Narcis Marcov PREVENIREA Si CONTROLUL | TRANSMITERI INFECTHLOR | i CABINETUL DE MEDICINA DENTARA | | |Pen on rierii a ket 4) currins ! i (Ctl 1 ~PRECAUTTUNT UNIVERSAL $1 ADTHIONALE 5 | afi tein p cl ik nel | 2 Ine tie pe ened 8 2 nei diet pate a8 Copltol 2 IGLENA MAINILOR == enn 8. Injen ir. 2. Demi de omint 3 Wipes he (Cont 3 -ECHUPAMENTUL INDIVIDUAL DE PROTECTIE. 43 Mig... pnt Con orate RsTROMTARU—a| neem(Capit §~ CONTROLUL INFECTILOR MEDIULUL «117 Con 6 CErioNAREA DBHENLOR. 1. Cap eee = 2 Deeiwempe 5. Deer ade = 4 ian les eg 5: Mala speinecocbipce i ptt 7 -PROTOCOALE SPECIALE IN CONTROLUT, | 5: Cesta isbn hd ta 6. Coerdl fit lege ents | “Vee gael como ieeg ASE (Capt 8 ~ PROTECTIA CADRELOR MEDICALE. 1. Siu de sana pena ee 2 Managemen epee ope 5: Pes deste ABS (hd op) 4. Ree dese IBLIOGRAFTE SELECTIVA.. roi el nai pir aie eed s CAPITOLUL 1 PRECAUTIUNI UNIVERSALE $I ADITIONALE Pascal antl in canceled medi dentard pci are tention deena stentlogis mnt np I cota 8 Sng sor rae espa alte fide oper a cae exis 0 vat de icrorgsisme (ome vile bacterae e pot clon fs neta caval, tactl spt pin anemia sige iene orgie pssteme, cid a ol etic ale "Teena de expinere denete Sa penal sta i cae © soak ete post cont cae elemest (fe, mc, biologi) cae fia prope ele sxe modal de soe, pate indaceefectenocve vp stir de soa ptsounel expos. ‘eatin Ge medics der, expanere a apetl pagent oll ve pose fice pin contact + dreston i a— i ne deat etter per ine erin ectedl Ss arene eee incopy SSecpamtnioneesse cero de apa gi scr, | With mapa ernyatierecy seco tog) piven a sei epi pn tae ene | iPrae sn ese I particle mic sete care hms tamale pe 1 ‘caleserians 0 perioadt de tmp vaciabils, t CS et mn ices sa cae nt as aed — fae be oe eo eer gn ae — 7 clatndnennge nin snngseras acces pepe nr sect Soa ee = Saat eee aes = om aa ean | i 1 } Prt nt emi ifn i mi nt 7 + tae al organ ead ep a pe pone apt “ota lene site nan dene nc recede etl al lira hen sea | inept ee ast mle ee coe | vid tet toe. (ioe vege Hae de expe eas, de conte gen ics. nbs wou dec eae seta 2 lia ce eae fe pra: + sot anne ape pee ait «| ui gone sere her mele ta ume reer a ce Sout (epee cline sw meting) dat ict, comet eps etaet an pec ete ti cite at et tn tl spss spe pects epee it ee Det afer norm tare cae (eee {au ove ton vat tan ifr noe cv pent) it Ltt ei de dagen [Team tee Be dvi cnn ete ae Sve ole oy ra a ete mal patl pcre tase ecu cade ie tne deve oe daar, cinch mala atl deal (OMS 594200) (ocd gave de sno alate ealine de ied den pte cnet pee Se motte noe frie chet ec SDA st So peti pent ecpaonl pt cael etl mat meas seus Bs en reI \ | : esi ‘especial inf an fst ecwoscut x avd otal de uananere neal tater sezataogce Trin, egble de couzel se iaferilor ne fost suerte peat @ nit cootaninrea pesca neil gl pcenor nesta wilh ‘BHV), cosa a naentl especi amc ae fos tiple agal cesiten ecm ge ste pre caldnt dstentaa Ieiical (cine al agetlorehimici de decntinae detait limi de aclae alesse elminesmicoogtle) ‘Peat cablacte de medng dena, c wis dle spe te pop sen cp tenn opiate cult de centrale fpr (ocean i 1978, can fos gee mace pete Gao coon peel nga dist (nstc pace) sy ct Medi deat geal hcg Speci a este deo alveolar mala a parte tro ctegarie medal ce a resco comune pees engine micoorganine (aapeial VE) yon | crisut apeare weltoae la tase de HB de In medi apc, pocom ovat mie inet infects metal ce HVB onsecatiy ‘sasmiid miemorniaekor de pica ee, ‘tn mil 19701980, cia 13.6% dn rete den inet ca HIVE Gt ecient cu aa nis nce gear i l paaeg een exp conc cx ng el erprale al pies) rezei fn anlecedet eps pia tame cepa. ‘Ce ermaeaimpementclanetlr de xa inferior seat mania wi apr de precy amivele, eine de {afesne cu HVS po personal mesial di ante toatl 8 sel a 9 reapetv 20% ai 1990; td ata de tami HV ela pce edi ao tance eomaoyice de an (a ‘ele stgeinde - generic definite ca ueerazive) ater ab 1 cept ser 1980 mode de redoere a sca de ‘wasmle a infer pe ele sangvint HIV; HVB) eau bate pe takin rca Ny ka A ash ate rn cst ts fi eit main er 2 preci de zlare apne doa ase a a 1982 a pis rine ‘oa ere gee ca SIDA presopue un get inf eare HIMEZS 0 “ie de wearer seri arcmin cx HBV. seen TE 1987 au fos intone precautile universe tn cabintele ‘omatologce (ea reall principale de contol a ifetiot) pens eere va de tanner agen infec pecalesang ake ‘ede maine pace Jr Derece cae de transmit saogist este ats considers ct fprepodeteatt io tansaiteres de bob pave, preasileenivenale ipmnen epee wn singer snl pon tl past one taped taumattor tana. [Maines pair en infect tras pe eae sand lot sinponiict sau mu cnose pol cA sin nea: de crea ete brecesar preva! metic 8 coldere sage fiidele comple omtuminate cu ing le pce cx otal inf. ‘Precute universe sunt considerte 4 | in siod special leant pears procedae stomatlgie crept on cota ir a mec en sage salva conaint usage ale pacts te reptezcatat compouene espe ale reconsndalorferior ‘ae atetonle pen contoa ifr amen deat. PON Preaofile universal f focula cea msi infcas co mmulpuaessigcat ga Midelorcorprale contaminate cx age ca potentiates + tates te pacienioe to mani éare st nite a ‘marin expen in ge fale Mie compre cota ex sage ea potential inet; + ete pte desc ite culasemeotr set at hgh iar cet intramente tebe psc cutie serine por : |en * sl de serge de nit Sorin ow teu nde de ‘acts, mn tebe se nee cea, rape, ndosenene Solem manasa capes ‘ene t spree de pee ce sont expue eu eetct cu ‘ogee sa scree cone tebe sae 15 2003, COC s reactant procs de cont inecfior a ; ‘cumosetchecenoscttgacient ‘Asenocavn) Ia patent neat metal, aplce Io pacer Gineret de stu ent, + ages * toate Bile corporate (sere, exerei) initeet tc oni a soge, + tepumententatacte; + memiranele maconte a pacer. sina alc eae, sce sel pu tempi, ‘wig omisnent eet dae cots ume vz sage dey ae Aceite pecan sot raportte le tip de intervene ue sa ala Gaased suena til de ery peas "ic nal ops feces tntirestl mniplaee res ‘meals ipa ison pea pions ‘Presn na seife ae e eident a fo eco, precutile standard perv contol fee ‘ine de medicinddentars umes: + vanes nda corct tos estat a paces * stablier detent generle sepee de Iacru Gncnsiv tolosiea de erin tegument + sien de regi strlte de pent specail sedi (iow mlinlrnsitelp vice contact ex pct), + purtare oblignore de eipument personal de petete + procesare corpus stroman reins spared te | °° coal medi hin oct gsi nteacea 4 cg rm deere detect epi, 5 Tigao epi + seviclrde hee sree ‘ole (pli foe de meal coral te) iain rnin viper (OMS 9942004, ana ¥) etic et rome const sete neler reel de PRECAUTIUNL UNIVERSAL (PU) ewe au cx op peveina toi ilector ce le de wasiere engi tn ule rato dere mee tesla ‘Coeetl de PU se re nnn apc eda evi ene pa ach nil I, VB, OVC ea mre ened Ulcer lage ae {hide oop yout ttre peor & een inne co HIV, HVB, HVC a ge nicole cal de tmamitere ptetenld (engi arenes to pace necomdera pel feta co VV, CV sae eval age mci ele de tenmitce sega doar one put FE, HY HY aliB be oc 0 micbiel sat sinpomadh era (OMS55472004) tele ett aplcarea FU: 4 Consists pia capt fect 2 Consider beagle, ale fide tctoge ‘cumin ox HIV, HRY, HCV, 9. Coser insrmentar fake obicte fol practice Somat st costaninde dp atitzge | De sce, no ca | Sp ea, eae PU egal prac ace de | 1 mu euose propia ste de | ceo esate et | xpi poesinale Pe baa lei din ara soa (OMS 9942004 soeen I) 1. Asigarwes sao condi de media fi tion serve! ‘omer rut mesial. iacas pia ole fnegonlaceead Pernt evtarea san diminaseen scala tance 4 infetilor a cei ca presi de ings Hi 2 Respectaren pincplor-aepiel gi anlsepset Ia one) 4 ied 6 pomestele tape nena : 5. Ustzaes enor manopere gi procedart de tpi bane pe otocole de active pofinalt ere cvs eneruel | "sll mini aceptat a codilerscl seats “% Apcaea oc mis profsoate de protlarenepecich, | ep cz sei, peat prose olla # pear ‘meal fa essa laine, eh neal sa teem Te rr ei el i det 8 ‘ata activates rfesiomaltearcatt = pest spectc pacieer,cooaserea 9 ecmonteren est effec. perv Ieee, tocar, pelea tamil four pd neti ne meas (it, cenit cw orate pesca, 6 Sacre coolants Strainer, x colbert ‘ooo profile de specie pat crea scot fe ae confirm cn element gees ‘es presale rivers son considera oie pes Bi aren cumin mapa lo afeconse, no onion ‘ul alone a coer pci ante ene, ota ‘camer mnie bo inecome cao pac a de pote edt pul eevee le precenolrunverae ‘Precolleainae se aplek I poi de a ce agro atc pe pot tants pansy ele eeand pn tanmmtees de sect rel ~ i febrile ee bore Bhs «pin pete in scr respatoell ~ abel, gph, te eerie cx parvo nei e vie ee ‘asi fc srepoecice (rp: zing x wise. + pin otal ect on nde) c eget rae (octane - bee recente Safco amis mein: ‘eset, brpes simplex, rel, ca ote, pti A. ‘Preeut adnate speciale apt ca onc ol cre wccainile aaivesle must suceute (BCI, SARS, feele ecrgigere, gp avr) ao el reeset dence eae 2 sun mice ee a potable al cso agen Mele clase epson. Bea aioc elemeaite indica caw sallonale i facie de cuee de tonsa pores 9 togei sent ree bt f sete recut adionae cd ee ed ate frtcomeree | bs teh . wwe [eens tee Stic recess cee pn foo frame fem 5 psa foams | entre fase [ain Joan a a 5 f_erinctat [act A cy jm fia fm L [eevee : Pra ¥en roe ini hen de aie dnt i (Csticare ves bi nfcone pe pla nero tac pe bz iva de rise Blog (shane cate serveye ca “leat de oeotare sabia tip de precutn g proteol de ‘Inc inceme ete eect. ‘+ Nivel: Bac oii, Eco, cela | + Nivel 2: Hein HC rp, vewal West Ni bala Lyme | saooela i 1 umcteamaase rs cate sare ‘Tramenitrea spa xu ae prinexpunerea a sage (AES) Sd expan igs loge oti ge ‘uid care nie 8 contingent! patogeni tansmisiil pein singe; se Ite pee eee pte ce Se pte fst en ip en amet eaten ence ‘fel, tests cles de met dee,i Kec eo + ‘Probate maxima de waanitere wpe lane pact 9 caile ‘weal, dail contact eeventg ec, a pl tae { Homage ev sgl ee sv cotamgat cu sage ale pact spuneie pofesonale ru: 1+ ein inocu perentane mae ~ tet cn biota, * in contact cu flee enrpoale poten ngecate ae iota: ~ munbrone couse oae cele sea, ~ tegument earn (ech tad conti pele caput car ee aa ea ree deme. | 2+ ntnpals = esti de manopere smile lnerunest arate, ~ manip de pres ioe peal contain: mips instuneatll aor water antare prin tered: | ~ insraseatlr ace, ~ ‘tell, parative stg, ~ sper de meta dn cbie, | > eutlorrentine.* | ical expect proesionle ete determin de preven | (Gecven) fet a grade paca. lade nara eves nicl ca material alg infec octri ders de ffctare peor AES eat ino de 1+ pul de tnocutare (peiicaectady, £7 Almenanen oer = ols de mutt! loi annie (ate eet, ence ane tata re cn te iirc of nt u sal ey nillvirl sore yee te erp pei ese ene 1 Gln de xpress ect ema Slang pence gene ate ‘gxistenta echipamentulul de protectie ix momentul AES; Soceptne rgobane es (eepiatenine fae), 1 + apne cra «polos apne ecenen expen profesoae a tai cole neve ei plea de prs 11 Sipe nine gum fscuneni 7 dees ei dane fe ec) nb fn eee polo gents pation cole wal impontepreeh proee vla pee Asst TT ptt pe mi tak estes de nope Cento a lee: «gu miner de cc i dx be oct tne tn pte ger a ea nt wi scant ue, oc) «+ Splewncprsmentinperenil pe ce inn a de on caine ; «= paren edpunena de prt (mac, pee enn is de prseie: © = Sete ont ne pir de comets see = Memes oa apie 4 near wc ”—ietare, infepttoare in rec picte speciale tangs inchlse;| | * Sree doer lous inn we une | mabe etange, ichise; “ee LEESEERN nda ate ane sedan | tte ‘Seer cat tc i | Ieee tee en re vote ca map dee poe ‘rte de conta cel mai mare near tunel, cue sete cede anal pa Bg 3) inal te C0 ‘% viewel imsmogeficicafet umane (HIV), Cee Peale fea emi iin cin a ad » ‘ed syusal nuit ee cel sonal se pote eo oa sre de 3 acini; ea const wa eepan opin ta dou sexe de cine la SD dn cei ena sun sri see de vce | Abscja anicopioe dypt a dous aie de vccmu impune testes pnt Hos, (pecs ete conser nuns dad apr an spn tec leant pse 10m 12 dp 2s de vccne, at auf de vaca sea uta a inp 6O subir cre apd “alla vance ple nen detectable pei de 2a omeenrai de 1/600 i 1NC000 fd ce decease ‘Sal psinilorcaAgHB party danomet ave otal de feta ini aor xpue 7a meter mae er pea net Ino splice diet pe mentale mere alle imac. Weg evant petra TIVB sa oleic post expe, ‘Le otinfeta apropos de 60% dap expanere parenteral nepStrk ta x nsrumentr ast contanisa mpl tune vce [pent HV por, dct ete eric opr de 108. | (b. Virusud hepatitel € (VC) In tw epi: Coote wfc pi otc Accent cool peca esee te aac yea i epee eo come se Ses pn ct psi Sue wee np vis Cont taf tant set pon exe poe a Mile —— : > secon nano = inf oe ee 07 16 qa de 148) nen tenn eat pl ‘samen seen‘spit nd ri esi bid et 2 ir ~ valet infects en RVC ee de atc dow 10d cea rect VB, «Vir nunodefiens umane FIV) De dpe cel investiga! get ptogen se trast pe eae ‘sngvnd pen contac det cx sogee sau sutanfle capac le! aie inet. isu medi de tansmitee « HIV éyps o aingud expose rfeosals pecan ln sagen exe de 0.3% (02.45%). scl mea de acters a HIV di o expen neat, ‘membaalor oes (oc gu) ie dO. Rais etnies imide pei VB, xe ‘onceatofiorsemniscalv smi mic de vrs fx ahagele pooner Infecc IV, ancl de uanenitr eee dae expuoetca se eeu age el pace sta terial, ect tl eee de HEV in| gl inl de SIDA, atm pc ila in infect ald boa} (ste neces plewea de presnion nivte ss pecan efonle | ‘unl ind ext complesi atcite (TEC), CCeiele metal care realzews proved ev rise de expusee tebe i caousl nara de sists recom ehempofioe apt secdeatl canteens si 2 ANFECTII TRANSMISE PE CALE AEROGENA i Mohn bas TA ca opsogace | Foe easnspecleacn gree chiens ‘ca MTB sunt bazate pe inflegeres clara moduli de tansmier, a instal | ‘eat asim nce pope ps aa ea ‘Nemeooe ine on MTB en alle speci frie sat inal splat, spss 90 95% acl infer evn pert rnc | eased» fc foona at de Bal pe to cs ei | Sei Se couse cnc 10% al nec cw face fa de ini $a de id ane i eu nn a al mal ccd al che se, ete oo ene nm 5 | gest te tp ncn, et [eatetapct dp wero pe ep pa xg eo per eae obec eae npc pc, | kc pnte de ane ene li | ple, percndul, rnichilor, onelor, anicedaior, larnget, 1 Fetter nro, el eum, nd ce ome cde RDS pee bec taney tant fom ere ma prs ep 8 se Pea ‘Seca angina em spt pn tau mse rt clan, dca davai isle prc = Seven fool densa mal malo pa Spm nce dec ces he “Tewaices pia ent elo meine maces ale pone ve etc pe ko pro pI cl etc con ED oe ope ae pu Tn 22 ipa ap pies MTB, pen ous seit piel esa epi pe atl ce ae . ‘Riscol de transmitere « infectiei ta cabinetele de mediciad cemtara se cepa cf de sla a ewe a8= Na | Peis atl ers fein in en do 2 peSpee perma st pct nia ps ‘L INFECTIE CU GRAD RIDICAT DE PERICULOZITATE, i pig Desese peice pee sn stoed vamp at acpere | 1. Rnetalopatia Spogiorms (Rose Prionicy osm ice ea erates reece Aca gap deca seule este, apd eo, feet 1 avait tle, fee at lee anal ut cane de fits cv protzntme ae uel prone arate capable