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Corola-website/Law/234497_a_235826

CD4 ... a5) limfocite CD4 350/mmc, dar cu o rată mare de scădere; ... a6) nivelul încărcăturii virale (RNA-HIV plasmatic) peste 100.000 copii/ml; ... a7) nivelul încărcăturii virale (RNA-HIV plasmatic) ... b) criterii de excludere: ... b1) stadiul de SIDA terminal; ... b2) infecții oportuniste acute la inițierea terapiei specifice; ... b3) alte tratamente instituite cu potențial toxic medular, neurotoxic, hepatotoxic; ... b4) tulburări digestive severe: tulburări de deglutiție, vărsături și diaree incoercibile; ... b4) convulsii greu de controlat; ... b5) hematologice: Hb ... b6) creatinină (pentru valori mai

NORME TEHNICE din 30 decembrie 2010 (**actualizate**) de realizare a programelor naţionale de sănătate pentru anii 2011 şi 2012*). In: EUR-Lex (2012) [Corola-website/Law/234497_a_235826]
Corola-website/Law/234491_a_235820

CD4 ... a5) limfocite CD4 350/mmc, dar cu o rată mare de scădere; ... a6) nivelul încărcăturii virale (RNA-HIV plasmatic) peste 100.000 copii/ml; ... a7) nivelul încărcăturii virale (RNA-HIV plasmatic) ... b) criterii de excludere: ... b1) stadiul de SIDA terminal; ... b2) infecții oportuniste acute la inițierea terapiei specifice; ... b3) alte tratamente instituite cu potențial toxic medular, neurotoxic, hepatotoxic; ... b4) tulburări digestive severe: tulburări de deglutiție, vărsături și diaree incoercibile; ... b4) convulsii greu de controlat; ... b5) hematologice: Hb ... b6) creatinină (pentru valori mai

NORME TEHNICE din 30 decembrie 2010 (**actualizate**) de realizare a programelor naţionale de sănătate pentru anii 2011 şi 2012*). In: EUR-Lex (2012) [Corola-website/Law/234491_a_235820]
Corola-website/Law/235893_a_237222

de activitate medicală și de îngrijire în parte, conceput pe baza recomandărilor prezentului ghid [31]. C 10. Bibliografie 1. Garcia-Martin M, Lardelli-Claret P, Jimenez-Moleon JJ, Bueno-Cavanillas A, Luna-del-Castillo JD, Galvez-Vargas R: Proportion of hospital deaths potentially attributable to nosocomial infections. Infect Control Hosp Epidemiol 2001; 22: 708-714 2. Vergnano S, Sharland M, Kazembe P, Mwansambo C, Heath PT: Neonatal sepsis: an international perspective. Arch Dis Child Fetal Neonatal Ed 2005; 90: F220-F224 3. Piednoir E, Bessaci K, Bureau-Chalot F, Sabouraud P

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
sepsis: an international perspective. Arch Dis Child Fetal Neonatal Ed 2005; 90: F220-F224 3. Piednoir E, Bessaci K, Bureau-Chalot F, Sabouraud P, Brodard V, Andreoletti L, Bajolet O: Economic impact of healthcare-associated rotavirus infection în a paediatric hospital. J Hosp Infect 2003; 55: 190-195 4. Franconal C, Bouillie J, Huraux-Rendu C: Pediatrie en maternite. Flammarion 1999; 474: 550-558 5. Jenson HB, Baltimore RS : Pediatric infections diseases. Principales and practice 2002; 1221 6. Larson E: Skin hygiene and infection prevention: more of

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
Bouillie J, Huraux-Rendu C: Pediatrie en maternite. Flammarion 1999; 474: 550-558 5. Jenson HB, Baltimore RS : Pediatric infections diseases. Principales and practice 2002; 1221 6. Larson E: Skin hygiene and infection prevention: more of the same or different approaches? Clin Infect Dis 1999; 29: 1287-1294 7. Hygiene des mains: Guide de bonnes pratiques C.CLIN Paris-Nord. 2001; 3eme Ed; http://www.ccr.jussieu.fr/cclin; www.sfmu.org/documents/consensus/cclin mains.pdf; accesat iunie 2010 8. Steering Committee on Infection Control

