASSOCIATED PNEUMONIA (VAP)
- INFECTION CONTROL GUIDANCE
CHAPTER 7:Oropharyngeal and Nasopharyngeal Suctioning
- PURPOSE
- EQUIPMENTS
- STANDARD PRECAUTIONS
- PROCEDURE
CHAPTER 8:Oxygen Administration
- PURPOSE
- TYPE OF OXYGEN SYSTEM
  - Methods of Administration
- EQUIPMENTS
CHAPTER 9:Care of Endoscopy
- PURPOSE
- TYPES OF ENDOSCOPY
- COMPLICATIONS
  - Responsibility
  - Standard Precautions
- PATIENT PREPARATION AND PROCEDURE
- ENDOSCOPY AND HEALTHCARE-ASSOCIATED INFECTION
CHAPTER 10:Care of Laryngoscope
- PURPOSE
- GENERAL REQUIREMENTS
  - Standard Precautions
- PREPROCEDURE
- FLEXIBLE LARYNGOSCOPY
- RIGID LARYNGOSCOPY
- LARYNGOSCOPE AND HEALTHCARE-ASSOCIATED INFECTION
  - Cleaning and Sterilization of Laryngoscope
CHAPTER 11:Nebulization Therapy
- PURPOSE
- TYPES OF NEBULIZERS
  - Equipments
  - Standard Precautions
- PROCEDURE
  - For a Small Volume Nebulizer
  - For a Large Volume Nebulizer
- NEBULIZER AND HEALTHCARE-ASSOCIATED INFECTION
- CARE OF THE COMPRESSOR
- DOCUMENTATION
CHAPTER 12:Tube Feeding Care
- PURPOSE
- TYPES OF FEEDING TUBES
- PRELIMINARY ASSESSMENT
  - Preparation of Patient and Unit
- EQUIPMENTS
  - Standard Precautions
- PROCEDURE
- HEALTHCARE-ASSOCIATED INFECTION IN TUBE FEEDING
CHAPTER 13:Blood Collection
- VENIPUNCTURE
- EQUIPMENTS (FIG. 13.1)
- STANDARD PRECAUTIONS
- PREPROCEDURE
- FINGERSTICK
- HEELSTICK PROCEDURE (INFANTS)
- CAPILLARY BLOOD COLLECTION
CHAPTER 14:Lumbar Puncture/Spinal Tap
- PURPOSE
- EQUIPMENTS (FIG. 14.2)
  - Standard precautions
- PREPROCEDURE
- PROCEDURE
- POSTPROCEDURE CARE
- PUNCTURE SITE
- RISKS OF THE PROCEDURE
- LUMBAR PUNCTURE AND HEALTHCARE-ASSOCIATED INFECTION
CHAPTER 15:Bone Marrow Aspiration and Biopsy
- PURPOSE
- EQUIPMENT (FIG. 15.2)
  - Standard Precautions
- PREPROCEDURE
- PROCEDURE
- MARROW ASPIRATION FROM THE STERNUM
- RISKS
CHAPTER 16:Hemodialysis Care
- PURPOSE
- TYPES OF HEMODIALYSIS
- EQUIPMENT AND SUPPLIES
- STANDARD PRECAUTIONS
- PREPROCEDURE
  - Preparations for Hemodialysis
    - Caring for the Access
- PROCEDURE
- RISKS
- HEMODIALYSIS AND HEALTHCARE-ASSOCIATED INFECTION
CHAPTER 17:Urinary Catheterization
- CATHETER TYPES
- SEX DIFFERENCES
- CATHETER MAINTENANCE
- EFFECTS OF LONG-TERM USE
- COMBATING INFECTION
- PURPOSE
  - Standard Precautions
- PROCEDURE
  - Emptying the Drainage Bag
- APPLICATION OF CONDOM DRAINAGE
- OBSERVATION
- RECORDING
CHAPTER 18:Urine Collection for Culture and Sensitivity in Catheterization Patients
- PURPOSE
- URINE SAMPLES
- ASEPTIC TECHNIQUE
- EQUIPMENT REQUIRED
- STANDARD PRECAUTIONS
- PROCEDURE
- PRECAUTION
- PREVENTION OF CATHETER-ASSOCIATED URINARY TRACT INFECTIONS
  - Also consider
CHAPTER 19:Care of Medical Dressing
- PURPOSE
- TYPES OF DRESSING
- EQUIPMENTS
- STANDARD PRECAUTIONS
- PREPROCEDURE
- PROCEDURE
- PREVENTION AND MANAGEMENT OF WOUND INFECTION
- DOCUMENTATION
CHAPTER 20:Prevention of Tuberculosis
- PURPOSE
- INFECTIOUSNESS
- LATENT TUBERCULOSIS INFECTION (LTBI)
- ACTIVE TUBERCULOSIS DISEASE
- TB AND INFECTION CONTROL PLAN
CHAPTER 21:Healthcare-associated and Community-acquired Methicillin-resistant Staphylococcus aureus
- DEFINITION OF METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS
- IDENTIFICATION
- METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS ORIGIN
- MRSA RISK FACTORS
- AT HOSPITAL CARE
- COMMUNITY-ASSOCIATED MRSA
- HOW DOES MRSA SPREAD?