de lim et eae acm fe te tae ete |fceCDCh, stl Gren Sensei vate BC Duel exe plod acm ence ok BCY a Cone |, mow ee se nes a neice Dean est orca adage ier were Bl + fede tattle sonable, snumite sti expeimente supereazs Ly | pst ceuanite ener pongionne pe cake deat. "Rb acer ome la ein eth acct de renee enevenimald fch g tnit) se emanate semipces we rains ot wofoute ri Limp ose es Reece a “erent nce race i nonopereendonce ‘pineal ta ain pci, + te tin ne de ap eet * tei elo er el eae fl + owe fee, see enotcate, bene metic, 7 ‘steel ie de cat nee Be + sivela primar — PPD, * nivel scunfor~ sessed metal - ede aa scan deol a PlAtes, tn eabiet sie anne (nie ‘tps, orton, gop ste. ~ liptve cae pick oct es ~ hot ventilate; ~ Ais tndepsre accra pn vena 7 ~ eto rel eorgesi caetlo dsr; ~ cue acl prin fae, ~ adhvat al veo — dere gemucd etravioles «five terior splices de preci aditonle- nna aro ent inde p N95, Fa et alae fa (dom mii en easier desea medi lnfectant sbi pocete ence tiem pe ating TD, Gace (oli cove glee mate cE ‘aioli ints incapacitate oat « -nbolal iteration! de zat ola acne omeblog, pat teres ee Meese cealnews intent Sees y+ cle de eet foot near, weule Hanoi mash de protei. inact;ie * cele nineteen desi (te ‘laze ening pista peeve dow sc aie fal tame find gle dtse te proedr + tebe wlaae sume de ap aiken; + ebuie folsitestcoleise de ne sia, oo cht nee Rec ate Be) et it tefl neap dn Meceiakne eof apo ap + tw fess soe and, tale male ‘semen nasa secu + teats doe it he tape on wine (ole tine eee ‘ey il henge nome) + seeds nin win eee ‘eee formate at ee ed cree tence steps 7 teat ps a mln + craps peter site le) Sime toe erie, sve ence ere mele, seen mec ai ecb wn te Crone en ln ee map Iseceae he nice par mace ‘ntsc debe he en Fernie poche cio epee sepa et ee eine mie aclamenasants ava - z a ee * isle de mint benef de abel ecete de | | in alone ei et nt 25 ‘Legian omnes in vigoare (OMS ns 18872903, OMS ar. {41.04.3905 recomand& peat instvar agents etiologic x bat | cet Jao amitonee bai esse: ecu In abr pent lpia 30 monte EMC cod se Sila sedate bur sob pes fr post vaceumas ‘cares abu pate 18 saw [a °C 13°C cn tilzearh seiiatoral ce abur sob presi cx me 6 pstrcnear. Pent bemerasiea i Fee bemoaggare viru cre He produ pot neste | at: fa Las eeavin)ebn Masta (Sovirs, Boa (ors) | | flee Cimeea Congo (anya) | | SiO bel hemnragpare debts de obec st fbi drs cap, mini. deglsibe dunoasi, tose sei de von. Unit pacia Pot ‘pent te tcc, eee ao an 5 epi tegen ia “Coon severe, pet peal o ere ole hemor exc emay | he apnape oe pte rama acs ine oo, gs 8, ihn wer Foca alee fens allo cegane ast ommne fn ez severe sa moral etic io un contagion st tin ct unt niet cli pla | ced virulent mins singe 9 sere compar; esl LASS 3 fon decopeit in eral epee al a paint igo “Cees de smite pcg et cee parenteral aural x eave expe In sage sn Tie corpora contained cen infect Stseptiinala ving febelor harap xs wives jam exit acc, deoarece proce compte sce img stat Teen pt gee bilo prc nce precau sioale pecnle— dene 4 i } \ t t : i a aAcithrn | rere ea oon iirc ei et z In Shtuamle Acute Repiatr Severe SARS) + protectin ora ee sigan ocean adapta Dot st ctrl de fear cu corti a o pends prsfrbial (ip salud), is protein respmtore este peseattl te Oi) wese cnc ofa a tenes ae ‘sgt de esprtoure parle e ip NIS9 100) care rsoe ae in 28 des, ‘eprint minal accept st de siti: + ed re ree a respirator cu pricare manic acs mi peti (jsp son ge) sa respon cu mip ehstaneice ‘acne integral ca reste nega neta revit ea ‘lee dip Pe R 100, 4, ses mie main i oct |f tnpee moblagl qf conorait cadet medial ah Re swine 2 rodie tfc! pinta, since ah Posit mera cect (3% ~ 8 de deese dn 7966 Tana Sete ra eine 205 ee cairo teecn pes Nolo pelo (eld ie 3 cr tensed de sn Presa spa ional ect msnopee eatloice Sates manpaclr ce ote con sewn at, sai, er abraciv, In ede ekinentl de rei weal a eevite °*Gonatinaica'teguméntclie membranelor muconse si "cleo vesinece, nin emer it | ecipaicaa epotestie pti ai de tame, “+ Hiitaren mumicatui de persoane presente ia sla aeCAPITOLUL 2 IGIENA MAINILOR Tea mors akor pc le guest car pot 8 spe es cxpnn ac pete a impr oc agU ed eevee contain su dae get mizoin (xie, tae uml exci) cu ede emit pocjallor ge le couse cen ma imran tut de aie A went de mcrgisne de eat mala pint. ‘Anlsepla delete toalises weodclor flote pena proves ness pi topes st iohibres clots cone "swear pe pete orice a ph pe eames) ‘Neespecaea repr de ipet « sino ret exes. rnc ne sane somal ar prevalent infesiloe Irene ceo vate agar acest laa iting ei doe all PRICE 95, te lk tei dia nice arise pepe (ame) i microrpmime eea Flora pager, eenizeac seats seperti al ei gee sma wjor Indep pia splea de ratot «ml acest ‘Bicone, el mi feeve ssocne cu nee nai fe eae ‘examen soma san pela clelor neal pin ott rect npc sance opt oti di ie. “Flora reed a see ok sical ll ete ma seen nade i dec ni pain probiotic nel ine. i | i | i er cn ema tn wn ae = aoe gm tno fee eee Selmar te oe See eee eet “ine i dep efotarea de investiga st procdarh = a Seas oe Senta ao EE acme ae rt neat ut ennig Sour : era eis aan eas _ Sgr Seecenricincea "Semcon eas aeraResi JORMREREA USCAREA pot igieme ae OBLAGa | 4 fee feet a 7 pom op de ie de mea Metida de ete pat Prin ec sa ihr i etn at Prete ceshlemenirt ionic amtrntdeert 3g bm spent anspte cu propel antimlerobiene, cae of epee eatoat erie: [4+ at efock semiety sumira de microorganisms de tal epee 2M mer dptde de: a) cece - 1 wed de conto stip, | ty smeonts eras velo soe persistent cv shat ig 64a fet pristet inti, [$+ ste stl st plszee elie et sai matting, fa 2% sifleuor de uti, ca form de preentare C7] Persstnta (etvisen sntimirbid existe fbiba peo | ese su vitisten mcrorpaismele ep oe rad est ast) pimporuat deocece miooranisael po olan mine medal ned peda sb na Proctor, patsy pein ‘nin 30secanie- ine ee Tn cart uae coats "+ spec de acne nici Persist nevi aninercten; via de setae, ‘sof de peznte~ rich poate de redozae, bie leg chic a vce componcat: Inept ple dup wiizare pet, ‘comps een pent ingress, Ingredient cu cane - mire, © Prauel comer ulite peat igeizare sine nfm de Pernt soi, pin acorn microti rvlt ww sigue 0 : rameter ance ae 2 llc a de acer, etl, forma de peat Hei ec Ait ace2 sae ‘Stores corepunitoe a redusclor pent ie abe ene ‘npr pea preven fa oece sol ca nesta devinkmedi de ctr pers meorganisme, Padus ex foenk de preset hit trebeie loci in couliere Sachse emetic pont a se evi alt octane asian de spr rape veil Ele baie 1 ie foot a enint avid a sus stare Ge uni floats su oancte ce pot epee ite de resosze Gem), ‘oman atanai (ela fie) san expe Spun! cid ra ‘websie adopt In wn ceipeat patil glt deouece modi de ‘empl pte dea cota bceans a oblate! la mle ‘ee bei de desinfotaecriare maor, Principle metode de ipesizwe © mnilor in cabinetal stomatlogie en pez 2 Mette de ghnare a minor wea? newts | tse | Sop | tome [mn] it Sri em — a eG ie « PTS eat [ote amare fosmges | [emp e lem fo [atone roves [essai] [emery fae ate oad ras |e fst reer [coe ese roms tone amwae [De sane isc ornare |S lace ret Jat leper rin ¢ For ong ee emo fete [Pst fo lene te [seen rset love Presi enn i si ek ent det a was [am | tw | om [oom | meet hea es eteerom_ [in amy ||| || pve far alae lesen. (ime ("Seco ems [PP | fee sep stp solid fst despite organise ptogne (Serato rmareicen) In tal apd tz; ve recomanst sipn Kh fx (ocvone ecco cape su elt fete "eter lal de 10-15 see pene sparen fio te considerate pot Hndeplea maj flat pager de pe pile; pats maja proce ese safety teen seat (10> Ts ste) secretoze ope gust a uncer super aii eptlorpcomait, ut de ole sub jt de ap rece se line ete ntocna sete ute sine de pies dus 4 60.95 cal se imprpano, ros aloo eee tal dick exten eideate de ens son materia craic ek etent La teat se al capitate stilt pla min apt te fect pele ua de celts pd a copra tt praeelor ‘ertlor gine test prods etic il sera Lorem. Subdouia noes de aget antiseptic exe Gat spar ena tenes dpa doar 10-1See fetal de sae al leo poste4 he owe Seeds elimi pre agen de gloat 13% oa de ai agen de conn el 1 liga Indepbtaces fm tate biti, igen nln fae ea, menjied mie cat peter impo i fl seen ag oloses de poop stele er dup liza ul depos peck lod etic epitesees comple mir gil, dp eres splck Inet mnie sere. Pda pe ta de ol av ect gemicidh ‘mpl led sot pct pe piel dar peat ceo act anti ‘ich entns Qentoent, ree ot bn nese eg no! slrheiint los, cei sn campus cutee de aca Pe Tig alegeres agen andsepte, factor crept intea ficactaten gen ieee me ind sea dun pi, + sea minor Gate ei 8 + dicted sea: “+ tele de per mani, IvcRIMEA MimNTLOR Base primar de pote ie pov tanita ageilor tog este lls satin imoge. = ‘Spilarea freeventa ca agen ate ponte produce le Ptionlel medical dermatie erenice de contact ile mir, Jar ‘isrogeren clint lll mods flora cl did fa 9 tl frecvencolacnae ea ace gam reptivegstfilocoe, Potala ageajloe de opice de 0 ewes fermen itive ale pill, weak ‘onside dr poste frees en adore de soba eniae ‘atone peru Ingen mine rat recomandse Eecvent en 8 wea ecbiewestegmenta fet de rales event 2 Pr a mi ine ma rt as or gma Rom, pen 3 ve emai ese aad opmulde delat pe tad de Wace (pets) pot ah sexe eco mast tae ee permeates nese De ates, nen de ate de tia pe ck de ene len cept dar flee ede cs, preerar ‘plicit missioner de pl de interven Gara fn) ee ble fess ‘Negeri pec ire minor he Het tna vets ponte teint ce route ainsi et futile car st coves ile i ain PO pesouea peta mpc amir ep et ack remeron aici meg, an font dase alee Fou pcre ro cba cic ae tt 9 mich eke wale find pu sienice emo Ape cn sat sean pe east apt pn cal at lose msi, eto mop dent prec ina” mini ewe ae uaa ance: ska leks pe 0 pads de 34 oe coees mio (mean, bar ie apn seen Le pelo pepe nant pti, emote cea feompes 1» ecaere lfnortaedena laits + eteanlapie 9 nc 2+ previ aps dear 1 Spat vt ener de scene & le dap 0 espn exces tinge wor inteveng edt: 7 tant pec mae es‘Des eta dae angie hig nial de pissin nine aa taint fonder cae cS cede peta dace mais fe de pel (poop so angle Uephilebse efciat escte pent peri caec, to fea gx peel pres mal, inet nda pale ‘vei conde eck nmin on ng ce mk secpide x seate ‘opi mgh ane sae ri, pei rmitle sete ic apnea muni pot compro ieiates acer pn per pa a es, | + evo hee x merorgmine gam ee a mie i inet ph ets nr copay © a 1+ at Geet plete einige infec bce sede acurie (p of) de ogi pee cnt pe anh tule m8 se lesen lootans pvp at np lt orgie sat ‘Sate, der scone dep sre d ep gat ws sami ‘soot debe ‘ijt de ind ‘Catone cp ila de su ele pal i cere xe ‘oxi mare dott pe supe compute dimensional de pe degte tin nesxpite de ter sll de cbce intecer semca a oes de gine eopeao a ir. | | rns ral ei ein in x “Tot nelle acti decorative gale: pet cree ical de tare a apetlorpstogeai, pin "xa ie ale modelo mal elaborate este Lis fngreanenc splices doe: pot ita opera miei, inert eo izaea opin a mac, pin Himtarea shila dee pra dimensinea core de ious iv dealer iets aie fice de poet. De ace, imine de ates chica & miler, tnt tale emit el, conus ebeke t scare ee i a la Sntaren proce topentice DERMATITELE DE CONTACT oni, pe Mag sboeiecinice adapt ca aceteta nh nga de plimesate et ee putea into co agence failed intodeceren milo, n xz wna timp tndloops + atmo pot rca ett nie execute de acest stn aR tegument mii, pin ai soa hgeress. “Coosa ees a fcwesih 4 aca sesanlor nove di mist arora tegmental miler ete reprezett de dermatitee Jetve de cotact (DIC) cs rexel inanatos especie a ita hii, ce 7 i sorte ind fea ‘DIC pot de aeneaca exacted tne eft ese, care n6 depict in talite de pe mini mele de dts | Mgmt iar mexiee terior de ns ceassor I pe | acini: mdinoe poste pode retinas subailoe tn tole een dite acta egument cand derma te nel” jadi bac cat i i 4 4 | 3 zr Hises Nec ier Sobel late nod cat la pdr minilor nex a fwek amido sau ali age cae pe High apne spiettoota Integr serves ln aoe tanga Paiead anid estat de formic amir ce maa 4 cts poate predsyune regu I frame inte de asen jae pedir an ese fla de vide anion Alt gest de pede flo ett ete elorra de etl pricy, ‘ae clinint potejale proeme sle emidonule gi cae fin! wn tinge sa ston bcd vs, pontine rincroban seb ious. Dermat de eats pot aptrenca ttle rofonal di + titers Seven frp prdusetr de igientne 2 me + expr te sesame tiie; + eizae aiasioe hese clases be ~ LDeematite itive — tonne cigs, no se dtc ani lege muita pi one itive esate, mie po File a ju 2oei 6 cetat, ~ ADermatitealergice ~ rae de shied si dette wei pera ime no tate, ‘A. Miperserthiitates neat pV) Hee 0 seadie medina cellar cae debteet cx sare de Iilotine lca azo ent ceaepe ama mal xe dpe ‘contact evoleaa Kat 24-48 oe po ela, apa de ne rg vezicoa rues pit Pre ft nm ier in a nt » ‘Ace ttc ceeded wa te proce mire p cae nit nope) so te nhs hice nese nS, end, dca foo, poe met er Tatanet set tp de deat cont fae ita te i epee pen er inca ie “La mpecsenstiaca imate (ip 3) | Ee rae gle nt eet) tet xa recto Iw ange tl aint ea sap petit’ pa ete gE | -Acesti anticomp se leagi de antigen In © nous expunere, iat | cooper ignsacp ve fae pe mre a ene ie stg ce lnm eve pnt ec ced pa footie i Sere acest hg cope pe Btn ‘ce ine pat nce ance needa | 7+ eave ~senf e ine wet epemenert, 1 ene; + ccolne ——bipetcrina; ‘ state conjunctiva + mole —tipesereie snl, tay sue repeat 1) dept ders. 2 Tafomele grave apr simple lever caval it |] [ses ita p= pte pane“Gene maple pleats, fesomee emai; oar one ung ago nace In dees [HIPERSENSIBILITATEA LA LATEX: Ce na even angen ere pute ovr atl de ali ete epreetat de pial x grate maleular ic dn Hates natura enmiveoamerose se J ote (cx gre moka de 5 My 546K) cae unt onic fo Spal stabi ates ang Bnen cont pst eee de coosutae is ex de 17-400 ‘cleat ram de te. Posies da nea rape eal se ate fecvent pols tztapore mina aug i um eset cast pide ei un prtateou aasex repuit, fa ples In aplicca st scoeea maugloe pate da tex atice de ptt qf ponte azece soot aroatate pot Fant us in contact cu speranele maces Antelope cies extant espitn connctiale ta pesos metal ett Exp expan epee mel ae we one tos ex contd de x6 nepdate + depisi ilo sso sn ate de poi ars. a excl pceaplorcu gi pte ou eka atx est ter aspect le conifer ae bel designe trast educa nel anamnee see pes dees lor (ex spec, (.