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
microbiennes commensales de la peau et des muqueuses antisepsie et desinfection. Ed Eska 1995; 12. Price PB: Bacteriology of normal skin: a new quantitative test applied to a study of the bacterial flora and the disinfectant action of mechanical cleansing. J Infect Dis 1938; 63: 301-318 13. Gaitatzes CG, Rais-Bahrami K: Aseptic preparation în Mhairi G. Mac Donald, Jayashree Ramasethu. Atlas of procedures în neonatology. 4th Ed Lippincott Williams amp;Wilkins 2007; 21-27 14. Coltoiu Al: Anatomia și fiziologia pielii. În Coltoiu

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
20. Gould D: The significance of hand-drying în the prevention of infection. Nurs Times 1994; 90: 33-35 21. Harbarth S, Sudre P, Dharan S, Cadenas M, Pittet D: Outbreak of Enterobacter cloacae related to understaffing, overcrowding, and poor hygiene practices. Infect Control Hosp Epidemiol 1999; 20: 598-603 22. Pittet D et al: Considerations for a WHO European strategy on healthcare-associated infection, surveillance, and control. Lancet Infectious Diseases 2005; 5: 242-250 23. European Committee for Standardization. Chemical disinfectants and antiseptics - hygienic handrub-

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
requirements (phase 2/step2) [European standard EN 1500]. Brussels, Belgium: Central Secretariat 1997; 24. Jones MV, Rowe GB, Jackson B, Pritchard NJ: The use of alcoholic paper wipes for routine hand cleasing: results of trials în two hospitals. J Hosp Infect 1986; 8: 268-274 25. Butz AM, Laughon BE, Gullette DL, Larson EL: Alcohol-impregnated wipes as an alternative în hand hygiene. Am J Infect Control 1990; 18: 70-76 26. Manivannan G, Brady MJ, Cahalan PT et al: Immediate, persistent and residual

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
use of alcoholic paper wipes for routine hand cleasing: results of trials în two hospitals. J Hosp Infect 1986; 8: 268-274 25. Butz AM, Laughon BE, Gullette DL, Larson EL: Alcohol-impregnated wipes as an alternative în hand hygiene. Am J Infect Control 1990; 18: 70-76 26. Manivannan G, Brady MJ, Cahalan PT et al: Immediate, persistent and residual antimicrobial efficiency of Surfacine(tm) hand sanitizer. Infection Control Hosp Epidemiol 2000; 21: 105 27. Kampf G, Jarosch R, Ruden H: Effectiveness of

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
În: Block SS: Disinfection, sterilization and preservation, 4th Ed Philadelphia PA, Lea amp; Febiger 1991; 274-289 42. Bettin K et al: Effectiveness of liquid soap vs chlorhexidine gluconate for the removal of Clostridium difficile from bare hands and gloved hands. Infect Contr and Hosp Epidemiol 1994; 15: 697-702 43. Maki DG: The use of antiseptics for handwashing by medical personnel. J Chemother 1989; 1(suppl 1): 3-11 44. Doebbeling BN, Stanley GL, Sheetz CT et al: Comparative efficacy of alternative hand-washing

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
Lea and Febiger 1991; 47. Larson EL, Eke PI, Laughon BE: Efficacy of alcohol-based hand rinses under frequent-use condițions. Antimicrob Agents Chemother 1986; 30: 542-544 48. Widmer AF: Replace hand washing with use of a waterless alcohol hand rub? Clin Infect Dis 2000; 31: 136-143 49. Bischoff WE, Reynolds TM, Sessler CN, Edmond MB, Wenzel RP: Handwashing compliance by health care workers. The impact of introducing an accessible, alcohol-based hand antiseptic. Arch Intern Med 2000; 160: 1017-1021 50. Boyce JM: Scientific

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
infant. Vol 2, 8th Ed Mosby Elsevier 2006; 828-829 55. Moolenaar RL, Crutcher M, San Joaquin VH et al: A prolonged outbreak of Pseudomonas aeruginosa în a neonatal intensive care unit: did staff fingernails play a role în disease transmission? Infect Control Hosp Epidemiol 2000; 21: 80-85 56. Wynd CA, Samstag DE, Lapp AM: Bacterial carriage on the fingernails of OR nurses. AORNJ 1994; 60: 796-805 57. Huang Y, Oie S, Kamiya A: Comparative effectiveness of hand-cleasing agents for removing methicillin-resistant