- MRSA SYMPTOMS
- MRSA DIAGNOSIS
- MRSA TREATMENT
  - Home treatment
- HOSPITAL TREATMENT
- HOSPITAL ADMISSION
  - Admission Rationale
  - Room Assignment
- MRSA CONTROL
  - Also consider
- MRSA PREVENTION
  - Prevention in the hospital
  - Prevention in the community
- NURSING MEASURES
- HOSPITAL DISCHARGE
- DISCHARGE TO HOME
- CARE FOR FAMILY MEMBERS OF INFECTED PERSON
CHAPTER 22:Prevention of Meningococcal Meningitis
- EXPOSURE
- APPLICABILITY
- PURPOSE
- PREPLACEMENT
- VACCINE
  - Type of vaccine
- ANTIBIOTIC CHEMOPROPHYLAXIS
  - Whom to give prophylaxis
  - Procedure for the institution of prophylaxis
CHAPTER 23:Protocol for Vancomycin-resistant Enterococcus
- CAUSES
- RISK FACTORS
- SYMPTOMS
- PATIENT PLACEMENT
- TREATMENT
- STANDARD PRECAUTIONS
- RISK ASSESSMENT
- RISK FACTORS FOR ACQUISITION (COLONIZATION OR INFECTION)
- RISK FACTORS FOR TRANSMISSION
- ROUTINE ENVIRONMENTAL AND EQUIPMENT CLEANING
- PROCEDURE
- SURVEILLANCE AND NOTIFICATION
  - Fecal specimen
  - Perianal or rectal swabs
- OUTBREAK MANAGEMENT
CHAPTER 24:Intramuscular Injection
- SITES
- PURPOSE
- EQUIPMENTS
- STANDARD PRECAUTIONS
  - General safety practices
    - Perform hand hygiene before
    - Perform hand hygiene after
- PREPROCEDURE
- PROCEDURE
  - Aftercare
- COMPLICATIONS
- DOCUMENTATION
CHAPTER 25:Intravenous Cannula
- INDICATIONS AND SITES
- STANDARD PRECAUTIONS
- PROCEDURE IN INTRAVENOUS INSERTION
- MAINTENANCE OF INTRAVENOUS LINES
- ADDING ADDITIVES TO THE INTRAVENOUS FLUID
CHAPTER 26:Blood Transfusion
- PURPOSE
- BLOOD PRODUCT
- EQUIPMENT AND SUPPLIES
- STANDARD PRECAUTIONS
  - Preprocedure
- IDENTITY CHECK OF PATIENT AND BLOOD/BLOOD PRODUCTS
- THE HOSPITAL TRANSFUSION COMMITTEE
- BLOOD TRANSFUSION AND HEALTHCARE-ASSOCIATED INFECTION
- SCREENING DONATED BLOOD
CHAPTER 27:Administration of a Medicine
- BIOAVAILABILITY OF THE DRUG
- ROUTES OF ADMINISTRATION
- DRUG IDENTIFICATION
- SAFETY MEASURES
- DOSE
- ESSENTIALS OF MEDICATION ORDER
- FACTORS WHICH MODIFY THE DOSAGE OF THE DRUG (TABLES 27.1 TO 27.4)
- DRUG AND FLUID CALCULATIONS
- CALCULATION OF IV INFUSION FLOW RATE/DROP RATE
- GOOD PRACTICE IN CALCULATIONS
- GENERAL SAFETY PRECAUTIONS FOR THE PREPARATION AND STORAGE OF MEDICATIONS
- GUIDANCE FOR PRACTICE OF ADMINISTRATION OF MEDICINES
- WHEN TO DISCARD MEDICATIONS
- STORAGE OF MEDICINES IN THE WARD/DEPARTMENT
- STORAGE OF MEDICINES AND MANAGEMENT
- MEDICATION ADMINISTRATION AND HEALTHCARE-ASSOCIATED INFECTIONS
- DOCUMENTATION
CHAPTER 28:Eye Care
- PURPOSE
- EQUIPMENTS
- STANDARD PRECAUTIONS