~ sen conte profipotnte exp zoe fat, fa avoedo sna, Danae) ire de spin if {Se sot rope es ~~ Set er tn ni Toei ya cle peta pent cae meals Psat ni eis sinh ene ert “a ‘rece n cose ale vrs de ntex deci mise Soe de pndase dette cope (gue) de profi fl gh ela lize n eves rode, stoped t mvt endo, eacle cane we calor de eer folie de medicanete x ada pests us wiput on media far es, ty exes 28 9 poste Tatu de tex paces ne win Tb conte x tesa, sportier pode ce cn tex: ack eX spnitive cou bec eae opt dept in zon tates ete sexpert tec eo ose lrg latent dn msl etic ft paar spore aniaee sx repr apace co ‘pease te ace prea ebules e pog ta cept lel de aca pena a migra expunees pu thse de lec ners, ite de venti x png ‘wus lize baie shinhat freevea Teint tcbuie st exine permanent sponte tse (GE eg ye tte fet compoocie is es, ion air cote ential dence rec lice 6 pot frovece tn cuts ieee de cle civeva ee 2 pat msoal de te, cowl medical tor bei att refit lai It Tce (crmnicri veal, prtocoale scite st seme de feta), pare 2 preva alocre de eSte actin de fatto x con tex ana de tate (nck agar complica eae de Lex fx tnpal saw opto froceded somatclogct, couch cece pais wi Tet! de uegen asa de spcaiae 2c ee neces ‘prt tment focus ualac.2 ete Peat cadhele medical a cae pin at mado decent t intel ee neces aizares de Hemente de pote iia (soe poteafalslepzae, los de athe, flnaca de ‘ein core de pera minor ware de eee oete a Pode reoe semen acl apie! de seg Hi carrots | | ECHIPAMENTUL INDIVIDUAL DE PROTECTIE h |e line co pel oe art cog | Nike o cen pct ler ee ve per aps Se }, pdeautiun!nniversle, | Lega omnes in vgsare (OMS 96/2004, mera V) de | note etsment indie pote orl eer ‘ade fiw a mpl ctl ae pn i deine | Categorie de echipement five pete wt | reso pire PU caine de mein dentate | mtg ale, mtg ck eran de poet oc) | 2 moe cat ay 1° 5. imbeeiat de pee: ~ fin pee ulonse mel, psa ate, cami Soe ‘Rotor echipamentall individual de protetie sa 4 roca plea membrane muconte (cis as gue) ae culo mcdele te eax de expunee I ile infects (ota infest) prove dee pacent4 Nee ents lol vee et inde de coma co vee ebsoaf chic vlad etapa deta mel dene efectate natal de min det. Unliara ecipanenle invest de protec 89 exzal cout cnt duet om pacinal reduce rhea! de tanstere de agent palogei pe cle pail sgn su ncn (ect face te iatepren da precaenile miver aioe “oa acre col oe coniente de unk flo rsporate 1 principal tire lr de ete un sng ccs medical seem ‘vet, dace le Sate pou Beeler ep 0 decomninare cospuaicae (2, 3}, tap ob ah (14) pot th seblnbite de ma mie of Sep de neces, fn inp wae nerve teepeaticeefectate ne inguin ‘claps nial depots ete pst doa zn In ce eect tans mele pope (sl tae!) 5 tect dept ane dea ps acct nn, peat a Eta pi ine detasmieesiefelr elie ne ale rb mt (al dear, mee mele, oor dee eta, 2) Elements dept real oe vine fc) ce ‘ate oe ace ar cle de ict feo deve eye mete ‘ete sate conespnzto pe a proce (de bie pia nce) “iaia de protege epee de Gp Hast pratt pst ainle ignite a gro pote ecient nae censor ca emo! epee aia props doar o bari ie de protect. LL MASTILE, Aro de sop nal gar penal meal, protjind tepuncstlepimembatele cose hcl xa) ecomac ect ca ‘spent peogen cx tant song (lad exists de store sat Pee cn sein ein ain a 4 Fogger ce singe ue Me compra) nu aetna (kd sree smanopere ce produc aero). Regul generale de wire © miso, inifeent de pal de sanoert meal [r+ sent ato de wie flo rapa metic; 1 leap inte de oie contact petal, 4 + ge meajnpouioste pn a teminves tater, ad se Ipdepitend pne eaepli, celir eet wenneuntel pe Sa de mena are eat indpararea yy, cen 9 men eg > ost toa (evita contaisus sopafeel lor nee) so ‘or inocu, + doce pal times male nt vii comtiate ‘pros Hologic de pace, pate, usenet dette Fao loot et mi eed pst: apt eine svat considcate eject medcale si vor 8 proce ease ta fone de pal de procedoe stomatlogich a cre sunt indent se clas A. Mag de comaligie ‘Realane de bie din cellos past teen alagur stats 8 cerctistcior intas ale tel dn exe st eae aig © rote vail opr ea Sune peste Spm de a ost ie leon et jrsien microrasanelor putosne, cx fomele fa ee rot nie au dineasual ut ifrone aces val’ ‘hee cpus de poe atimiachian a aco gt te eae oman: ec Protects fit oft » determina ricerca atest lor prea inti fn aint somstlgice 1B. May erage (fitrante) a ect ste operat erm wit mig de en son ate feral exe care ene eres prin tlie eile, Moder se wliezA mit de wet food raizate dint ‘categorie de mera gesie dente TNT- Jt mesure ees) ake bor pop fice tus tie vena otc chin in en ca de Ste. TNT ee eit etn cede sent cl fia procre lite rin aplomerare ia rare te aie -arlice, aipopilesie pene se She de sl, ean oi dems ros dest aah, eu un gra peo cet, 7 tort desi Hhooe por ets, acest materiale eaietl 0 protec prin lrare crea, utwoperord maealeoe Neti ebsice sae msteselor de Up elke, areca de cic ex joc indice BEE (bce tering fine) finite tae Diced, care repent 0 carats prope fect materia da scout catego Mijtle de proeie dia TNT a9 smnitesle exact, reptanghiare * eu 23 plat depase peal Wag al i, care le sigur © flecbltate mscit gi pemit © adapae | Indviuas opis coat fae le pte: + on a sltem de fixe supssaralt tnd aid mola (Be oct psf), Barer san lca pe sexes a mit Pre # ur re sr en i ait nt @ + meojsere exe agua de tei dn sel mea Ff mw ehstice (ete se rotnde) care se pooneed 1 ke onal erence tra | ements) jo = emitted, + igi ft poste despre a contr facile slept, + tua stem de Grae soprano band huis runes bie apc pe fs eles mt, + eeetonns ce sent de ny ne plat ie a portonare csi, 1h afird ce acese carci speciale eeler doot Spa lezmsrstiv, mip 9 atte caters cmene, ote west Lr alegre lor opin a func de aeesile clnice dose sane ca le iz ‘Asie indeet de fod, mi perez i 24st mse sinede (IND) eryte=s samtniat de arta eipkmested food | | seae bce dec minds le fet, pet aga plogeni cu | ransmiere eran deinen ie xsd acl ofa de 9 190% pene simension e134. a misile posta, de bie cle dud stan exerne sant © iterme it pacoue 8 spi em) ec » fbidsie ale pcienai etre teguneatal cose (ole # axe) 7 cad dia Sra intermediae laces tp de mip exe reine oe a rile static ow retard ara meebo eae a roll de 8 | ineevemuset ide ce arf goat Sat pine dosnt exe prot seal une expert ce contac ne” (ca sine rae) ‘Statler ete oie hp any aalegele fasitnd partes || Josie ote prt eect.4 esi ‘Rate cade mote ore par ace de weer ga are sears mt poste pole o abu lena fst gine mi pottat cee stile temo einen se ma le x sat Inicopongos care eae lies cat tur aurea oc. esiry miirea prtectid mcozale oculse, pent catle neice cre mv spot wore null a mater cx un ssn de rote» oxi (xela de protec su de vedere) sat spate fai ca au ante eoaneraperine este nite “Aces crane dn sia plu aster bun pete actor (oats bh ven pene Ile) gee mee exceny gets total milo (6) eet seal n intervene deen aa pene nye confers cal media ‘Pesta rfc iii tegument ce post prea la pesomtle cx seniie reset ie (general sa bbc loin faith oscil, prt de BME, mst a fot rane mi din ‘nate tice rk See cl earns rust tta ca 20% tet dot celtnte model sponte. “Avaiajele matron ssc de lp TNT sat ws: 1 irae cect sient, 1+ senate Store Mico nance sa inpemeabie, 1+ once ol zalerpe-malppa ede pet de ie ices ‘ee de es sopra eo etegement nlp ape ‘mn prodecfenacenitatve acral pi eben de as nu fies pei ile ‘zoel wou a pre epics emi sts oar dts pact deme Sc meant Nt sie ie ifsc ei o te pa pgm (as man gd de roa occ sige (conexant tienen) 1a te 1 pre is i ies 1 Fete est cof set pete opr inven ! | de tung drat; Sse pe dente 1. pat stor eestor ai mine de hp TAT a fs torotae peeing hse; rece monet cae 1 pace i eligomcaal eptember (eStats cpa ut rin le et, fe ls ne tee ite), pec ve comme vat Angltaaneiar mele ie awe roe ort meal Anges pet, ee) st ranae eee dat de wate 2. PROTECTIA OCULARA fu plays one laf een nec ene ce ep Ss peepee anaes ia oneoenigea rere 1 nese «ict penn ode * ihren je ESE neat, i feet ae mec et ke :0 eo eer ‘role de otra, res demure, gms malice tb ica esse ee bay rl rial ait a cheat de pte. ‘Ocha de petete eliza in materiale pase tanspaate (esiebsas) so gros overeat cect preciaten cement e protei sapimentara rane es line resco ped apne de na eragian, emia’ rial asdetlr da sere ‘Deotece ated cides ocala pot spe taal ne ‘spe manopee de ‘pile wet cava pops, pin topos cones apc ‘soa pen ses peste econ pre cto proteoietatatemanoperele stemtolaice, Dato rem msi mar gf presul rsute exert pe ncle spss eo-ariclae, de pine a bea de pote na vat ua preferindsseabrdra de poi de um vicious cate st ferent oh operator ew nid, Tot ces cs dine ete @ stare de stess obs parca ‘opera pe igh altenre dl evita a cpu open, imple nolo sya attest Pe ling protects meson Belg cheat de protect limited scfnen sa unor fctort Grid tp fascele lomiooase ‘oncentrate~peprsicu se, ftopotinesenen mates aden, are pot feta vedere dato expen pean nadie lvls 0 In rains atest x Ime de nd de S40 a (ewan ‘usr le ef poesia). Celeste slemente de protec ocabet (gta denvsite cn -Protectoare Foci") precn® cela enters factions de roles biologicl si mecanich @ gl hela de tee, Diente ine cle set deomiste de grade de acpee fail, grata de ‘iat a mates a eae st content gael cepa slopes, Pei enemies ite ma er st Acoperrn foal (ace soca e protec ena dost ‘naively rics let) ee eine canal sexta flea viserelo potetve gi x ealtelr on sat pe eng fegiue eprnsh ‘veel ne teon 3. ea setentnc, copes hier este patie 2onle ragiene aoe tease ste, excep Bead ealotle ea set eae age prec cul de pse 10 ae ole eagiene sachin retomiae ‘Acs danste de pote se nesezt ante memraeler smsconse mz oi clininiod pact ohne contac det ct rare Wotgie de eaten (eng secret ae erp) Grad derexsct al materiale detent de roe ‘isle nae de rer fn inp mcrexpeede loge ice lar este exp aa eli joes mater ent aga ‘eae gia o clastic vainbiltdependentt de grosines materia (e lige plat om rad de pre de 180" ct foi reverie). 1 Problems se pecae te cet meine eters le else, a fee pine (pve) gma reset a erate igi (ip sco; pocesel, pia miracle de ropa Kite ‘Scpensional ce prea mata cote pret energie citi ‘iat, aeren vitae peor np poste conde rp Ik ecstatic sistema epee. Linitare viii poste apie prin proces de tte” « scram de pce dart uae cee gi defect incor scsinceiend substan ince fcompaile eater a ae ee confecfoot su food pest rgctemateile tex age cae “peda ae ope. rida de acrptare a operator ete condont de gente ede ltr, al de ane esp peace de ders es Grette stem de poet Spine ipl cor "tulle wilt) vases de is 20d game (vires precive) pot2 Neditie “eps 100 de game (elec vet caele meen ep male sisea 6 pee eu great reat fa eal nerve Igy tena cate sant conde stale cn ise sat acide prs Input mei Mal de fre lta de pci fia ee poste cast oe Stevie sire ce ban lst wie pat ee fact sxc + Sip mer pn pt mote et em soi pete + prt ee ml 9 see pet utd adap = tascam de protec Tp poommt cic de chad decree ent ermal acne nee «pis dene desnuda ane ec (ciate de fu = lest fale 7 ues se fice de cio tro amt ip bet - | ‘ca ge pie uc bre ite eae ate ini + eepe de ite mec ete ma est dt pron courte pe cr o resi «asi {serve a vel oe sep = cele cnet casi sca treat de alt nce ea te cares + regen cao se fae piston sistem elasis cae | ‘emit adapt anti ada ? Presi nal einer ei ak 2 * Corsctristle dedanburie le ements de protien ei in ipa ens: “+ pin poonare Is dist consti de 2-4 cm (porta a ‘bf fee) a alge o cies aera corespanztore; + anele sitee (cut facia, cate ex seat) at Ly ave Ccenenilor de fare prion sige fie sepeoure sau Intel care jet In ccculaa conespunzioare «acu ‘eplindatuires (ar redo ave de protege pat sep sce cu prope ologie dea pce). access yt aii nn ocala ne psa “ulgtorion aocere ex tig Se prove, ps litres vata ‘alle, gad de coer temic al opera se odie proces de sure ogre alt al pd Th conde fn ezeambele exegri de cleweat de pete ‘ndvidaalt sunt eseaale fs cata it seule de cootioae ox ro loge dea pase om packet de a mee), moaiater Pein iis abuse pte eles ete dew pti tenia ex Fedacete pe dence cetacean abate previa cu ‘ene ce contol efentl temper mel {.TINUTA QMBRACAMINTEA) DE PROTECTIE, | Be Soph protacia la contet ret pe cae o sigur zmelor Teplnente ale cals medal neacoperte de cle elanete de tec, fuse de poeta fm cada tamentelor vmstlgie © ‘porn deorsi in revenes tassel nec de age inet pin conttnaren cu produ biologie de I pciat a clementeor de | {Spine est", ce pt ved 0 vas de nee pens “ fesoele care cad meal vine in contact dips ex plraene isl mesic iPeni de a accat ies fut de protec poate fiat ‘uni d tpl de manopetstanstogch crs vec, ase + consular jaebetect pt fi inbrcate pste ‘nels big, pe cree scope i teins; + ntamentestmateigice de atin ~ shaaopeeneinvaive bale, chee care pot nt cate peste biel obit p cae le nope fa + interven de mare ehieueye ~ obpstrs oud operatic ste comple), ‘Tinata de protcefe(nfome motile, psn iste kas, ely, late, Jacket) ste dewalt fol CONT) sta celal (mba, mse ssc nee deci IN) tebe ect anuite ‘nti pea indepen tl + nile cee ete st Se reali olipti x mech Iungh peciw a evita eataninaces posivall de astra espe deta; + mince tne 8 pein margin lati pets o apne ‘nt a dineasaea seta ada ei + Tate, echt uebie serait opto eu gue Ina (ipexaed fomele deste a8 atleast nV eases revere ct ls descopeite upaeeegumen te ecopets, sunt eoasidente atl aeisiente seul det ere. comaadae, + sia de protec weal scm ined cee poi et ete detevoral ic, unex pat a bl de Side cope dea pacent, ‘Prin a owe fre cin mei dot s nifrse medical ate pee esl st eae mal a TNT cx ier-proint conv, eu rei de 30,42 san TO, ‘vied Inte un amests e ie de celoe gi vsexd are sigur somite araters resent ected oping, Uniind sfiglres saa ype mtr toler teumestard dtd pie elininace sbrianelreinie din proce de fia; + na ep tg ‘aoe pret mportr tani; + lpemediit exter redacted peotace bide oxgnie sa chimice, + adept epaibate cect + efectanisate de art + apo stelizue prin antochivre, vapor blak i est se aii Aces woe matical reazate a densa sarc ai | XL) of tegint este (100120320 em), prea ced | sg pevizun I alvellanebor ce magin de bane clasicnt | isospin a cain nee eda mein 4 tipo tneror atviloe adminintatve dia cabinet fists ad ee snipzt rodncte de op, etn, ew [edie Wolpe portal commit (eaten sinters | tone devntectare a sopafteloe de mein, ee) lpia © [Homineasc In vigaare (OMS nr. 9942004) prevee otiiavintee Peiisat: (pe tangk inutn de protec) de SORTURI si BLUZE | IMPERMEABILE pare proc tometer pense melt nae A i aEE Nei “4: MANUSILAE DE PROTECTIE. Repent principal element de pre ied al extelor sedis th ca tatamexelor stomaoogce ine ent de specie! smmoprlortnpestice eect fn fancjie de sopadle peatu care sent floste Ma cstinetal Yooutologl. niaugie de prt rant sete: ~ linus de contact ne (cops medal res) 1+ deconsise (aes, + inspia et: ~ mines ware fenje) ~ pot sop meine adnate Manose itary seat mai pone gi pot faefaloute dt o Iginla g dexnecue cores, “Mine ecosutatieg chirurgie (contact tin) sn sil floated ulate our sing pacino cae tee nlc en inca in gal oneal ets ameter nec ot rp, tgs peo. Partuea lor ee obigatorie tp caal coach cet adel deuce: * sign oharieraprtetoae ce previae contain mine dod se sing menbacle mucose, singe, saliva sa alte soar ptaia aft le pints rene posites tansmiterh mlcronpasimeler de pe sosnle eperstrulal la pacient fo endl mandperle teapeteinvziveinrxie, + tenet smite agen pstge de a exe medile apie in entrants tonatalaie. 