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
CA, Samstag DE, Lapp AM: Bacterial carriage on the fingernails of OR nurses. AORNJ 1994; 60: 796-805 57. Huang Y, Oie S, Kamiya A: Comparative effectiveness of hand-cleasing agents for removing methicillin-resistant Staphylococcus aureus from experimentally contamined fingertips. Am J Infect Control 1994; 22: 224-227 58. Baumgardner CA, Maragos CS, Larson EL: Effects of nail polish on microbial growth of fingernails: dipelling sacred cows. AORNJ 1993; 58: 84-88 59. McNeil SA et al: Effect of hand cleansing with antimicrobial soap or

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
polish on microbial growth of fingernails: dipelling sacred cows. AORNJ 1993; 58: 84-88 59. McNeil SA et al: Effect of hand cleansing with antimicrobial soap or alcohol-based gel on microbial colonization of artificial fingernails worn by health care workers. Clin Infect Dis 2001; 32: 367-372 60. Hedderwick SA, McNeil SA, Kauffman CA: Pathogenic organisms associated with artificial fingernails worn by healthcare workers. Infect Contr and Hosp Epidemiol 2000; 21: 505-509 61. Al-Allak A, Sarasin S, Key S, Morris-Stiff G: Wedding rings

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
with antimicrobial soap or alcohol-based gel on microbial colonization of artificial fingernails worn by health care workers. Clin Infect Dis 2001; 32: 367-372 60. Hedderwick SA, McNeil SA, Kauffman CA: Pathogenic organisms associated with artificial fingernails worn by healthcare workers. Infect Contr and Hosp Epidemiol 2000; 21: 505-509 61. Al-Allak A, Sarasin S, Key S, Morris-Stiff G: Wedding rings are not a significant source of bacterial contamination following surgical scrubbing. Ann R Coli Surg Engl 2008; 90: 133-135 62. Jacobson G

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
RF) for hand colonization în a surgical intensive care unit (SICU) Conference on Antimicrobial Agents and Chemotherapy. Washington, DC: American Socity for Microbiolgy, 2001; 64. Larson E: A causal link between handwashing and risk of infection? Examination of the evidence. Infect Control Hosp Epidemiol 1988; 9: 28-36 65. Trampuz A, Widmer AF: Hand Hygiene: A Frequently Missed Lifesaving Opportunity During Patient Care. Mayo Clin Proc 2004; 79: 109-116 66. Beggs CB, Shepherd SJ, Kerr KG: Increasing the frequency of hand washing

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
Opportunity During Patient Care. Mayo Clin Proc 2004; 79: 109-116 66. Beggs CB, Shepherd SJ, Kerr KG: Increasing the frequency of hand washing by healthcare workers does not lead to commensurate reductions în staphylococcal infection în a hospital ward. BMC Infect Dis 2008, 8:114 67. Ojajarvi J: Effectiveness of hand washing and disinfection methods în removing transient bacteria after patient nursing. J Hyg (Lond) 1980; 85: 193-203 68. Boyce JM, Potter-Bynoe G, Chenevert C, King T: Environmental contamination due to

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
Effectiveness of hand washing and disinfection methods în removing transient bacteria after patient nursing. J Hyg (Lond) 1980; 85: 193-203 68. Boyce JM, Potter-Bynoe G, Chenevert C, King T: Environmental contamination due to methicillin-resistant Staphylococcus aureus: possible infection control implications. Infect Contr Hosp Epidemiol 1997; 18: 622-627 69. Pessoa-Silva CL et al: Dynamics of bacterial hand contamination during routine neonatal care. Infect Contr and Hosp Epidemiol 2004; 25: 192-197 70. Beltrami EM et al: Transmission of HIV and hepatitis C virus

