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  1. A cost-analysis of two approaches to infection control in a lung function laboratory.

    Article - En anglais

    Background 

    The Thoracic Society of Australia and New Zealand (TSANZ) guidelines for infection control in respiratory laboratories are based on a'Universal Precautions'approach to patient care.

    This requires that one-way breathing valves, flow sensors, and other items, be cleaned and disinfected between patient use.

    However, this is impractical in a busy laboratory.

    The recent introduction of disposable barrier filters may provide a practical solution to this problem, although most consider this approach to be an expensive option.

    Aim 

    To compare the cost of implementing the TSANZ infection control guidelines with the cost of using disposable barrier filters.

    Methods 

    Costs were based on the standard tests and equipment currently used in the lung function laboratory at The Alfred Hospital.

    We have assumed that a barrier filter offers the same degree of protection against cross-infection between patients as the TSANZ infection control guidelines.

    Time and motion studies were performed on the dismantling, cleaning, disinfecting, reassembling and re-calibrating of equipment.

    Conservative estimates were made as to the frequency of replacing pneumotachographs and rubber mouthpieces based on previous equipment turnover.

    Labour costs for a scientist to reprocess the equipment was based on $20.86/hour.

    The cost of employing a casual cleaner at an hourly rate of $14.07 to assist in reprocessing equipment was also investigated. (...)

    Mots-clés Pascal : Analyse coût, Surveillance, Infection, Appareillage, Exploration, Fonction respiratoire, Homme, Australie, Océanie, Nouvelle Zélande, Equipement médical

    Mots-clés Pascal anglais : Cost analysis, Surveillance, Infection, Instrumentation, Exploration, Lung function, Human, Australia, Oceania, New Zealand, Medical equipment

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0206720

    Code Inist : 002B05B01. Création : 16/11/1999.