1h goer, minus de contact ine po ete Prin eam iii i int a g + poate sprafpetenkmlcoeagori epee cre an tnefetandempan. agua opie opting banked call exerci pe inset] medial ela. + mo bork de sigma, care dss ict tin «| ‘si pe iene tare corepunone pes eH peo eet deraea mei ex- purse come ili ia a agent tog a chine, ‘Tot prtarea de minus u fleas neceaten spr sndintor. ere costa pt avea mi eects deeb neoscrabe, Si otrpe inp elit cea ical de cnt intropenoi | ‘milo pets cx mater! Wolgi infect dea pce. To pos bee we deevolm med pi a el ned ce se | dezolt tn intial manage 41 de seen male tebe vacate corespanar faite de aplewea manor slic imedat dopt tetra mai a deca ii produce ua medi ume opi de error 4 teroralsnday, et pear 4 pee inp teguncatl maa, {mujra mms ements eee Legit ronsincases (OMS ne 594200) prevede refer | od de felsre a minasior wrmatearle epul + respecte sect near de aes + spionesconseetv, atl ihelt egumentl mar «8 ne ink in cout dctcw supe exent ami cae vo ea fncntct ca eee pacieatu sa x istrementa eliza rae moe repcin, + alegre miso adept ipa de ces + scintces miner dap ec pale sebinbuea mourn car de dete (pee, i)s sesauew | Reef cnn rn fe il mi dt 2 7 chairs ana eanenpe ta ma mr uae = 1 State sep nal a le co mi env a = Septet pie piece mgs inet pin exo Fear onindeh unin pt cote op eit Coe lee = Cann ovine the pin nig send BOR fst Le | Spun aa eno eset [mts | Neti [33 «+ pt ncpusce tse mite we qui ie, 1015. | [Osorgte|_ mee = [acer [23 ‘cen dct mine opi re le ma [see [Scere | Sentra tine act cht eta [Petes 2, ieier var ee eetoas t Sar pa fe tector, = | + ménugile menajere nedeteriorate (perforate, imbatrinire e = ‘cauciue) se pot decontaraina si rewtilize, [presto | sett deur | —Amedue Lt |=233 scales cei le iano wie eae Socio | tan | once nto: teed sie en es sl matt a Stew | ite [cinerea Seve st ne ot pie ol. liane femme | ee So | Steet | nore fate scree | Sete” [comme ate Mino de protest santa | | | sets [semen | paar LL me ‘site loan ais et voit | f+ minayite de consul cinapieale sant spechate pentru examiaacea Fieaomarat [ia | YS peer |. etme [Preatormerany {223 | FPS mince paca sg et pec in vege | etme [ze rao) "Fav en mov de elastitate res care we micyrcack fxn pe mek De [ne 2 ofc pat sgn RC (2 ctr pie jar’ Yaa de ‘vescine vlenii, confine age. chmici de procesre x poteafial ae a ood So fetistenta mecanica i chimick erescwtayde circa 3 oni fast dem. din a Ino goss de 0m,————_—_—_——.AThTsTvTACONwW. ———— ‘Teds alantcties asbadasarindiaiance ese tcastzcaN Ai a cst | een ria trie tn & mae tet a 4 nevleazate me comin age hm de proceare ov poeta steps 5 aeorepuestone poi leas de etc (6. capa pai wiles de meta, Integitatea misusor (Gradul de revista la peeeuaiae al mane vain in feacpe de: + pal demerit atest) + dere tle (ra interven, ‘ve pul demanopet fetes Intgitea snap pone alate: 1 ec de protacie, 1+ scene mecaie bet cope, ugh, ite de mak, + expuar cnsce diet, + expnre darted eptine de ize. ‘Aces versie ot 8 conte optimised pefomanis de sua a mango pis: | | ‘Manu tliat nrntele meen pt pena defect a lava de ting dea 30 manta 3 exe, field pl de mans emanoper eects Frecvet prforailc l minal ieuialewiate fined interven invaive cvs boca, vase ite 6-165. Manus de come ele vin in contac, ts np eotmetelorsomaskgie eo materi subetne vr (Safa ‘mtsepic, gin composite, agexh de copa) cae pot compromite fategimien fut, vind, ills allo mates snc di vee contents a uy nm care un rea trol pte tere ent on resizes recfilo de pele ale weoc mail vomatologee (Gee din nex cmp za matealclo empresa polblan, | np evil set ecnd sein en} Spaluea miouor is lex ev rian singly, hed au | eoot au este fad deoaace pte de le perforce miner ‘cota msi Tbe de pears # mlsuploe 2 pei 9 leo aia | deinfcare ar, de acca ve eam ca dap para set "essen ca el mil fe tent rate ndpltnd tte mele “4 sre eg ine ees Satelit de een mie i 4 fines pr su bee ister de pe mia | finpel watmcatlon . { «secs mo este mip «nents SUPRAMANUSILE ine inet) 2, sata estes sat ia side nen sid, ant ++ stocarea rezervelot de minusi in condifile indicate de} folji de material plastic, care se aplicd peste minagile de tatament rete } De obi, care metcle av sever mice perforate eae in inp tla 9 de aee, pate mene poe xe ‘oe cf interval indent se chibe minnie b © conse crt cu mtr oll dea pice, peat a preve {easmieren irc a infec stinger one siti a eae te ectsrh tires enor okete curate (aenfectt) timp ‘eseta ey Supramause nu constitu otarierh de protein edral Procedorilr de ratament intra cl dar obarfers ie deere ‘ena annie manopere seit. Sunt ads de wi flo nm bene de procestte Pentru rez de cen tebule purate pes monte de ene ‘Sngod dt, prise prt de proce ce deerme i praressopraminer: ~ 5 evs contminarea fel pacenul Go cars eae ‘rami 8 comple ye de ober se maize ek | por ae ater mete, facta area (in epee, cat, ea) de materiale sterie eee ttn, 5 pemite ca opr af rispond Ia telefon fet scontaian eer ~ ete permit arefiren opting sure de ng a mee ener pe cae sat ample ntrumeatlede centers ‘amen “ cefet oprar de etipament mtd npc co base ioe de sil arfonue de utente pe 2ve ede, a pt aia de dation ent cam exit estes de ane fits Insite macy de crea mf mts ‘baie art ape peste mile de tatanet eiadeee sane reonfeelr er exes, it dept feoe alte de mnt, (eames tebe nse Pact nsec ned fd mes dia manage tunes contaminate webu fp ne de» pa mae trtament gi de x efcea ence mitopaw acne trans, stomata tev locate cu 0 pre no de manu eine | ‘eocepe tater pciensi, dp peat esa ean: Prien ne ir ein dai dr @ Dick comer ie nel ian conc or aa lini Hol a cee, pt int pence } dest topes pe pee mtn natch oat st ini apne eee san dec ti pei pect etme, epee | Jon drtnn compete Jn cal manip, ct, rapt deine mele 2 et intone a sh, epamiange ece aa ‘poe tit, ewe oir er nec perf [canbeenmnrrierreiana iene | CAPITOLUL 4 DECONTAMINAREA INSTRUMENTARULUL vin ae fect arta anne sie se orgie te poste deol, pot colonia zo espe usr pat ce a lactase Deoarce atl de age sat tens pea pe eget san set trasprii pe Ele aend, pot exten 9 strumesanl § ‘olujile mediele Cobsiderate stele) eae sunt wate fa ex ‘exams somatlgi ‘Mai uh ela ltrnetarelal meal specif eda terpelpaciniorprnpane cx stud lod et flit he es et fected mcobiny) nivel de deconeniowe al astute ehipamentss mas! paid de on rnin pe ee weal ‘locas ld poet rise de tanta agnor ino asc cous anaitipdemnopet, "Pe baa Hac de inte pfeil ras pes ware so cat (etn) nrrunentrl medial pant ehpamentle viz in ttneatele omstloie se nat in: meric, seit gk cai. ‘A. Arte medical necice ‘Aico rndale ese sat repeteite de asec: pairs stn ponte medial cre vin f conc ov tunel resin lia oii ee ert “ intact fe acct au ma tne is ae mu vin contact cu produse ologie dee pace ‘Pcie ecole comiderte neice st AT eumpooent ene le pratu dologie (ot lind), = somes tostlgie eter, opatte mobili esa BAricole modialesemerice ‘Acickle medile semitice swat rpezaite de insumente ‘ee vin Tn conta cn ese ntegre rate membrane mecome a 8 (eocrean scons vn oma om fen sont ote ‘rei, sn ate stutr worl ste al aig ora, C.Ancle matical ree | Anicle mediate exdce sunt epreentate tn pine de Instat cri ese siamese ule peat «penetra itsunsle moi semble mucoase ytile dare oxcase (ole ‘ra son dela, uae stevtr oral stele ae cai ore 3 evn comic ire fla rangi Procedorle de decontaminare ale axcolelor medicale ~ insist, ehipseat punta disprtve wate cabinet de pedicin eae pnt: ~ Cuctares |= Deaaetaress © Steines ‘cote modip de pocesne dle ce ficient 2 aint agora a pl nomi! de miroreaisne disse, iar ceovteres ‘Afar dine acest mode de decctaminwe op ls alegeren fntodl cespncone pets processes fstrnecaraa ta echpa teeth folate ‘Zona de procesare »iostrumentaraal vec resisk ‘eb npg a one ea Specifiepet:seep cutter defocus ~ propane smb fermenter in veera ste, ~ seizure prope ~ soars sclera 1. CURATAREA INSTRUMENTARULUL Curtacea,intentartai este peat pas de bari al dei cnet depts ec xp so ini planer on renee cme © ‘amb de mip pacts | Casecei a conde erlaiae cae tebe elt eatin edits elo, Sence ‘ete rennet pe ist-soetr nice a ipl ear ec| uel ect de sgrait htalizalpents defer ge roar nate ogee pinata denen imi, Patrom eve dlspersatec materiale bnogle (aiv sing) dts pentr augur eficentin corte, eit dup iar Instrumente ofzate Je pace trebule dep Int repent x pds delafectaneterget. ‘Alegeren mtode de cortar sce foci de + casita mod rcesll ns etpsent ez + compuiiate chino» merase pl de aetna cai, + scl de expat a lai penome! car seine cute, Care pate otis + Maousl pea pers) tens al torr sepaiel lnsomentlr, led aps spe eid oli eget pasetclutinmtaticriaiualtmtiaient 9 | [oo © eta pe folsien de pone atasoaie, oy de aph [epee onium users Pr npn 2 nt catop est oa ene ft = reduc riscurle de expanere la singe i fluide corperale | Seca emp eee pent 1 dae amt a ad eet eee mee tage pi, nance ot Se ut ee policed este, eet apt eats ks !"_ | eee | + toon recipient igi nepenctabil in miei plastic opae a Sa ie a a 8 eee re eeirery eee, (ane ee Sa 4 ‘mofinile perscanei care efectseaza curitares; eee ee eee ieee aoea ase Fos tices ple ce oe hese ota pie Sen mouth ee eae Sa era pe i nee SR pews tense cident ee ue ves won pre 2 em i oan coometne cer te ope np i me sh sc, wei pet epee ob (2 Se ras tae pee ES a ami ace prt, ‘v6 za penst tp Pea, Kocher cu meer nag; + peated curren efectva ad or ula peti cv miner Inn, peniiu nce “eit inn depate mua operational de Comte ‘wideptrtaces'restarlor orgasice ramase pe instrumentar dup a a cua pane Fe REISE ie a sete es : pani dpente apalat Gu un emestc de ap gl detergent reife ecard mae ee a ce wt eer eee tu eo trea . Corstares antmath esr eae inumentaraal pot fiat! soo eae in dace pena oo pale eferescrnte cae comi erie 6 arose dovedese deal pet ness etc sn en agent Teapuntele de aaa atonal cu lai “acess sn degra, ati, neon de ice esos (aco) 9 om pce de a dein ets rani: rs ota i ified i rt e (choge, ide login, ret feta) detritus anorganice (Ginm ncrtai leu exe net) de pelaseuneatra sonst, chirurgie inp lit poetic conn sm apne rio umnerowselorsvanaje pe cae Ie preci (psc ervecente sat oe @ pid de ait, ou oop sp mae de ‘Egor slfile real po fect inctvate ex autora var frrpinie rewocoinale), aod cte malt wat fy special pate Teneo tant somatolgic @t accesodlle care at carci onstuctiece au permit ease obi nna, Apart ramncte Dispel lrscleca celle apatite de caace stole azt a ttamaele stamstlogie rec cotta eta ‘peso cu lent al fers thie copra ea pct, ‘Stl eer pea cient eester mete anor atta cf ncaa wal prespleovecte unt de pos es 3 Fnsranestrti (spect instil de liza) se bie o depttae ‘rasta wml de eoutinare Noid “Apert ca eluate mu pode gf dednectaren arcolelor roves, pipe! fr de fneSonse const In expunres aceon Bt frecvete lesa a ish de unde scatice de eel crest, ee ‘rae soea comple ss sien prgal deel deisel vowceab,verod depron fot cdl la altsiou. ‘isporivelewmsonice camera sta ut a pip de ipcompuetslefone, cb de fae prprogramate a STa 308 ine) cv eave de are aoe acd sau plate dor (ete ticle alle gea cela), cu caps de nce vai (6 10. in sregim ee I even 43 ~ 45K ss 7800 — S000 en tai eit. ‘Neto anal ecxarepesopane oie nul agent de framers under aeace, repecaiat de apt dt Stren i b~ ‘orm deepen slap bak de subst tensive seb, roc leer la de asa ogent de taser, cla de cm 20) In eines linn thal nae fn vedere amie napecte seneral eda ———____Srssarn J | Pe tng ast sil de ar kell frtate de of are * ise: kaa ib else sae in oe ito plea an ine de sun + ympaieineri aiden se a, ac guts) fe ore eps me “femichal dean pan til el iy ts fot dtr cl enor cit petite | lsum alone da metal ieite ou tebe ot fe Procite fopreeat deste sia! expuse. coruieat econ + microvibratile necasice pot intice (in pact pin dzone ne de oceans sc + ste ecomani tlre de eon sa ante standart senoreaiente peor (adipate @mesanilr poh de srt de uae iin), get x ede al de mniutre 2 insrameaur si fa preven stapes spaeeler lntene aleeavlor decane: + puctad echipament de protect (miso mean, proce Such, et) se Met cope de tanefer ot latrametar ascot spose stat une gi se apled erro (cele ‘sft tee iasracesr depen de oie veel) cw de care apart * Sostasetalstel abalat leas ta env tbe af fe | scopesit de geal de rander ia oat, el cr ive ete i or Prin cl meme ir en ee ed n ‘nd gente lpn tom Hispana « Ascari (See * ile de ce due nme 1012 mite eat Atte o ef n nce de oped pu exagee esl api pty tment cn ot de nics seg es de” pay Smee nts dtd we + Satake tela ot a es pea eet nes, eae de ened errno roti att iin nat see oo ent ‘Soto ese St ca Re ohne til sta ged entree +) rovoma ce mpeg rcs uate st | iene pa set eg, pra esr tees entre de ence * sisi sun ee a ne es med sepa det) el pa a6 tte ean tol te atte Dep compar ec cic de crue si, ae de | tae Cc) a aprile Indep (Bid apt co & ‘neical otal inf iar owed care, cope ects ede anspor tui pete i desiafectate hm tn fnch [spade inseuentar ces denen agent de nae, De fcr at co se shit age de tamer ete inca ca Pata sat fuconzs agli asta pes copa se) penta en inter de 15 mine ~ perce de degen, Masine anomie de pat [Conorcte ic rocefater atoms sv dpctve mci he nt in eas vane media ale male de plat sce ‘re, richie), vind acl pina de finconre heat pen a eos | cexpror Ia dea sccesve de presplrptie fenee a ateor ins neve. i ‘ecjlecostan tn pl de get flat eel proce (ete cbig tegen sz sa eli pe back de sent tensive i chlo) i aa ol laid tre. Sweet inrumestael gifs cece tad eco espe dtr itl db pst de ews il net cs apa waselc in atoetna cote cess Se etre die de crepe) | ‘2.DUAANFECTAREA ©) | Devisecien, este un. proces cure dstroge select nlccorgasance pean (rsa. otace ops inna tre ‘Gerorgrimeler de exengle forte sprite), deteminiad doer || rece nivel contain iba. in “Teraeal de deainecare eae iat pent a defini cliinsea | t waeloe de cewabnare tlobiaak de pe sspaile aasinate Gstranen,echipapécte g apurtd neal, spe de mee ob pole, pest =) estee dvafecne ve bine Fonseca expure tir rwodiale ane mennee Mn acfinaer avo fcr chit et Sieh ftenpennes gt ptesne) pers itera bine dtemiate 6 Sp (iad dernetare pot pte in ok a etm: 1, esac termi 2 dernocarea chins. [Nivea de device obit ete frit afc de met ia nt 9 ave Je deena tet foc denise Fates pte ten eds medio it, Presi yeeu eniineirnn emae a + Desifetrea de nivel rol we 0 efcacinte iin $e Guicge spor bectien| sae Mycobacterium Tubercle {ITB vena owgh les ex miro-crganiam de esta fa. Tabor pete luifcaes pote de dedafecure stn cic Desifectarea devel mediu est proce care dstoge VB, IV, MI arm doe formele acesiene sprite Desifectares de nivel Bult xe proce ome sege VB, TI, MED, ate bee, fg. vr a pote stage mnele ome bcadene spot dere oligo pe ene 4. DEZINFECTAREA TERMICA Autcoee media caren nce sterilare cae tu tor coontetivd (antes) pot rexta expunerit lx umbitate gl feroperators, stdin ec wlnd eau ap il co tenperatct dane sai ‘Devnet tei et acta! met cen ma slg, eflett i pte constowe pi ere are dst fomele vegetative paogsn: Ton efecul clk de daragee 2 micworgmiameoe pout 6 st (Goins cra in lps eine eel curtis ecespnzatae « | insrumentas cae tei sopes devin Cala ese cu egal coedek Ge cde sph maou nese (incre snt reat fntunectele ze a sonal fn ane epi de a pent einfat arco somali malt tn efit ex ebeafl cic wszate In dexnfectar. Pantewrioren ete wn proces Je deznfcte temich Dat pe itn de apt eal lo tempest de 73°C pent np de coc ‘deca pi 30 Ge minute geste indica peat alle mediale verre.m Nebo Meta cei apne peal estan ~ main de splat sulomate,dispoctve tomlce de deontmisare sau ecipamcte de stewie cae dig ul ald ci de fucose aes wo anu vel de detec» | Cicuilede steiione prepugranstile pesopn stabies ac resi fe temper dara de Rebs ie erature minima de pat dt de nce « ena spc ata liza npsteatar ete preenat n asal outils = “lpn de desinfetare 1 Gnloatey i ey a ‘Temperature peat CC) eins am ifn ain et a ‘sa fo neal descr mle Ge ba | dca Sin desta chi. | i 4{DRZINFBCTAREA CHICA | | lla preemie it In tae de deste | hiniet ant) alee ide carcteene aan Gesrepe pet eee | J pea cnt etn [oo 2 etait etorpt pom | + alt | + porate rman i ‘+ ‘inp comet cn neues + tanger de ia de soe: i 8 » 70 100 ‘lindele maicale care por fits Bcovele de decifete de sparc automate, repetad ideale proach refit la ‘icine Ines wil, puncte inset acne perte tie (pent reduc sce soit mail), camptbien ‘lalelor daca sn reat steele ew ice de rocene sles ee. Companies sepadinensonte ale apa mice, ele | Iolite su acca neem, preci supe mobil cele de medi (poe, pct pravane, ei) cn estat de med Deainfectarea trict pou Buta dos pestrsastemetaa | | + pends eure, ‘Sebsaape wat pes oie unui in ele sive de einer st in grocra gens chic permis (cir ia fons pbesizna su de ay sue la dp ein entra, [pret de acne spl de dernfet lear et india. 