- TYPES OF EYE INJURIES
  - Foreign Bodies
    - Procedure
- BLEPHARITIS
  - Type of Blepharitis
    - Procedure
    - To clean eyelids
- STYE
  - Chemical Injuries
- EYE CARE GENERAL PROCEDURES
- CONTACT LENS CARE
- TYPES OF OVER THE COUNTER (OTC) EYE CARE PRODUCTS
CHAPTER 29:Care of Preterm Baby
- EQUIPMENT
  - Standard Precautions
  - Management (Fig. 29.3)
- MONITORING
- PRETERM BABY AND INFECTION
- NEONATAL INTENSIVE CARE UNIT AND HEALTHCARE-ASSOCIATED INFECTIONS
- HAND HYGIENE
- HAND WASHING PROCEDURE
- PROCEDURE OF HAND HYGIENE WITH ALCOHOL-BASED HAND RUBS
- GUIDELINES FOR THE PREVENTION OF INTRAVASCULAR CATHETER-RELATED INFECTIONS
- GUIDELINES FOR THE PREVENTION OF MECHANICAL VENTILATOR-RELATED INFECTIONS
CHAPTER 30:Neonatal Phototherapy
- TYPES OF NEONATAL PHOTOTHERAPY
- PURPOSE
- INDICATIONS
  - Preterm Infant
  - Term Infant
- EQUIPMENT
  - Standard Precautions
- PREPARATION OF EQUIPMENT
- PROCEDURE
- MONITORING: DURING INTENSIVE PHOTOTHERAPY IN HOSPITAL
- CONTRAINDICATIONS
- MECHANISM
- TECHNIQUE
- ADVERSE EFFECTS
- DOCUMENTATION
CHAPTER 31:Defibrillation
- PURPOSE
- EQUIPMENTS
  - Standard Precautions
- CONTRAINDICATIONS
- PROCEDURE
- AFTERCARE
- COMPLICATIONS, PREVENTION AND MANAGEMENT
- DOCUMENTATION
- POINTS TO BE CONSIDERED
CHAPTER 32:Care of Blood Pressure
- PURPOSE
  - Standard Precautions
- PREPROCEDURE
  - Position of the Subject
  - Position of the Arm
- PROCEDURE
  - Ambulatory Blood Pressure Monitoring
- BLOOD PRESSURE APPARATUS AND HEALTHCARE-ASSOCIATED INFECTION
  - Cleaning, Disinfection and Sterilization of the cuff
- SINGLE PATIENT CUFFS BARRIERS
  - Disposable Single-patient BP Cuffs
CHAPTER 33:Care of Bedpan
- PURPOSE
- RESPONSIBILITY
- TYPES OF BEDPAN
- EQUIPMENTS
  - Standard Precautions
- PROCEDURE
  - Urinal
  - Bedpan
CHAPTER 34:Enema
- PURPOSE
- CONTRAINDICATIONS OF ADMINISTERING ENEMAS
- TYPES OF ENEMAS
- EQUIPMENTS (FIG. 34.1)
  - Standard Precautions
- PREPROCEDURE
- PROCEDURE
  - Preparation (Tables 34.1 and 34.2)
- RISK
CHAPTER 35:Care of Perineum
- PURPOSE
- EQUIPMENTS
  - Standard Precautions
- PREPROCEDURE
- PROCEDURE
  - Perineal Care for the Female Patient
  - Perineal Care for the Male Patient
- AFTER PROVIDING PERINEAL CARE
- SPECIAL CONSIDERATIONS
CHAPTER 36:Bed Bath
- PURPOSES
- EQUIPMENTS
  - Standard Precautions
- PREPROCEDURE
- SPECIAL CONSIDERATIONS
- PROCEDURE
- AFTERCARE
- BED BATH AND HEALTHCARE-ASSOCIATED INFECTIONS
CHAPTER 37:Sitz Bath
- PURPOSE
- EQUIPMENTS (FIG. 37.1)
  - Standard Precautions
- PREPROCEDURE
- PROCEDURE