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
Boyce JM, Potter-Bynoe G, Chenevert C, King T: Environmental contamination due to methicillin-resistant Staphylococcus aureus: possible infection control implications. Infect Contr Hosp Epidemiol 1997; 18: 622-627 69. Pessoa-Silva CL et al: Dynamics of bacterial hand contamination during routine neonatal care. Infect Contr and Hosp Epidemiol 2004; 25: 192-197 70. Beltrami EM et al: Transmission of HIV and hepatitis C virus from a nursing home patient to a health care worker. Am J of Infect Control 2003; 31: 168-175 71. Delahanty KM

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
bacterial hand contamination during routine neonatal care. Infect Contr and Hosp Epidemiol 2004; 25: 192-197 70. Beltrami EM et al: Transmission of HIV and hepatitis C virus from a nursing home patient to a health care worker. Am J of Infect Control 2003; 31: 168-175 71. Delahanty KM, Myers FE: I.V. infection control. Nursing 2009; 24-30 72. Mackintosh CA, Hoffman PN: An extended model for transfer of micro-organisms via the hands: differences between organisms and the effect of alcohol disinfection. J

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
alcohol disinfection. J Hyg (Lond) 1984; 92: 345-355 73. Crivaro V, Di Popolo A, Caprio A, Lambiase A, Di Resta M, Borriello T et al: Pseudomonas aeruginosa în a neonatal intensive care unit: molecular epidemiology and infection control measures. BMC Infect Dis 2009; 9:70 74. Nogueras M, Marinsalta N, Roussell M, Notario R: Importance of hand germ contamination în health-care workers as possible carriers of nosocomial infections. Rev Inst Med Trop S Paulo 2001; 43 (3): 149-152 75. Pittet D

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
77. Douglas Houghton: HAI prevention: The power is în your hands HAI prevention; http://www.nursingcenter.com/NMGOJO; accesat iunie 2010 78. Asare A, Enweronu-Laryea CC, Newman MJ: Hand hygiene practices în a neonatal intensive care unit în Ghana. J Infect Dev Ctries 2009; 3(5): 352-356 79. Maluf Lopes JM, Andrade Goulart EM, Ferreira Starling CE: Pediatric Mortality Due to Nosocomial Infection: A Critical Approach. The Brazilian J of Infect Dis 2007; 11(5): 515-519 80. Ejemot RJ, Ehiri JE

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
practices în a neonatal intensive care unit în Ghana. J Infect Dev Ctries 2009; 3(5): 352-356 79. Maluf Lopes JM, Andrade Goulart EM, Ferreira Starling CE: Pediatric Mortality Due to Nosocomial Infection: A Critical Approach. The Brazilian J of Infect Dis 2007; 11(5): 515-519 80. Ejemot RJ, Ehiri JE, Meremikwu MM, Critchley JA: Hand washing for preventing Diarrhoea - International J of Epidemiol 2008; 37:470-473 81. Carter JM: Importance of Hand-Washing. J of the Național Medical Assoc 2002; 94

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
my hands between each patient contact. Br Med J 1999; 319: 518 88. Lankford MG, Zembower TR, Trick WE, Hacek DM, Noskin GA, Peterson LR: Influence of Role Models and Hospital Design on Hand Hygiene of Health Care Workers. Emerging Infect Dis 2003; 9(2); 89. Ojajarvi J, Makela P, Rantasalo I: Faillure of hand disinfection with frecvent hand washing: a need for prolonged field studies. J Hyg (Lond) 1977; 79: 107-119 90. Babazono A, Katajima H, Nishimaki S, Nakamura T

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]
al: Improved sterile technique diminishes the incidence of positive line cultures în cardiovascular patients. J Surg Res 1992; 52: 106-110 94. Ehrenkranz NJ, Alfonso BC: Failure of bland soap handwash to prevent hand transfer of patient bacteria to urethral catheters. Infect Control Hosp Epidemiol 1991; 12: 654-662 95. Hirschmann H, Fux L, Podusel J et al: The influence of hand hygiene prior to insertion of peripheral venous catheters on the frequency of complications. J Hosp Infect 2001; 49: 199-203 96. Cason

GHID din 2 august 2011 de practică medicală pentru specialitatea neonatologie - Spălarea mâinilor (Anexa nr. 12)*). In: EUR-Lex (2011) [Corola-website/Law/235893_a_237222]