5 Fetters seas tngitd | ec senate | see pce Sedation sels ©} Spectral de sefivtate sl uout dexinfictant ete geet ete prin apace la sual, a che de aga! patogen pe cate bse ac et ent (empl spc act pe ep) eleneatle ‘denise a derinetantoe fn coafomiateou scat cls se asec ao vat p te forme de preentie comercial (een, "7 pe, pat anu siege stan pie ele op16 1 ed ‘Subvonle eave fe pte da catego exact de vel at suo ag eda cH one fi sterizarea cinch ln ce, petra cele Jou pict Sind ume neck concent le ‘tne chimic dat vac pain pol ele de costae Sobral ie ad 6 pe denen reds, ub velo devinfectant de nivel Halicdlizan, ny fun covespunzstoare af welts Save a ata et x esac ee el ed ewe (devel mai sah ae pats ise ae te ce war an ou pot beni desta os aes, amovabilitii sau temoredlentet scat, fag in ape piace ede te tw fe ante re ee ages nv ma eae cl tar enn cn 8 pl, See pte ceeliotcnd has dene etn pe Site, rr Stal delet x pt fen pe nope cisapttaaccnttna ican rs ea are tees ein defece cih ae moran tip ae eu as ents pt male Ee seb ese te gras ate dpa cartes inal, pata © gree innvara smu ein | rcs a deine. re pele mui ceive exe a oe aia pea 8 cope sivee dete edeiafete an iadente de eie potatoe Peni cl ni ie mi tr 7 ecane de oncatis abjel aprat Ia tempetua de tie neva de inp ti penta eine Tegra a safle devinfecate afte fa wr ete ecstatic manor ll, mai cles dc sll respective st reutletinp demai mle le peat ania mas de istremeste (xs tntnane nate « eft pd a 28 e alle fad ecient lr ntinieobn send ee aivell de sigur ada) Aten # enfant Alon + Fa-sho ' a = ce pe BC + Poet gene 9 psc crepe mae tre de arte ncesh presales dw sca occ cect ie “oat, 1 fo cmt on ate element bce pete : Seats pote il pate ders iru | (ie coveted. + Pinot ro an x ewe pi = oe vin ton an ete ect cx eect donee rec cmp ine da eho Eee poee pst angie = tpn ect evn setenpn (HAY) et ec seat CN) i I‘Prosi oon ee eh ei est » I esi + kepropmel ‘Cuesta plier psa wel maint a 67084, + Eickan ~ eypaisoe gram poe oat pein fe gam Senin beri vais, sear = devin ~ vail vnc, fli fade specie ; ~ eine pe CID. ma pve gtk, 2.alsaaele + Pop geome: 1 Ellard nite ~ etait setae ine eh ~ tacts Ge mele apie, stp # deze cl Se + pi gets 1 7 Gin dps pene een ceases peer ‘ei tone ot i Best co wee me ~ ed epi eer sone ot 1 scl de ain cee sod et ambi ioe est mate erga no st asta te matiate sorgmiee, ~ unl ood neuen metic, ~ soll lene tamponte tbe activate asin de size gu dors nist de car; soli acide sot malt ms se dracon ak feast peolae (aye aie) an en timp de Imac ma se ~ sot uate devafcin pon incest dc fut aSzate tinp mi refuse Onis) hx sterlzain wilder (pete Sor) cic de gl de ata, ~ ano activist eat fa de cob sipce + Gluaraldebia ese actus scids cea mal vii ets su dings, a voli ex concentra de 2%, 0 eins defense saci aah (40a), ‘ge (te exemple = tk pottheumetten bigunie poste f canbi- thc srs neared meni peu pote 7 ~ porte fi tliat doar pe lastumeste dees exe lasifcgt en detect. 4. Mipotoeat | ‘Bical bad, fii, vince: ~ ‘ii spr fo oi ponte (870% { vai taberetie (tel put S000ypa 1 ~ pt ecient CID 200 ppm dal ale melode t set wet + Propet genet: ~ acne pi, ~ lmcvate prez mater erga a concen 5 seine, ~ lincoratiile ea deepen caier ~ emetic naa pata tras op meses co atte dec ~ fora le tile dt de cine iY Fi : ~ decomp dani, ide ¥ metal el : ~ sibel ca sat eeu 4 tae re ents la wnt ate. ce irom ~ sh cnn pec ie BCI 2009p ‘ eet : SSP Sted de age 1020 pm, « i ae ome pe rei de ce i tan atest sn cx a ‘pm pe ce meiloeh caged alr septic 5OD hott 0056-99 5. Preparate fod 1 Ela hace, ingle, lee, bere, veal spi, = ara een! pe BC Propet gece: — at inctivae ia przee mer cries ‘ ~ pt cova mse aii, ~ le x dexaectt tegument dar wel prepara et pronce rec tepumecour (povioe fle ese ‘nap as det al a ate ~ snsepicle pute odormae tu sat de ics specie: ~ So ution peat ineramentar doar deck sot skttca ae, | | | | Prin enn om ifr en adi a 6 Akl peracetefal compos de peroigen 1+ hcp tacts, fing vinbeie hee, ~ sua bec compu pepe; ~ Sneete pci (eomps’peroxigea pe BC : — seid pence te teri tats ~ nt ors pent nee metlefastumete, soit ent resent rane, © selena sabe dragons, a pote fone eee ~ pao de hidogen ¢ monopeonigene slat de ota pre tea pnb ed, 1 Teva + Bfin tactic, Rapid, bernie, ahi lie, = fect sp vir etapa; = Saecet pe BCI + Props pene: ~ ebneeviat cota e pielevmembranele cons; = stabi preente water psa, ~ facet en detergent exonii ~ degen de bel inl str de ease pases = fom ta oss tube eficente pe eeaee de mei {5 Granule de SIC sodoatrzotanurt 1 Bfeyt tected fngicie, vile; ~ Inet pe BCH:es 2 ister || retin name fee en ed a + Popseuy pele ~ sole setaat rce~peroid de idogen 085% + ~ ts pin coanve dst pei; id prince 006% ~ este Ince presen al ne ~ eteget ern — dia cuter de nals stb fon seat, ~ sony deinfectat~ etalon benslefeol tails, ~ insist i Combinaide ubtange active pe VB HIV ~ dena utes de ace Aci edges Set ete (dec, et, oc, ~ ‘alle sas a BC, ~ cal Cain econ ecu ese 10. Detiriieaternart deamon + Bris hard ogi, ini bere 1+ Tani sep tue sce ca sol 7%, ~ Meetes pile de mets, ~ Ilene nu dentro pce ~ eifctesscellr mesa lsreateras sontaologle (ale prepare comercile atest toon go nda pai rgie). Age desert chines ~ Posi de dope 08 — 39% (ei) ~ ln de sx 52.80% (oti an cts 25% (pene satectavarecie), ~ steno 7.56%) fest feel 09%), seaoxid- gu eigen 7 sacar pata atc Bo = 10% 6x CO,208 sw 60, 99,9, ~ hig desea 2.5%, ~ combina peroid hope, ai proce, ald ~ seid proses 35% (hed conc, Combinai de substan acive pe HVB HIV Te il | | ~ sory exnectnt penile tua de ap; | 4. = servale me- dmetl bal seal les Fed peronsecc 0058, ~ decnfecnat de tip spmy e® comine etlaloot, emsilrteol feleol lr ateol S AMBALAREA istuneatle crt su decoetamiate ste $ ate tse ‘edie wilzate ty tatemca pacenlor ene #8 fe abate | fsrse sr, i, ci san tapes a seme de pene, eset sonnei vedere steliti, Liliane eutilor sau casetelor real de fnstruentar fetter pocesnes isinmentrlu: tnbentifese semafcaty scare, eae. ups terniares proved tomatlgice eperve intmenele ‘ot ere in cutlacee respective § ptf tans a oan de ecomaniae unde sa pattem apart de cate lense [lceng etree ce pale,| \ | “ ite ‘Asol abate Hesrumentle pou 6 elite wets sedstnd peal rise de Infecare prin angen ect aster entuniat ate de steriizae 6 yurad mania seestia emsecli esa. vit fet sstene de amber resale (pci caste caso) + mma dite + of oxtail, + sii + meine place emeressete; + sanane ecuseucte fee (tna fact ce moon oe scealtae) + pero ot see de emetiae ncrprate; + epee, nme efit (Scent de frm inca de sei, pl de mzal medi! modabiaten de dspanee 4 cet ‘zontal san vel + elladice, + pallies, 1+ ineasin fete detent pal easenca wcll ‘metal, de fos sinensis nit steric, Tasinnentaal erie gem ce anit ied tebe bal sa amps containers rigid nile deseo, ete Yor ‘meat opeona de inp sara deste indus e pres Disposivl de uh flodo te pene abel vedere seize realize rp iestrumecelor I pachete uci especial mune recom sa servese peta anbabes | | | Per eh emer nee ema as ‘Vaated lsportive de ambalare de une flog cle ‘nal pnt sot eprezatate de: + nie special (ot preéocapate role, png le): > pang desteizaeasteigitane ip rl irtia specials (co pod de portitate cola) cle wlan ev anbalaea wei can ite deistrumente si pein este era dlc rect imitate la prameti i cae oe tig itso cic desteazare. | ungte predecupate autosgtante i cle ip roi dept ‘lest cosiraci enoun 9 fae dubia ~ fle de bare (ce rad de porocite coat) si 0 fale de plaste (mateiale polamidic, plipopenie) pte pin emtonedare alton | Peswece pune realiate Integral din ate plastic au © ‘eamoceient litt plot ln 140°C, te tout ea folate lt ante pst en cdut asa 1 Varimtete de puoi ele integral dln material plastic st ti liane ta special peat atolle medial de wih flops (espintoae, seat de plas, tntrie cw pase, ace de sutra ‘poeian de tia indtiat curd onan (anus). fo ca pongflor predecupat exit wo inten auocolaat spas ssi are wet cle oe fli pemate tachideres emetic up ce ‘su fst inte aricoee sa intruncotte medial de seit ‘Pungle pase fa role seat fcise doar mzoal (Ute pea tenaoudae sa eluagei) triad cx, opt intedicecea acolo at Insiunenclor medical de terial, exten deewpte a dmensinen| poco fi tenon cu jr nor siglatore elect, rezlind png emetic, Tachideres puoglrtip rol ca aura de come avtalice ma exe cepa ar vet de gir #aestraca bpd adv pina 1 ET anal i | sota srt | (danas e [i= a oe ee odie sncurate care ot alte fine elencat¢eie i it eset de gris sine re pede | Cae) de eee pl eer H Varad ence deg doce ives] ‘nein Stan pnt al 3 ‘8 fe soe de agent deseo, + | se compatie ev istmestaral proces, ew etn ane || foot rine eal ae = ore an a events 1 pao fs coaforitue ca ley roménencs fm vigoare (OMS. 1857003. si 49/4 042005) dspotivele penta serie, alee) foe Iuefe de mands de seslzae g cae agar 0 darth vai de 4 fi soemone a sez stumenta, rant reeset aa ~ ambelje erie: * catimetaie + cot mete pcre: i + caste pore eu eae cottrt ~ ambalaje dunes fs: =, Hse petals 1 pune socslane ipo dn es pla, «| Autre apt hil + Pgs ssn de Dispalvl 9 materaee de nmbalare (de wi fla) ‘imide Hien seh he) rene He ot Se conepate resize ia matte cmpunztione ff Rater + Cs pesos dar apc, eto de etre ewe va 8 flalien (6 STHRILIZAREA Reqect promo cre droge ee oon de via meena ving. es ool ese rece ‘pomemer oe ete Tadfreat de med de steae ann tbe eof wa rive de siguranf l selon (SAL Stekty Asunce Lee) de el ‘pia 10% vl ce inde pal probabil de svi = ‘srorgsnemele dep expancrea asta eed 11s 10000, ‘Steies pion escapee sas un cpa aera flat pei de expe terse woe Sind fours ills De acme, wbue aia o Yeni fice camer de eee eae dspdive de ects et ei |: Di seta inreenl in srt el pnt otizat ‘et in peta clement tele sn pra pene (peo de aeae de 1224 deo pe lene colt ssi cone expuer atc Ie nt (evenad ering i ca. {Mada nee price opt ct peat esi de seid deat i dtr tinge Bchngat de wear fi de 5 stare ce peas enisle ETD, dr ett a lice mas ‘Legiltiarominease existent fo vigare (OMS. 1892003 gt 309711.042005) cae relemeate viliraes ETO, spelen ct “crea cu abu formalde Is leper se gf pesiae ‘shana zeae doer nt ental de mr see > iite peat ses biel eipeseneo senile cll,ei ra mm ei de etn et » 4 tstraeate rai temoresisent (pee de mad) ~ cca 10 secede + Plesmd de pres de hidrogen Metods prfice alcibuen prac din ella sicoiand nsec expel atoll media lawn i ntnt de teiare de tempera iit red, petra 4S~ 80 de mute Sistema neces ambalwea inumeatarla ie materiale ocdaloie, él tat io folie de orn * Acid ernie ere Sil pean G2 a mpm je piace snore scold eielenondae pretnl nxekrelat Proceni, ca webele af se dejore fn ipotve complet shite gm Ginee emetic Incite Idee o seine une tempera eta 2530 de minute, fine decode de mein, koe medial ne tebe abate pete acest ences cde hie se disque reipiet pide a eigenen, ovine fea ours te temperstani de vcr) pe supa ‘nat Wi prcesatgi-deouece na expe fntegul lastanent ose ada et dete a rc cca i cbse ef isruneataal- cide semice procest pi Scum cp [AO itp tere o2tyne pin wean de radath i (ad be clei de particule cu eer nate grt aac meee meat tg 4 3840330 om). "Rade lolzante’ eat floste Indus pate sete de || sa ile tie de protect Indigent mao nt, dt ork cmp de pease de onct float, congeese & fn, ‘emowos, fee, roar de vt, mateile de auc, ec), sla ‘iedGanete pentru ministacesintaveoosh, sig! e pls, ce | saunsice insurer eedodenti ro eae sat ambastecy «| cae tna cee pa moment i, -} P5340" Rede nlolzante st sine pen terllzarea muh Uncle in coe se realzeatistvent invasive de mare anpoa 5 Sterlare ex le de cant Proerl de striae ae abs etiespln a 217-2050 (a ‘ira 90 de minute) 2 nui elite de oe oss nen ee glee spose sere de can (ams 12-1 Se). Q Pia inuoduces inerentarl mel fa acest clade Ca Inter mse de ile de eam), een tne id de drt (G-1Ssecunde) cu incr sti ‘Seated ces i sul nde de predator pest: ~ lament chrupla lever, seh pense, cece) si pevodotl ~ cea IO scinde ~ losmnentar de exec opin, vote, pee, spt, ‘excvatou)~ ces 2 end,100. Neco (Giri, impala) fi pene Sei la ee sat menineren seta nstromentelor. ‘Del pes sil de opera se fleets Hpi cult de au peters, pests frrumental medal se uilzeaa dapeive ‘cong emt limp germ. ‘Acs ent 48% da eo sn ford de radi luaviit 242587 nm), al cr fect Hac este porta de ecocataee faces iin peo Ppa ine deen ni refed toale sig de penta apace Th tera e 10 ede expan aad obi © ben tcl este i hate carafe ia prealabiaiat de ‘it costamince 6 absan rae. 7. Stes che chil intrumentaral teronencity ose wemlce eee temosesile wx rien sesrts a umes ecco (hte ec) de dentine fen deca early sen ad temper eek ride chs ee scat ive nk Deoutce sinus cise de fa ive pres mesa cmp acer Hebi, coosie ctl de trunmet chink nares ese ine