- SPECIAL CONSIDERATION
- SITZ BATH AND HAI
CHAPTER 38:Baby Bath
- PURPOSE
- EQUIPMENT
  - Standard Precautions
- GENERAL RULES
- PROCEDURE
- SPONGE BATH
- PORTABLE TUB OR SINK BATH
CHAPTER 39:Surgical Hair Removal
- PURPOSE
- RESPONSIBILITY
  - Standard Precautions
- PROCEDURE
- SHAVING OF PARTS
- CRITERIA OF ANTI-MICROBIAL AGENTS
- CRITERIA OF SKIN PREPARATION
CHAPTER 40:Mouth Care
- PURPOSE
- EQUIPMENTS
  - Standard Precautions
- PROCEDURE
- DENTURE CARE
- GUM CARE
- TONGUE CLEANING
CHAPTER 41:Hot Water Bag
- PURPOSE
- EQUIPMENTS
  - Standard Precautions
- PREPROCEDURE
- PROCEDURE
- AFTERCARE OF THE PATIENT
  - Observation
- DOCUMENTATION
CHAPTER 42:Operating Room Sanitation
- PURPOSE
- OPERATING ROOM EQUIPMENTS
- OPERATING MICROSCOPES
  - Tips to Increase the Life of the Microscope
  - Preparation of the Microscope for the Surgical Use
- SURGICAL PROTECTIVE CLOTHING
- OPERATING ROOM SANITATIONS
CHAPTER 43:Infection Control Practices and Precaution in Operating Room
- OPERATING ROOM ENVIRONMENTAL MONITORING
- HANDWASHING (OR USING AN ANTISEPTIC HAND RUB)
- STERILIZATION METHOD IN OPERATING ROOM
- WRAPPING GOOD FOR STERILIZATION
  - Fabric Wrappers
  - Paper and Unwoven Fabrics
- PACKAGES IDENTIFICATIONS
- STORAGE AND HANDLING OF STERILE SUPPLIES
  - Shelf Life
- WRAPPED ITEMS SELF-LIFE (UNDER IDEAL CONDITIONS)
- OPERATING ROOM WASTE DISPOSAL
- ASPECTS OF WASTE MANAGEMENT
CHAPTER 44:Ward Cleaning
- DEFINITIONS
  - Cleaning
  - Disinfection
    - High Level Disinfection
  - Sterilization
  - Decontamination
- PURPOSE
- RESPONSIBILITIES
- GENERAL CLEANING REGULATION
- HOSPITAL FUNCTIONAL AREA RISK CATEGORIZATION STATUS
  - Very High Risk
  - High Risk
  - Moderate Risk
  - Low Risk
- CLASSIFICATION OF INFECTION RISK FROM EQUIPMENT OR ENVIRONMENT AND SUGGESTED LEVEL OF DECONTAMINATION
  - Low Risk
  - Intermediate Risk
  - High Risk
- CLEANING METHODS
- MANUAL CLEANING
- ENVIRONMENTAL CLEANING
- DISINFECTION
- THERMAL METHODS
- MOIST HEAT AT 70–100°C
- CHEMICAL METHODS
- DISINFECTION OF SURFACES
- STERILIZATION
- STEAM STERILIZATION
  - Method
- DRY HEAT
  - Method
- ETHYLENE OXIDE GAS
- STERILIZATION PROCESS
  - Autoclaving is Preferred
- STORAGE
- PROTECTION OF STERILE ITEMS AGAINST RECONTAMINATION
  - Cleaning Element Specifications
- EQUIPMENT REQUIRED
  - Standard Precautions
- PATIENT ROOM
- PREPROCEDURE
- PROCEDURE
  - Perform High Dusting
  - Clean Ledges and Sills
  - Clean and Disinfect Patient Restroom Empty and Line Wastebaskets
  - Clean the Bed
  - Clean Furniture
