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CMS Manual System - Louisiana Department of Health and Hospitals

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Implement h<strong>and</strong> hygiene (h<strong>and</strong> washing) practices consistent with accepted st<strong>and</strong>ards <strong>of</strong><br />

practice, to reduce the spread <strong>of</strong> infections <strong>and</strong> prevent cross-contamination; <strong>and</strong><br />

Properly store, h<strong>and</strong>le, process, <strong>and</strong> transport linens to minimize contamination.<br />

DEFINITIONS<br />

Definitions are provided to clarify terminology or terms related to infection control practices in<br />

nursing homes.<br />

―Airborne precautions‖ refers to actions taken to prevent or minimize the transmission<br />

<strong>of</strong> infectious agents/organisms that remain infectious over long distances when suspended<br />

in the air. These particles can remain suspended in the air for prolonged periods <strong>of</strong> time<br />

<strong>and</strong> can be carried on normal air currents in a room or beyond, to adjacent spaces or areas<br />

receiving exhaust air. 68<br />

―Alcohol-based h<strong>and</strong> rub‖ (ABHR) refers to a 60-95 percent ethanol or isopropyl-<br />

containing preparation base designed for application to the h<strong>and</strong>s to reduce the number <strong>of</strong><br />

viable microorganisms.<br />

―Antifungal‖ refers to a medication used to treat a fungal infection such as athlete‘s foot,<br />

ringworm or c<strong>and</strong>idiasis.<br />

―Anti-infective‖ refers to a group <strong>of</strong> medications used to treat infections.<br />

―Antiseptic h<strong>and</strong> wash‖ is ―washing h<strong>and</strong>s with water <strong>and</strong> soap or other detergents<br />

containing an antiseptic agent.‖ 69<br />

―Cohorting‖ refers to the practice <strong>of</strong> grouping residents infected or colonized with the<br />

same infectious agent together to confine their care to one area <strong>and</strong> prevent contact with<br />

susceptible residents (cohorting residents). During outbreaks, healthcare personnel may<br />

be assigned to a cohort <strong>of</strong> residents to further limit opportunities for transmission<br />

(cohorting staff).<br />

―Colonization‖ refers to the presence <strong>of</strong> microorganisms on or within body sites without<br />

detectable host immune response, cellular damage, or clinical expression.<br />

―Communicable disease‖ (also known as [a.k.a.] ―Contagious disease‖) refers to an<br />

infection transmissible (as from person-to-person) by direct contact with an affected<br />

individual or the individual's body fluids or by indirect means (as by a vector).<br />

―Community associated infections‖ (formerly ―Community Acquired Infections‖)<br />

refers to infections that are present or incubating at the time <strong>of</strong> admission, or generally<br />

develop within 72 hours <strong>of</strong> admission.

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