it cep tle peas stele (prt a inn resi hice pte oe ‘avin etn int) te cratin ee ee eh dp eine his (li) etal an flit imei gi va fi strat pene 0 olizare tis, el ms mai pute comet te "Movers, ix loc acleler temoseneve (up iteat lg, alco de pte, sigle atmo, ee) ee acest © rkceerannanesnatedinnemtnininatssin namin senponeser Pri coin mo et mo etn ine ere wins dw ee a Saas ‘Steriinarea chim presupune imersia complet » instrument | peli pealruo perioads de tmp ce poate ajunge In 12 ore, te funete de tipat (Sa re gcc cme on ime feo nae ni ratty otc Ode eee meen | mit mal Sea sioame nw ctr evapora ac Tez apo noc, € tecomandh ex eee eres a TT tear coe apenas cmon em erent ee ccm |e fs pn coach ee race ese | metas ee cent ete sea a fe xe pub = Sao er | Sygate eg Pe a Meccan jee ee anon jee etcoe erat oecaestaiee | recomandati to cabinetele de medicins deatart: ee ee ee Se ee 1 Specie ators ——— Sao/ | m sme || 7.VARNTEDEPROGHSAREADETRCMANTARUTAT || i AcTostrumentara nce Aces arise recat dow ctiea ou fev, promape ‘Svorbate de Bie ap aro ex devinfstanvspen, ia eearea cect a supafloe cae exe I fede inert cx met ca. rope de cue ogc ain ret tn oblect on etic ete cata ev prose tioopce de ‘x pcen trie eindpireeermele wie de cntminare can emp etme wnat 'Incontonart se seaman carga seta regula isrunent 8 agent de hae ei resus deiagecare devel mek 8 on age geri ld de Up devinfctct there ex sclaic rie pa nee in de it nt 03 fluodza| pcsle de mint pene plane q pcscle de wrnie [sponds ic ee aoe na. 6 lastruentra erie fs. _ Ales instameate sent consid cis mai de tei pe cae sng fa icp tule seine dep are elo presopnind tei pein cdr, i sia aticollrstomologie Inada ea inrunestr Fie, te pare: esti, lamele de isan. earl. levator Fairer te detareh mea! su altel (npr ne) mee fot elec, fete dats, ew, iene ib, rental pen iplnaogie te lois 18, [sre cc i setae eat rae 9 ‘Atco 8 oe init sat de dnt, dve se | ts perp its de mde wage pal etateametar cee (abel 7) ‘raport raid si ou pene as inp de cote sft ex octal contin pene sve oat ficient B Insrumentra semirte Tebole c dp fee wae fe crate selzte pein oii fiddle sper lad aster dpa earl ‘amp ar ac proces emi ea deg ecu el pi eit ciics eal vel Din caters acolo tance nsec Instrumentae ‘semi a pute: ts de cose, intruneatele de mn tte fe ‘pare cv, mania, nscen conden, role 2 ‘saree miter de oh de dra clase ded, seperate ‘elie, automatons, poataticie metalee, viral lumpor de HY ea opines, lng de anpeete reves, Higa peat |fF fone Fotione Kwimarntin’ fos fooe foe [ee Jenna (areseperty ot i, [ase fs mage I [ect fe ‘peapea mete pete ple dem pe name i dlzatimatesne qalaje vate) se va face ty fanfic de = ae sox de a ei it orc instrument ce ptf enc sat eo init ‘tot ficient der ext iscal de deteriora a matri “+ tole secepait “+H met let de elecie (0) ator ex abu fc rte chim ~tit de ads 296_ 106 ose |} lees ment w Geren erent ree | fa tap de mositsirae » pocedaise de etic tebuie 8 _toses sat affect geen a fen de paramere ca ‘cit fe mod bigot apecera abo esmbinap de pace roost mest, chinii gf Hologic, ci evaloect eile a cae "os a defigaatpecun esi eld a weed (Cac partridge poetics bins stein tebui e mesitiatapin ncn meen. ie Wise ‘empresa ine ead proce de aap amines ces, manometer team sn fester ‘pte ke apse meee cae an sl defi, Contest ie cae carncteizear proceed stesiizare po ‘serait deowece ape ee floes dar pt ete a 4 molt opice Get de colar ee acute de aver tact ind ange temperatura optim de steriare Presaes ans a pol sess ete Gide pe mo: ‘cou spre rieenemncrde x alae orale peste ill Secceales init tn prsipl o probes mecsie x pata ma af o Gefen de open deouece mane cir de esiete ot prog ase aia automate ireaiafatonn men ‘Pus simpla comparare a aceverJaepisah co date de feasjonuze womal funizate de rods pn se eae ar ‘egimu de ope onal su mde! pt face pec aoe jie etic Indien chimic Gdiec) denui i itegratrt mot: ace amt parame fen pel engrave senda iu tia), rt dove obntessea doar atigeren [ramet fe ese penser 8 Stet sei a proces de slice, leptin igeace (OMS. 182003 348711942005) prevede rel fet ae apie fa ene destruc + fen (uo dea vic penetacen get de steric) + fsb irene 2 feng ute aie, + |e (tlic. combina ca cel nts cad acest a este = fication "ot Peendademeriire sn aba (ad desi tenors [Pikes ep cai eu eet is Ge ca ce stesizae, Aide de were Up panel de hice 9 pls sate ‘iid sil hie epee pe fat exten in hee fren oe o muni nui cola, ee Wes jp cout ws et ete ‘ce pret de al ep! let ait tee hen clos peer ie tw eat ce ede pose earn alent fess niece cpa desputes + moniparaneen~exe ut aca de mefcieselnpr "0 panei fle pe cate H monlodzeat (empentur, Free) se ead a actrees san cok lini pecumtne peer ree ate108 ene malperametra— lier dots ss parc fit neh sigur un ave silat de coool al lage ‘rier de frac, our ena aicelvaes abu. eral wstelor neato ic tesa ext) sat coe sintian ear de ei cmt doe am Indicator prcoce af uci probleme potas dt ac nds ince augeeae'o wlan necorespanctote, aotele supe proce on tee zt ct ebui eprocesne aici nog (ie) repre moda de otor & proces de suet! com ra sel deewce vated wt tian pos ‘rie cae or pert aia stein. Tat de satrepesaia ett eu spr (gah, rcs ph deonece rorgaismel este sot a ete oat at mare pe ahea de supa deck centaninat eres, The pe cipemsnal lizat lanentalsfomatlgi, Bch eects ines Wage fst insta pin prose! de feat, exits evdeage tga ageor poten ogc de lasremestanl ees “veicoren sci prin indicate Vigil tbe fick pve ate 2 we wloear et init biologi da ae ot 1 Site etre eave vn pu procera de seas, 7 TRtimartor creo fps pre de stezare Newel epee fatllorpodbestorflrefitor pisarca indore lol de testare ine reese ele: dap vera ill de sear cdl neo mator fide tare sat aodes nea inno se unmet veel de cet bein “ sebare i dour Indeplniea comin b \ reine rm sient ai eo we, + nat maior eo precinct Botan, a Scr cone lal. de inst ete necorspezsto a |GRevciea seas teu rfc cu Kt so ngemtn oog «ter fseor! de ttae mpi cee aceon penn fo tent | et tte ceed [177 lee ot, ens fst eet ie |Site eipectis nditrr mec a, empere, re ram etn noc om orn et dele {Gasp ou eect gars pfosade sie jain rile mane, ‘eons apc pbk a redirect mecaice 8 |p fe deceoper rome de pene cre onc In tse [Sane tt tt te ea Wolo rst |. pnicolele din serie cx sterizare aeoncadent teble ‘qeoexnte Geert, ama, eset) a dpoavl ilate "nerve lve (nt chre, impli) wo wb eliate ‘ect ate xe exis es crs ane were eee step eta bel ne ecent: pee Nel pobe ipa 151 Gabe linn aa ou Gp de api san steal de atal opt recs pe de eos 1 Gdponenodteaeapoetal de otcarasteiate °° Clea tte micworgsne Instr big pte > josren wet Ge esa ut pee abel.0 eition | pninfetdnniiteiehatelinaiaees in| ecco tegeeca Tide |) Stan itso hie emacs eae ete pra ‘ndicatoet biologici ck doar de © verficare b waa rae) IT | ects acai spl a m moet a intl imi 7 [Pilea o's anit wee, aa reef teal E rms | | cm [mat oe ae «| teem {oem ihey ae m0 kas eet pee oat | Detsuleormicenreaic Bes tine pec rc sot 3am ‘ iliceeeunes = | nro [saeneamel] | mem =e pevermon | | pe tat pasa [Ambler neorpoeaiare mete | Anil epoute tp fst ene sai de =| Abatre aeia erie *-muinclude np de i, te asa pet ase vite ‘esti, pci seine ie es swe ine ea 8 sesipante - Ci ipl etc netomat || [pees | Sores cx p30 ete 5 : Peers uiiaainal Bras eScienei de fenoane aatocavdie sox {|| Metre | rn ee . concn een ‘Seman amniotic ace | pe ‘ee rede cnn a ee 9d a Septran) ma rere fede cin a sees (is topes tap nce omic p swe ache FTO pin inne hog ie tes nf ge openness ‘lpn ere 120 orden Ie fecare30 de ile Oneeieinerettastetoat |nicnios| (po=fcmmesanemecsttniiesiiun nigh ons i ie a tae | Pees ovmicifeteeeinl mtethent ' ‘Legit romineaseh fn vigoare (OMS. 18572003 xi 3497 | Decontaminaren urtieletor medicale Tabel 10 i 1042005 pees pot eahare wil stein ence + pened se : Sect ni er ig co ferme ie de [reat amen, [omen i | = esl ¥ ~ erBeihe Seater ||| [Panne reas i | ‘hex sa ie), t at : : + apse, Jewtees| re, fewer [eatnatie 1 + per strana need | fcsiacee lems! ; ples po eee Ls om [coma + cop enpenes nmi i eo ea + See vies ei nda eer : ry depreatie i i] + Se eye vast cel intone ng fnworne mwarte [octome —fPemomase sre: fee enc facet ied = Pa me Dc sn ee cnt feel pov devon ait! rey fossa ; eaptenpnt ale cl demain coar |i) | TE fame mean ace by = vate a6 Ia se electeaveiewea apa Jeeta [avn |deenoun socket Bed prea tice doves. ivr meno, m4 + peu wider china i rss com. Lag Te cee tmp, pris do, | = i 4 | > sys indie a hi Jans fetes ry 5 1 ete ct ae oe lee Gate | [tt |otarsin one fom [eo ind f ests) Vo fee fe sens. oe e ‘ concane, i bsu 10 sot sista clement cae indict | ee eae ! augoct wo mein de emit 4 reer eit | i [ing jeer may ‘einen stazasosce { 4 a fe oNa ed * cafeaa ca heel ee lath ca refein peua ‘else poe genic ‘Tberslza se manele pe cle send no pein speedo contact coset, eliza de atl de subtne pe spate din ‘ohinet me init conan ca MTB. Deoateemicobactsile erat nivelae itn devant ‘cle ma dete congas cf fore vege baceiez, vi ng oie agent geil cascat ex beri (infect de ave tei) ete comet cl a nntvne ue peta Lag de get tog, inchsiv organise ma pup rete ~ ele ca tansitre sanguin (VB, VIC, IOV), Sec sae pene pea MTD as ot ‘lice beclcie e aitate ca dennectnt de supe 1 loaned, vould, pond de dog: pal de ‘out ste nia paar care erecta de devices le sive fault co 0 ag Devifectuntul de nivel tes ua agent de sesame wz! pets © ‘mes tin al eds 3 neuen, 2.~exit grap bank decors concent de S00 800ppm, fiiete pe soptel ce pein contain Wi ‘3 pemidle caste cadet de pital chief each fete de fen pe tei micrueanine representative: Prewomonas Aeris, Sfleccus Auras, Salona Colerain, ‘4 esriemtere 6 anos, ufo 4 ule rode pe tant eden Sex deaf de ive sera efict pe FIV Vt. ot chinie Hebd devnfectntteiiaet. Et nin x nm ie ai na et \ + 9.STOCAREA INSTRUMENTARULUI STERILIZAT § B, i 41-15 Anlotte stone nebulae iia tpi 1 iT a ae alo eh {) peronauts) medical ere le manipueard) si de aceea au o darth de Cel eia cee ee | fetiubicancean ean [or ecmee etreanensce ie oom FE “* Ureboie 1 fe stocate iitr-o 20ni inchisd. peatre materiale i meri (gertare, dutap), | foros seein on i [te asus a ees eek i | + ebuie t rastot ambelte pln Is momeatul ug | ional ee Bese ie inet prone ie, eee — Be tam howe endint sows: rr trt—ts—te pie ea og en ae. [cotinine ott renege brane pn ar te tape st cont) meat ene fe ‘Toate pach cae conininstuentr telat tei inpectt ‘ate de are penta vere aves ener inegnita fie 1% Doeh scestes sat ode cape prose me a0 aie acetal fisted mete poucial cenmine, eine) a tbe “oie ta at, ie inpepe x fnetuetalo e ecat amtiat eat da ow, Ii 000 ee 4 6 ec, Pi fet mir ein ein mai nid wy (Chin petra mtadele de moaiodare » peicak de soewe | ‘porte I eveimeate ete aeceout uotwea date lk ewe 6 relat esl i ac eae nt zat nao pute de eae, pe cae pace! weble net seat! fol, fciind rary ‘cle poe cual eco de esi. fi CAPITOLUL S Deowrese oman de oar « nicole matics seize ot CONTROLUL INFECTHLOR MEDIULUL i slice a stn lal de slate a cet, wasp sett i respue willzares eo mee de tranfer evidod 0 maniplre : Seerepuaatnre gedit scl de deo 4 ambanel pin + cer dena, s.CONTMOLUL CALITATH ADEE ‘ewe Ge tent blo belek pecnts spaige tesifecubie, sci de mse pease a pect raspota © cutie | Ape faniats duit dente confine event ive side ‘tc de mel weit pot 5 wprcafre ivel avind ode tact, ce snc ip mln cle car extn pe de blac j Adon precincts), |) penmucare sda accept ce acter baertopc este denim 300 | ‘UPChol (anit fcmstoae de colon ~ elit tetend, preci san | ear de cellecare vor form ocloie sae ac sunt calivat eon mata de ap) i i ‘Anza pe ez depen @eigle (pay) de pace 4 “de a itil dene iat de comune mobi care et i ecm ex ect le ads peat ape eb ‘Misrorgnance alten ee de pa ita eta i acl bciei roteoareg feg)plese Hh (lanei) apse ut aie de pte ter tila nro fora enum. ‘Bloflnele mieroblene rest rezuttal astrl al activi cexsplee smote a eamuntier de bce ogi ss nines fa ‘fark pact cindex wide o spats coesonzome neat se sealer etapa tactile. ac enn exe el hr exp de if 8 cae © Semesct pe up fer aie bcelee se lemeatpe pete : inter hla plac pasile ce fsizae op pene par 4[7 Anenenencetttienhl enema ennnninianrter oe eT | ua Nese iow ~ secure ~ cave fuze apex aget de ce pets lusumeataat tv de aie a su pet sige py) esp ac rote de un stat sobsie pozaaide ~ gor, sorte ‘lcontgeisme colnizezd 9 matic pe tot spat itera 2 teblanc de 3, fomod en tin cae od fornat seve ca ‘eas ce poste mi sebstaoal rend de microns cae pase ie (lanetoic nae uit a spar. ornare bislimlr et amplified o sei eft *+ wa are nmi e reroorgansne nr permanent bs ‘tars pn apa olsen geen tt eee a susie pods ta caulk singe de aps eco ome, ‘Ducal de ap aloe te permanent sibatafe atte care emit cumoles iodo; + stagnares pel tn tabulated ciné vail ne ete unt ‘uct acute cca ‘de congere a apd tubusist ete msi eng ‘mini (gate nl) I oan de contat cu pele ~ ant> uae se forme bil * sien apie ial fe x presione mde produce loa boiler), + amet mca whut cer opeopte septa lua, ‘mae car mee sai pe cas pote oma la “Tranaiteren ofc apace sep se pote fee pe ~ comacthiie diet ~ dips expen clemente coat ese ides ~ ‘bless de nstumentrmatcal proces ecrespuni, in inhleesaesotor gata de sere dep nite dene saat a ft deaopete conceal de ‘loxn bent de pnts 1000 ei recta de ett |e a rant ein mi ht [Bis ening. sip ce tl acpi sp ei ea ga + [gel 025 wi de etx a 1 heat nivele se sing doit fale tei atic a yrs dentar-eigal¢ mate items de tbr, td Jee care ponovart ceca sear bare deroies ‘cel ont 1° Pe pan intentional se so apa dette ciice lol zt eo enamel sg ise penta ae fncant e mb 200 UPC a et ates naive i pout OURO. 7 | Suu espe ynemite ns ndepics acest, spot i valor 20000 1.00009 UEC led In pone ioe a mu ou site de str et pil Saar, ng ‘Strat de inbuilt pet eoofoce arumte stati ape ciel ere onset & pope cocsumuli uma cale medical i stenatogie ml pot ian acs sue de op (ene) pes ttinetleeomatlogice ‘ite se impan uz woe rune ae de pe apnea enn care opine elves apple ‘Plcpalete cae ce impos moc we regime d wz «ape fadeate ane 2s eyecut su laverpet demaiieasve le proststr ico lice de ttre care dl retreat pe pork ttle pat pstogel da ape Cypser, (Gian, Shigella,pn ere coor NSA mi Seniesa we ceerasnen Ht "wenn eae ier cit ot rt at ~ suai care coapeumi staal de dba a ape (pepe ati ale condor pipe aocine cx apc noe lads ce te bole ~ ezasre asa Gada, xtemse). ‘Aeon cle mi In ede sat posses opel eae (erik, pin lta) wlinare de apt inbuet (lla, doi, ‘luo pda eters sti. Deete rete we se apc a ance semanogce I ee ee ost de ap it (A de steal gener de ste) cu o ‘ocelot 2. METODE DE REDUCERE A INCARCARIT [MICROBIENE & APEL [A.Metode tenporare 1 Sure dep eben ot ag to mint a nepal fect, 0 dat wat (1--Tae) in Fei de tip cance dense siren de bald ats ap ce alent