  - Clean Furnishings
  - Spot-clean Walls
  - Dust Mop Floor
  - Place “Wet Floor” Sign
  - Wet Mop Floor
  - Clean Door Hardware and Metal Plates
- LAUNDRY SERVICES
- SORTING PROCEDURES
- WASHING PROCESSES
  - Fumigation
CHAPTER 45:Sterilization Process
- PURPOSE
  - Standard Precautions
- STERILIZATION CATEGORIES AND METHODS
- SAFE USAGE OF AUTOCLAVE
CHAPTER 46:Sharps Handling
- GENERAL PRECUATIONS
- STANDARD PRECAUTIONS
- PROMPT DISPOSAL
- SHARPS CONTAINERS
- HANDLING CONTAINERS
CHAPTER 47:Blood Spill Care
- EQUIPMENTS
  - Clean-up Kit (Fig. 47.1)
  - Clean-up Materials (Fig. 47.1)
- STANDARD PRECAUTIONS
- PROCEDURE
CHAPTER 48:Healthcare Facilities and Waste Management
- DEFINITIONS
- PURPOSE
- HEALTH IMPACT
- RESPONSIBILITY
- EQUIPMENTS
  - Standard Precautions
- WASTE CLASSIFICATION
  - Non-medical Waste (or non-hazardous waste)
  - Medical Waste (Hazardous waste)
- BIOHAZARD SYMBOL
- SEGREGATION AND COLOR CODING OF CLINICAL WASTE
- MANAGEMENT OF MEDICAL WASTE STEPS
- MEDICAL WASTE TREATMENT DEVICES
- LIQUID WASTES: BIOLOGICAL AND CHEMICAL
- DISPOSAL OF DENTAL WASTE
- MANAGEMENT OF REUSABLE INSTRUMENTS
- HIGH LEVEL DISINFECTION
  - Purpose
  - Procedure
- COMPRESSED GAS CYLINDERS
- WASTE MANAGEMENT STAFF PROTECTION MEASURES
CHAPTER 49:Hospital Admission and Discharge
- PURPOSE
- ADMISSION NURSE RESPONSIBILITIES
- TYPES OF HOSPITAL ADMISSION
- PATIENT RIGHTS AND RESPONSIBILITIES
- PREPROCEDURE
- PROCEDURE
- HOSPITAL DISCHARGE
CHAPTER 50:Handling Dead Bodies
- PRECAUTIONS (WIDELY DISSEMINATED TO ALL STAFF) INVOLVED
- GENERAL RECOMMENDATIONS FOR ALL RELATED PERSONS
- WARD STAFF PRECAUTIONS
  - Dead Bodies Under Category 1
  - Dead Bodies Under Category 2 or 3
- MORTUARY STAFF PRECAUTIONS
CHAPTER 51:Protocol for Surveillance of Hospital Acquired Infection
- PURPOSE
- TYPES OF SURVEILLANCE PROGRAMS
- SURVEILLANCE DATA COLLECTION AND MANAGEMENT
CHAPTER 52:Infection Control Committee and Infection Control Team
- COMMITTEE MEMBERS
  - Responsibilities
- INFECTION CONTROL TEAM (ICT)
  - Committee Members
  - Responsibilities
CHAPTER 53:Basic Microbiology and Biocides
- MICROORGANISMS
  - Pathogens
- RIGHT BIOCIDE
- DISINFECTION
- STERILIZATION
- BIOCIDES
  - Disinfectants
  - Antiseptics
- BACTERIA AND ITS STRUCTURE
  - Bacteria
- BIOFILM
- FUNGI
  - Chitin
  - Types of Fungi
- VIRUSES
- PROTOZOA
  - Protozoans are Pathogenic
- FEW DISEASES CAUSED BY BACTERIA, FUNGI, VIRUSES AND PROTOZOANS
  - Prions
- DRUG/BIOCIDE RESISTANCE
  - Reasons for Drug/Biocide Resistance
- EFFLUX MECHANISM
