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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
Open this folder and view contentsCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
close this folderCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
View the document4.1 Prevention of nosocomial HIV transmission
Open this folder and view contents4.2 Prevention of HIV transmission through Standard Precautions
close this folder4.3 Use of protective barriers such as gloves, gowns, aprons and masks
View the document4.3.1 Careful handling and disposal of sharp instruments
View the document4.3.2 Safe disposal of waste contaminated with body fluids
View the document4.3.3 Proper disinfection of instruments and other contaminated equipment
View the document4.3.4 Proper handling of soiled linen
View the document4.3.5 Sterilization and disinfection
View the document4.3.6 Cleaning floors
Open this folder and view contentsCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
Open this folder and view contentsCHAPTER 6: HIV/AIDS AND PREGNANCY
Open this folder and view contentsCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
Open this folder and view contentsCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
Open this folder and view contentsCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
Open this folder and view contentsCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
Open this folder and view contentsCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
Open this folder and view contentsCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

4.3.3 Proper disinfection of instruments and other contaminated equipment

All material used repeatedly and linen must be properly disinfected and or sterilized. Thorough cleaning with soap and hot water removes a high proportion of any micro-organisms. All equipment should be dismantled before cleaning. Gloves must be worn during cleaning of equipment and if splashing with body fluids is likely, additional protective clothing such as water proof aprons, gowns, boots, protective eye glasses or masks should be worn. Method of decontamination can be decided based on the following criteria:

Table 1: Criteria for selecting decontamination method

Level of risk

Items

Decontamination method

High risk

Instruments which penetrate the skin/body

Sterilization and single use of disposables

Moderate risk

Instruments which come in contact with non-intact skin or mucous membrane

Sterilization, boiling or chemical disinfections

Low risk

Equipment which comes in contact with intact skin

Thorough washing with soap and water

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