cabal espe + Grice apaat sam echipament stomatologie(conecat Ia stam de apt 40 es) ce ne a cont sect cu piesa (Gite de mink, dearbore-ulkasnie,seigl de apie) ‘rete ate a fneionc In gl minim 20-30 scene dup fecae pacet (petra elimina fri mnt bolgic coals ng, v-care se pate pase a isl Je ‘ior prin aber fn cual tatmnenua pia) ‘ees ot eneleze apd deo devinfecareciniaieniare ‘omspnaiore + Resracta Guelor orale dln tubalatura de cuplre = etipameno stonmolgicomertt stan dea 2 ce t | | 1 | ‘st revels psi a maja niall dente mode, far ele din gene psednte noun item de protege cu ‘lve anita ce sees o eine periodic (sae pin | sj sora. BB. Metode permanente (genta 4 obine spf cu etre ‘petri sb 500 UFC PAs Insalaren de siteme de furnizare a aps (eile) Independent de sus eae pt | utes de suede am sab SOOUFC (na de i bine, 52 eats tan seit) ou emit cootcinves buseiand dark cm sat ‘epi boflele da ssa tabs. OS™ Simp fangonae ago peso de la i sing de ph atop eel lene pase me poate reduce dock puri scl ie covninare ps eta rater: ilo brit de pie ‘Ba nen fect senate asa taal, tasen de ncofiire (cu dlaetralprloc e fire de (9922 nape prt seit il Micon ve aden para x mete de 003-10i0, ‘ipl de ite de edentate cnc fostate esse eats de ap ‘luk devtr sigue dora prcllr de 20:00 ee ns ‘efit pets o Bitar microbands ‘Bares robin» spa ce uge la svell pecor de ma st {pura tame se Govetepe # Ret al eben roc ‘UFC pd velo 0, a, cee ncrofive find wba capa ‘ube esp nls acu ein dj xe ‘ ‘Trotamental ml al tubule de ap fa mod obit indepsrsteataactivarea bilinear neces kere comune perce chime “Tne cic + tbe fx sepa coat contami ‘ecient ee ou elam Aoi || rar toon ie ein et eet nm * Rl ent de we cline ail] tucson pt enn pnt el ace coae * continu (cre 20 de inst) pen apcrer de sobcante ‘hinice i lei care conlee tt eimine Heflnde 3 ae st su pagel xcept oan Ake varinte pect 2 rezliafeoblems Disflaee au fot iliade agent! de cadtare cas dei ris fle os cine ex tater utara pet tabla ance mei ‘ae intere adn meron, Dagan dase bose de nee tee chine foot dans pet, certian rat enum Stn tiie pedo chia. (oc hpelatal de sd) aa 0 efit Pill sepa bine ia pase surero! ase! de cpus por, Je seme ‘sonodea nt dere nsec dace satelite componce ‘aio dear ec in nec. Mat ot acest sate cinice pt itersiona ew matte itusor denate rez’ preg eecdati tae pot ten cfc ‘seep apr lor eta sd states pean seater mesise ‘cel epin de eta chink mdaliste de ne floss ‘tee soitutor deutre se sdreseaxt i apa altaocice ‘shipusmtclor ser abrcive caw de atemenen pecsinlact de ‘ontaisarebacteiné pi biol abun, Wigner hs tte site cine aes elca mete imei de ‘tune, od ext nie de ane mri sie fait sldcolvacel, pentscgue meee iia ap ste eer loge tec racane spe fe xe ane cage Jenlai ate nnn ae pn ic ain eae cw ps ett ce “(so Dep tb tad a ein at cae spot Lapa terizte fi x existn i ese de afecae,distragereperfilt san "ear concn pe hata de tae sat fee floes pull» sil in tg ont pe ene 8 fens pees de sini nel ae oa a ‘rst chlo atest mac ec deans. Tie nde eat cw Sct tena neal 8 i a cp one oo at wl oe ele sn cae ee ei ts ae pe "1 hii compile agete de producto crt prc prod ‘eS atone fl eo pat pet cn ea | Sop ee ite e+ ae fet smth pale mc pct de mano Tht ec ut en et te a da nc ce ee ‘sb epi de rn sla a el le eect) if Disprlive tat nisl dentae ‘Unle estomeate sie cate vn fn cots co membeaete |} eteowe al cen st ate nace de pple ed Sf Besse ta om cceventonal, ae peti rfl, ep ate [iat tar sonication pent stele de haste coe ‘fi pene send netra estine | | pref omnia o mbites 38 papi owe paderaatcliige | Spt eet Tit deteu ty cept ei bea eee ek ‘aes pbs cee et :: [a ooo = ‘De act, wnunele de cuplare # acest plese wehie si Ge ‘ante go pent 20-30 secande peta eracunea cai acesoe ets cog, pls prope ale treble spmse eli. “ose ibrunsntle cae pot decupate awit dent ma uci proce ein Ueinfctare de sopafih aimee saben ‘gece. met de ete Mind sterliarea prin ces (aera, ‘pon cil eat) Capone peor aang ce pot ft cookie ex eral in tind testi de est! eo po eo ene tere tun de spar, de sexing denne, Ficelar de mini) tebe Se acopeite cx bare impeoeble o sut Selle dap car aa; costo contami iit # {ces pl tame cette Bene de devon (devil cepa mela ai ettamenta emis pce, ‘4 DECONTAMINAREA SUPRAFETELOR DE MEDIU Conti infin 9 aden sorter dn catia tosstlogi acs ce ale ehpsmeat medical cae pot devel Contaninte fh Ginga wanes stems stele ou suit Const co be major de tanga a defer ei pesos | msi su cet. i Sipe a cee meal sn coniet a acct. spe sae cn lk et pane mem | (te 1 { pteiineant iow op pe pet rotten ming ccm ce 1 Ioicontce[eumaion, [Hance anaes pe [mel pt etn nent tomate frien | Dect epnl eae (do sina lca de onan Sook. eo | ae ntatin ar_Tei dein ee dade et ‘ i ner [Denne eps ee! lo | Jeni dc deems om, maiacare [Peet pt cies i ent nie {mace leptin (Net ee ene Jnionene [Dodero |g Same domes tm st dtm al | et decmnmiene oxeezsor sls toe ma pi guee dec ‘le zat pect insert ae vo xtc ete pacts Sigunaé cripanaie peau safle de contact ei # arate ej pone oboe prac i dexnectre de niel rein tat {Ca In tarrumestrl necrti, tdeptcaren tm totaiate a ‘mvc eyaice gi a wmeor vile de sage poate Ie fl de impor eu activates genni getlor eset iBs ect} owt artnet ain mind de my acter espectivina pat fail conspire ‘rotten trl snr bere ice. Procite ete fines det ree le compat lates matciler cx gemiciele Heide dd ehipancatel poste {nts ich eaters cam tha decntnintaenta ati esr asciateenexpanee Is desi chin ‘sop cotmiante, penal mel aa de inbesinee er efter tira deinfectaren trie sf pert echigomest de proecte individ cae 8 timiteze experi aeientle cca a age of) Inca eicale oiee pas ‘Sopoftcl de conte ine IV eterna pe supra dengan agri ‘atl cu concen mal scat det ele wate de oben praca tomatic, Unmel viz de sige pimatel organic webct ‘rte pols reser o dena de pan, e dexnectn se nivel modi san eds ati pe KIVA, Is aberaa umneke visible de sage iscSvaren compet ‘il erpex simplex (ca ese In sinfeta saat TV) poste ‘fina asi 3 seed fost + sel ut eps desi (10%), + compos fea + cops tte deamon. HHVB ete pid imcivat de o varete de gece inciv | compe ces de ana ~ denne nel re ‘yp tamer fecha pacing Infield Jace, supe externe le mobi 9 effet ita dear | ‘etueat cute xnfecwlidad un dente e nies posse manaere (pre pele) Desi eu ext o eid ers» tansmite de agent infection rin fel e spent in ebinetesemstingioe ete neal cua | fet oem iret nr sage | Retr pests cen ar, | Resondatertrg tact hte tt tno pre (Se 09 ech cla tr a i ee art ference stl ermal tpt | fee sponse pte ett ‘hs co oon com oer pra ag i he + desis oe cn sole pemicis sere wpe pretcate fs mates de cata dence ins ne de [vanes Spal de contain put de sept + ion ~ nine, toate, sa eatepte, tle Modena bina tebe orale se or de ft ot ee sear, dir si ete indicat uizares de daportive sbignite de ‘epi nsat a pai dts, agate) aeele ice so de | frssmatdoouce rodeo pene I ae serocrgnimel tid Scouse pe ale ats, Te een cots ates a coe ste cfm de codjare wed x mopar sl de detergent Dior dp cold, ds wn fost nade fn wz mop special tate "him eran eapscinen dea ange ein paral dep. ©) Dip ute gees mopanle wat a preesel de cete Sete ple cu pt cl eet, cate state wae 8 usin, pei peau materiale ane, {ee ps oreo ‘ce ae pes eee (nope el ll oa) trial a ga de ee lero cient ede ca ‘inte cuenesone dea oda omannt mae hie ptr esate pe ‘Soprasele mochtate nt an ge de cart det ee die sooparne (gee puch sine earl) gma pot 8 ‘ear copes, sala canal ce pro cent toile ae ee tide ints, piace 3 fie cere prove de Ia pc. Ln mate eee pot Jonas hgh oe, te pon mie ch reoraten ‘nme a unnihmateror gd cc, moet ema biznes lr ak zc de tata a ee ae al our Roce melo emiaminte Suproftee dn cable god, pre) tsi se tes ecntaminl ce rine de nivel stat ied a ct mal xf ast dct rr consisted (ump ap via ene ‘nates ptf fete ogo fst le de es ‘Sean ot conte amr ene eon 1 “onsle umede dn erintel somal — er, ain de spa tone spade pn pe ive ei cars | Cl pain it lin’ pow dei ska opis alse f {tare degrada de ontario. "ee i perl, lai, see te de bent fe ic sf site tee dace een a aoe, 4. STRATEGH DE CURATARE A FLUIDELOR VARSATE. | Modatisile de certje 4 fcdetelr cae npc vise ihr xa I faci de: pol slags. liv, vomismente, te ie craic), Pre ce ei end mae er by i aden (et ve 1 Senge eins pa age— vee pt x + fesendev ana gg dec cin msi 1 tl ena Gipemei por Fetend e ren cts wes pose once Gapanee Se proce ladda (oat near, ocala 6 rows) ee ce vite de dimes i be pire atl “sat ip ete posed ee ope see woe pete cao ete clearence cout, [ma rae S98 aie alia aap + mpi (oes nile, de ae de ct) apt chip ssi, repent Goomets ane pera sone vn defn ea 5. hte roan So ergren ener one ox eel as pcp de ‘te planers lr ve ee rei 7 tepren tll de ee ree pop ee deve dyer eal fet «replvoen sun repeal devfecate pe aa ont, «he efetn acon eaten post irate inp gece de redeco + errs cere 2 pl eve gel tos de Srp epi taantes metr de eee + neptaren ec de ete = yee prep ise cee ee eda inetko esi, In doco saninae ‘aed ice ato ito 200 seals 8 tate, deca 4 dectaminar se comin infil utiaaren de repute aula, care prodae nivel rice Ge elo (10000) gee pot ‘coco idee vite (un scl de pod ose scope ose a amet de 10) Dep ndepirtass mil clog acti sb ace fom, se reanect cris decomtaminres dup chemele djs reve reticent aavto no 25 sme dele ele) ‘idle vaste tebui f eatet ndepitate, e eferg ie serge pon conus tee cara 9 deft oes ‘-TEHNICILE DE BARTERA~ Artclele medias nemetlee ca roveste deta pce ep! ate stooge, +s ctoact inst acetal ea ross ooieaepcente + pot costal eamente de tanomide fncracatt tor ‘onfacl cums opera, ‘Sepmtfleneporese (onde, pre) tebe fe cite gh economia pin ener de ie strata intend ipod la cam uiorcuntanind masive, se recmaad ca dap o use inal a materi expe ted act de eros ‘oper et soli pet ss spe tenia de decontine dest ‘2s sede 2 sinter cl mat Lr, perio a eae ie nat ‘ces a ona espéfvt a pcienpo al sonal ede apt pea + Dheacat neler: eagepe) inde i rodce de aero in tinal mnoperlor | + vinincontact rete i alecapats sac fd carole sini ine ei emai nt Br ‘Witatea- contamindrl eu ascroopinisme patogene prin wee bavee fc de rte. Re te rap cae § stmt sled ss berms {oe de hte penne, folie de ine cable plastic (poiteas) sade cnetese izle (pin cope seaunal ooatclg ties, ble; ‘lemeatcle de comands ssale Gteruptoarcle) ul dent ‘nine, = saat apn sno vein yep, Hlewee in vidualiate rand: = paatu comport seems analog: eesti, eat eee, ~ peta componente spt ‘as e lnc i de gid a aces: anal decane, seisra agi“ot elemeae deaopre peat inte reat in TNT: dines vivre Seer compen citi ss, ft word aeat fate seme ease, faosione cine da plas cae ses noe cape bo er pet xpratoarl chico condone {ecaplare ecco de lak de fas yt, ‘aso dt pollen cafe adept emetic et ‘ule, lind eric) cae sesigleah emetic a apateca ‘and eee eat: = mere ntacrae, senio ii into, ag cae see pe pica as pia lil opesto> ilar va a conta sa de vrata medi co festrile ae produ iloie ale pacts cline: eat pial dems, plese de dra, Searbinae, te pr de ftps ‘cull ip iota at say asa, iter ps ‘lle cour ale apoio. | } Lennie matin Be ‘aca nel hie fice na ptejeut tenn efit “eco de eonbin a efecto acest sens a aa ia _ petra erlor e pef ee malres stumesa netic {Gide mi ode pert) cian de toe cit Raa eel (0°) etlnr elemento de rte din foe de pc (oiled «fo tint (Bone 6) fog © bi _e=sbrat a ex pe ee ei TE peodece breed fce eink posites contaminti, ‘acl wire et in tates paleo tie teat |S tin inte el i ei arl ie wo pot motes einen ose ie alc) a sve ees de defect elie este necesck ‘chiminre tetro leeatlr de ilar ads acepetotametal oat spat. Besele de ptee psi supe yf echipament pot 6 ‘ef n pci a eves contami spear cote aetna supeneeoe de tater aise lx ate efit nla fli de plac, vet papi = tuba plies: ~ lave de ite inpenesiit pra dlr pla 0 vice tp de mater inpernea exe fn de sie floss rebvieneplite Qp strespecentulal alt inp elt ‘opera al awe mine rt cx mine de coal. ‘ep ndeptaresmiopio consult lignan sir, lvl medi tie ape deinetezecovepuritor spa peste st apo oo lee de pote nite euro pact7 ki { i sysop hellnditlnet —_ 18s [poston ueasene- cremate [st rite dn ede pti nei de et ta swan “nen | Geni tect dca pcan ner pe tape f | sel se ae pant se apa pt et nee -f | Stwobogt potr persoanee care le manipaieant stu penta medi, ee ‘calectarea sf tansportul acestul tip de degeuri sunt reco. | ania tc de genres cae pet & tne pia lege tat 1) alia de fete aondeiv,evitinn se taorasterea nigel anil pevemet ee ee flo ea tpt deco rn teatro Dene mene te areal elpanie pe pa [est de ot are dose atin eg Seedy bon wie pu megan ae mentor se tae [Pls ict) in unit specalizate. "TL, Peel emacs a pote tag age ijn nr nade ee et ce ‘ottlaefsbest tue gc CAPITOLUL 6 ‘GESTIONAREA DESEURILOR |. CATEOORIE DE DESEURT care cade sec tbue sf canon defi Snares ear rete tk uraatatenentelorsomatlgiee xt epee act poet specie a nasil sere coil desig Resin tbs alate nto taser care vt psp et | ‘ate emmigulect sup acca de posi cide tu tn ‘ce potter consecsit expe a dey epetve, Asfel de ama tebuie wf fe sigurate pots cotema rear (legae,autoxghr, caace ectice) de is momento de Droducere pisi Ta cil de procareincsetre sen poceate pin contami ede etl Conform lesa rominet in vigoare (OMS 219 72003) - small pentru dye webui se slot uta a fea ' Dojeuite mec tebsle si ke sepmente de alte rekurt nese) pond card f paca de proce ~ kc momenta : peer semears Spl de recat (ese, enact devi teaide, fn cael cacti stmtcoge eas 2 oa meine emis vedo EEE, Deena mat dite Got te esd de io E Infectvtote san toncute side acc exe nen ientcaes Sacre lar ta anumite eater ine sabe, cae ver cleat ose nan nod rsp, [once tne de defense mica ut tape: + one de proces fall dcentainr ss inden Deven rele a esint de medics des lcd 1 eject maser dyes medeae6 ec ier dee nie rear rule fete) ei ca, + deen ctotonices + dee rine; Ficete tip de degen bencficark de 0 colecre amtalae, rmsspulre grocer ifr a fase de putin ale ‘ea o em ager etc a pl de proce mcr sinanele eect tansprt al cero ea bre do abt foakcwe: cnn spin simbolr nlemuioale px coir ‘dere Sees tne d eewonpe cartel ste apase pe aba oe vs cre ut preset ie aor. 4.4 4 W ‘Unmtoarle degen vor fl considerate ex degeueh ince — rev infetate (coast eu es + ntl conte de pain cae av obo nena + elle socnile de get felis opie cosine sepetele tee mapa 4 ‘rsp ses pines ri cm sie in ee et a "Freda proce tents, 0, i Sie corpora ce sat dept fa cael intervene inves, + tonteanicolele ascoite nerstizaile Gaclzind, dro Haid ia ~ sexagi Npodemice, ace anor, Nee, bare wegen de tl pce, lume de Rist) cae 8 font wie In tact pacer seo care ao vei cca ex get infetan colette poceate dp cum ore + Degertscute (ieptoore, are) Reza slide sent se clea fe container di ae esc an nero (ac lost). ‘Caroler ale contanerstoe conf