- TYPES OF BIOCIDES
  - Alcohols
    - Mode of Action
  - Aldehydes
    - Mode of Action
  - Biguanides
    - Mode of Action
    - Mode of Action
  - Phenols
    - Mode of action
  - Bisphenols
    - Mode of Action
  - Halogens
    - Iodine Compounds
    - Mode of Action
  - Heavy Metals
    - Mode of Action
  - Peroxygens
    - Mode of Action
  - Quaternary Ammonium Compounds
    - Mode of Action
  - Action of Different Biocides and Biocides Products (Fig. 53.39)
  - Areas of Disinfection and Related Bioshields Products
- SKIN DISINFECTION
  - Skin
  - Infection
    - Surgical Site Infections (SSI)
  - Skin Needs to be Disinfected
  - Transmission of Pathogens
  - Hand Hygiene
  - Timings of Hand Hygiene
    - Hand Hygiene is Also Required
    - Criteria to Select the Right Antiseptic for Hand Hygiene
- BIOSHIELDS
  - Handrubs
  - Handwash
  - Antiseptics
  - Skin Preparations
- ENVIRONMENT AND SURFACE DISINFECTION
  - Necessity to Sterilize the Operation Theaters (OT)
  - Classical Methods Generally Used for OT Disinfection
  - Difficulties Faced in OT Disinfection
- ENVIRONMENT AND SURFACE DISINFECTANTS FROM BIOSHIELDS
  - Aerosept™
  - Labsafe™
  - Linosafe™
  - Microlyse®
  - Silvicide®
  - Surfax™
  - Totasep™
- INSTRUMENT DISINFECTION
  - Spaulding Scheme for Instrument Disinfection
  - Critical Instruments
  - Semicritical Instruments
  - Noncritical Instruments
  - Acitar™
  - Clenzyme™
  - ENDOMAX™
  - Novacide®
  - Opahyde™
- RISK AND SAFETY STATEMENTS
- ALCOHOLS
  - Hazards Identification
  - Safety Measures
  - Accidental Release Measures
- ALDEHYDES (Glutaraldehyde, Orhto-phthalaldehyde, etc.)
  - Hazard Identification
  - Safety Measures
  - Accidental Release Measures
- BIGUANIDES (Monomeric: Chlorhexidine Gluconate Solution)
  - Hazards Identification
  - Safety Measures
  - Accidental Release Measures
- BIGUANIDES (Polymeric: Polyhexamethylene Biguanide)
  - Hazard Identification
  - Safety Measures
  - Accidental Release Measures
- PHENOLS
  - Hazards Identification
  - Safety Measures
  - Accidental Release Measures
  - Toxicological Information
- BISPHENOLS (TRICLOSAN)
  - Hazards Identification
  - Safety Measures
  - Accidental Release Measures
- QUATERNARY COMPOUNDS (Benzalkonium Chloride Solution, Didecyldimethyl ammonium chloride, etc.)
  - Hazards Identification
  - Safety Measures
  - Accidental Release Measures
- SODIUM HYPOCHLORITE
  - Hazards Identification
  - Safety Measures
  - Accidental Release Measures
Glossary

INDEX

TOC
Index

Chapter Notes