eisai rma 1 stile imperil eine oe 1+ ca desde alien de mate pet a pemite itoducure imal; + cacpate iat penta a eorsponde neces 1 pei analzares svt deeper; pot emetic nie expe avili: + taniortale nce, ‘Acct coutlaere, de colour gatbens si cae prein obit inetd brie corespanatr (ig. D) ebule ageate cabinet ot ni aproipe de lca de wie acolelor medial cae vor devest + sogsl umn, dav lenge ae cmprorte engvine } ee 0 en fae pectin pesune care fle). :Pesca accidental prin tntepare, ead weds are vs Imiipula acest dyn tebe wf acre sf deoeit arillor tice (ie bist, ae de serine se * moist dap teniares manoper stuatlogie fare fost silat fie copetie ev element de pte emit de. odes, + le de iste pocisoens ect nama d cates Int, rt ences o able eplinent secede serings de wz mice reaped e apc de pctecie oar soso de un aspect de securtate (cre pert te np om det c's epee ei: abscess acele de sero vetatie nse eapgonta nus nde + peat acl aimumstie ce data ap ace ete seiagt eta) se lira aces to timanal, expr Inia co capcal de prcete sexiaet de dapontra de Securit prone de cuz dinisuares pete (cae avait scott ie x pain an ap dom, forind acest dspont, re amped pines de ne care a ‘ven a conct a soba nedicmentest sin, | ei cn ut ici ai a yy 17 ch ct dor al Sat cine |:)_Secatde nei vt end pe he || Sts acy ost [ |} Men eerie el con te ie {lose deci pt asl ro eee ep pe de pein mene pt pee 7 |B deri mene eh fe dou i ua et ae ce var mene (nae pan sce ne en a 1: eae sje in sorte de bia JL «Depart nescue a Residue solide nascuite contaminate en singe, sali, sat he ‘ARE oro dee paceat (mit mas, ate de nie float, lame _ nile, elemene de bale fied compres de tien, ruber de vat, fe pete) ine ke elec hel ae ee ie et igen cept ai ce prt ee dc ip cousin reise epee "J get ipeaate de Scr cn gli) ‘Ace sc tee pee nde de itis exapmctr sil te sig pa eg i fi sede “4a sen) iat pup, nine de epee in 2a ‘reir de test) fs Presa conaione extn x csp de sc pero sa ‘spc ion wiles na dln se de eel ip nee se rl canprmis TE Moiptae eee nice xt ae eotctate tbat tries te peal dil alee dap ecbipt cxNese Freie ne ec eal mi ent a ‘enete & protec ndvidlt man menajoe de pase peste fawn de poet “Tinspetaen sce eye eve zon de soca eva face pce cesta we ot wap (on ase neces al de) doe fe petiontele Ge tin dine dock gene de waameat mv In tinal rater eee. cents dear ie nace tele fe ew iit fi de majectaten een meaner, neta eam fevent iia Sind incon spocnzte de pocesare a dena metal (te obice incieratoarele lle ae estan ebuie roesat elt de esta mene — | prin sod slate | Depenrile nice anatonso-patologin mnt reprenetats petra or 2 Degas hide oe ‘Tete del (e xgite rz sax morgen) rel eam tatunentlr womstologie, Webue st fe colette spat M7 repeats rigid, emete, de ealowegalbend sau mor, | ndtv de Bose espana (ig). cola pic, pene ita contact veal iret cu acest, a inoie de eanctetle deeuitor clnice (afin etna pe igh colectes case face In eeaine (eget) ‘oda colrte pin simu este, posse eva ia pio too concen grad de ptogeatne al deer respecte. je chide lice necetoce pot ole cu gis sarge speciale ae fa letra cn sstemal de exanlize eneal sa tlte ‘Ca weal gene tnte deur ple tbl colette ‘emcee ede lark waste gc gyn | pain cout doen clement ear de care pa ae eae pmpes spec vil nt ail np erect fe medi | amcaral cose ood sg de emir x at ip de | deen weal ie | I Doyen ihe cine tance (ig 3) pot gle asset Secanlzare peel hie i proce pin niere (a 1100) dora wil pei de rouse a deer de aces ip oar deepen mpl al ecalrmetasho> in tie, pc, ible de apes) eet st fe ipa | extaeae epreiinddels-mfn enn a ete 1. Saude proce ogo ie poe alt eae), Uh Resideie pte care pot edt proces pia | Skene, tte beeee dev ute! ic chimic rap a {a Deg ntcte Sr Soot thine reidle proveste de ote de “Mmiglare recipietele enmete facie se face dove de ce «pena seri ecipat uence ements de rte ia {> © Pees deer eocive pin nine fice ei ~E pectatte de cee; ete trot ven aes sean cinioe [fete ae a tt ope et sealed in ext inate pot ein Prati est In)aa Nee hin er mi inn ein ain art 16 Gini tule mej abe eeu fein wee esto rome iro mute ae 6p en i ety ese eer | Caine pote opin wanspertaren deur ao lee Hosier scare oes, pe bes wn cotta me ot ovina exponstie ce vapor eontnunt | = Unclinet de manda pone ttn ree infect een spect pop esterinaw neers ely ctf cept, Ene, nha gat dsr acest ep, ae alt rau crn do sous "0 ‘Fema del de proce tei lind sei cae su nels conde trie de deta tei ‘fresie pasate trepsrd sere ale procedrlor efstunte (Gimp, Inoomaie (Ce mia coutonser dint ebine soastlogic tebe 1 ineruiaseh pecstonsal ist vere aptotes rorect a potcollo vind manipele procera reid icant ‘Tote coatinerele sau respcaele foloite pa cleans ijn ebule 8 feimpemesbe, de wc elo sat pat conte ca wai Dp cect, deel wbule manipulate gi anspectte pin ede cae 4 sige contain aes i meanness alo, leds ved neces cin dats sons ‘neveoualies ped ambulette, ‘op em atorincdete e deca ex per ego catia, tet: {sce tee roa peta pubic percol meme + skit ene posi st se eambalee reinule costae, 1+ 55 se Iplesizece corspanzitr pie deconaminare tate ‘sep echipamcatl motel contains ‘Conseatycoletr, conform lela! romans a vigpare (OMS wr 21972002) dejetie put § socatetempra pet o erat mail de 24-8 ot, apiece rapa proce fcc eral dese peer resist fa matin 72 re. Desc teoie sf he seat (gla, aj spl, empties, expe lana) dean md eae ah pete ints ecb, sf laibe ren mired, pei oer maxi pall de expec ae ccs esol emia Storaes tbe se reizee tun mol tren fe eae 38 era protease, vt exper soa diet cae a evn ua see mesg cots suc de mule se heat eatnscte san rotons sari lice neplacte Fear, ar date din eit ei psa Reine slide webecompacat sa mila cei site cca (cierac) ttares rousloe patloice faiitesst tire deel infetat care a fo proce pl cabozre «jo iu pr coset niece. FOE Deane ce contin slsaae chic ce ar pte fi vlatlzte de st ebie uate pin atc expert, resus) i cons onc pe te of eome ketene ‘Ocalan cn usu ea pace acters, i ext sunt oleae proces elaine i tebe cr de ‘uel ble de singe son material xno fa ae ett Ian consi emacs ‘Peary deaafciarea exer se poste foot uo Ubi gemicid (inset, polo de sd 5.25%) care oa net cet pe sacs pul de sence, fall ¢ labile 10% de hips de sea nu sus coset smear ficient pnt deat. inte ef wnat in proce edunale dn tne a esta pear a pea ssp fn coi de garam; cele tcchiaah ete emit pin lead de autodavare de 40 mate (eii100°C, der ores stein cee exe sinter exper cece, treba respecte pease wave, ‘Auteelerea disilorsn esters prope ice ot de malt tbc compro proces ecole us exist pet np ‘efeitoare nec teil pia ut aupnstestrordetint lpia eavomble supa proces chine de adeioe 9 ti mercenaria eatare asad : In proses de ve ae ster ssa ee lt fk obeural de amalgam decurece aria pot fella a emi de sige prin tcl. ‘ial ce conn okra de amalam ne tebe 3 fe eas in lla sax proces pin incre pelt rex i vaporizes meu et tome nese linen de ni ce coin bral de smlgam, intr 10% formant pei 2 spinal sa dove» fet ts dexnfecarea spear rine exter: Prins i ete fire ae det us ‘S: MANIPULAREA SPECIMIENELOR BIOPSICE Pear prota penomelor care marigleal sat anspor specimens bape ee olga ilzareaechipentala de proetie indvideal adoovat fr fence de caactetstille fccobolerice ale spesimcaull pet ‘lecre mot sleet in cantare wll etange ct apace ermeliaote pence «reveal evewuale scape tn tips! ‘eaneprtlseviind cantina sprafeeor esters le ester istene (de tmsprt deck scent contmiaare se prodve uebule feces felon oe Sedafecaea de vel med cu gemiide Woe st inducers repent n-ne impemneabil CConticce tele ect I oe Wh cx snbol de Was repetund produ bole co se ceset, pat « segue mtd orspaniine de cae asic procesCAPITOLUL7 PROTOCOALE SPECIALE IN CONTROLUL INFECTIILOR 1, TRHNICE ASEPTICE PENTRU MEDICATIA PARENTERALA ‘Aceee tei a8 fost gidite penta preveireateunmitert file san serna} preumplate ee ma av agen de roscoe ea bets) crest conepue pent feast aunt ‘scene cael samen somo, Reut * inc wtizaea de mouotoae molcancatonse de cli st pois ‘bsnl nestle dno mmaedook as tebe scone caleba, ‘monodorle pail consunate ns efloes pcieat dia act sshd acl, nfngon do aces caine tee daft ct val |nopropitc 7% Init de foie a eae pet san act a Imouoor pes hor annie fleet sel oy lector asocite pin adnsrinl parenterale npc money, ‘eel paciat se recomend sau st ecenre at mate i losin webaie ewe te taarntle stam fa ‘+ scglle po event ris de contained sat efor de si mate x, + se sets, capita Sole sample nat compromise 8 det subside preatt motif calosice sau de ‘stint depce, acest dns eben + sobsanfle ullioate ta adminis parenterle. webuie ‘caiote tn coniile fice speciiente de prodhesion (compete, unin tea msi, + fle, serngle au tebsie pute fe barat ocd Sun uae secingt meee cx seams acenen ‘eh teste nite de cael + col einglord pls de wai fol, esata metic. meio aay osnd nse st avd pt vat ‘csi ston ang extra repeat a eae se page, ect ninsea pata cent ie folosee walt * dod se aiizac tot peau taniporat ampulier acess ‘rte tate; + sstumele 6 mise intone ele sat de ich fees ine de 2. DISPOZITIVELE DE UNICK FOLOSINTA Setpemestlg israneatl gl acolele medicals see de 2 2 oe sawp cit ders set ae, bs, foie cre a fos folie snt onde eset mete ck a einen repocenen (pin cussiare, devinectie, wee) Gite pentru af ioe Iau nga paces, dp eines tori tpiTemosezal carps arenidoe de wie foe sat inate + doneatealizte peat eae ii spinor de sav, ~ cal de aspire, ~ fl de is: uci el as, comprese, 96. *+ instance pes amit de ubente modeamentoe pe ale pester = see sramatce de seg: seg wa teal paste: cape cx nets stu pts incavenoue fasrumenr de profile ~ peice, nse, vr de sen sper, + amente de coer eeona ape zl de eel — pene nee fas pert, teal de sot, ace de sate, lame de Wie, {gence cosiz eerie acl mots nstunest ae * pendtat teguen'l, membranle mucose ae ae feta tle up lzar ese du 9st ca depen eka face de il de contamina peer pei matrill a ae ete confection. {n safe incre aiclete de wie foi rant sce a ‘enol ste ia cae soa fiat de prac Si al zat in ‘acl finde ttt respective ete reeomandail se nee lize sa lor (a pace) desc otto de sore ‘asa medi steifet de antl inal pein mise csct de sean jp ean nate fei nei mn wo. | vn in vedere Hace mae e tense elt a apetlor | ln dat ttamentlrsaaeclegie wen, mj procter an { Iaceut sh frnizeze ca elemente de nica folosints st elemeate de 1 stuscstr sae aparatck muck cae La mod norma ptf fet | erie i et et et de Aspiratarle de salva fa cad rtameneler somstolgie, tn 20% din cara, ind \ ‘acigtulstriage buzele Jarl arf asiratoeula de sav se eecazt rene nant cect f pnt aves oe 9 macclane idl ole | De acest oft tae sf averiaee paca sto singh ‘ble ej septa de avd peste wjra eileen Bier ‘le 4a vt loaes stra pia sucionea fear moi ba vel plngeael bal Tn sail care exit o defies encores sols samt de spe 8 vel, dak pial feted 0 presone ‘ise pe spiral de salivs poste avea loc refnaea chido ee ‘Spine x mpifn viele commie ca profaeeKologice de ln ka precede af .APELE DE GURA, tina apelor e puk antinirbiee tate 6 ice intervene ‘tafe ae mal dea reduce numaral de meroorganise pe cae acetal le pst elimina fora de aceol sas pitt (Sri, yea) cae wit fore dé tassaee « wicoorgmisaelr ce nahin cctanianes pesonslli metal su ecipamentele pratre “4 saprfeele dia eabineulstomatotogic ln plas, clatces gui cu tel dea rin | fat mie fea min dot is | cavneRvarmLe nvarve | Intervent Invasive npc inci, exces rete pli {4 mucosal ex expneen de tine numa! ete. deowece fevintea bocls te colonize de namersse miccorgeniome, acca cea precnt © mare posit deine « misrorpaisnelo ‘fexogene i cadogese) a sistamal vse lf aie zae seen nd Bini ale ais re os, fut saat) x potential cre fn Prodceen de infect catia see Pg, Ile invasive de mick cle cle mai fnevnta a ape poste rece oral de ncrorganisne inoue a cut sagrin sl pci fn canter ina. Insrumentaral os, spate de deta serge de pe recat on spy vst ce conie april ute ear ap, sav, gs, miorgaief ste deter; cs jt iat ate ve depen pe dstfe scare g se depune iid pe pod, sepate pest evecnae, pe cet ua pe peso medica Aca spray poste cca srs cae eons fn pic Bata eo 10m, neces pea gear cata ema de ‘ener n suntv ce eb ier pt neste spt Indelongat pot aha. Aeron ne ete confine pale nt de apt eae alsin teal pcp al pepe rode de lacoumentrl media. Pentre reducerea formas de ples, sors redaceren scaTl de steopic eos digi dex, evacare sea de weak ‘eeu pices pie | ‘Gitrea cu ape de gurk ex ect antincrobian pring | (ahoconst de codecs 012%, west ecm, povioneiod) post ‘rede neal de mlerourzanome orale pnerte ning prosedlar” stomatnlogice eu isranent sk, ‘Cie ete bee inte de proce ce aint ee def ‘rflice sou detowe utasosce desuece dig wu poe 8 ent eat a line producer de sero spies ded exist stn de cvscame- sspintorde voi reset a tliat dor aol sent ‘Chreneuape de gut eu eect aiicroblan plugin limit is redecares nant de rg fe bts inde. care deste air we sport Tita x adjuvant pace ex vic de ecards taint j [neste intervene asive usbieazatepest tiga! |plse cng opto dor ap dtl ster, ia aestie fest los toa astern male eae vor azn pce tee seize coepenrdte meine ame Bes 2 ada aces nee avrve ext Maat 2 ort de nat ee srt de entouleapecte: ~ s¢ micro scl de eae + misrorananlr de pe [75 me prea opera ci |. 5 seprevoecosuainner mia pesona petrch age [a tintin ie 1s cutnnectetacinte puta 2 perch de mtn preven ‘se tllor o est wisn acct ale soot st 9 Hee sapere minut inere apt desing po maine pert nd se pour pened ta GyesDa erie comprive ale ehcened Me nndaett fa Spal tecesic inva aaa se pot cost pera. Tminal eee ome nai event Sap inerenlr nélngste (evo niu det cele cee, cx aca mal cae = 10% ia inp rvs inva ‘Deis itary no rede semieai semibitatn atl sau aaalsten oferta lar protec spinel poate sige Ue yrotun de pine (ne rope, de rch nes de risa), Deore are de pe teguent se potmalipia ise fata Sapien ladengate, inte de tren invasive te ey pie eit we rc rn Cd se een antes chiral span antici, ‘ecient cai se spel allan, no peso nis de contact cage antimiccian G2 aut. (Cad se elect eee chiral cx us prs p bat de lec, male stile weal tet respite 8 wa spun id romances uxt le apie api wsifor rover atnrbin pe bb elena dap sea once defeat Troe apie inedit nile cele ecipumente de pote Feds (ase, pei oceania, nbn de pete). ‘Ca procedure posers de expunere sot esi te aservepie lava are evi pobbisiea en colas es ve tegument fine eaelr medial nsrunente ial ai ce fea jee die ie (Gn epic ot) Jn Zone cu aces Su iba tah ‘ ate de proces nite de expe et deface stare enpestis near ext um ie pti ict de tne aio & ‘orifice egy nec mete pec oc de wens pe cle agit «morgen ine den ‘ade medial a pce sot wor poeta pee ematlogiee fete eat nae 12 7 ‘4 ok cpr arnt tt i ent [aan en eae nance nr sist ae cre dei oe [seep ancl su npea e E Jere sen [nm wc nape amg cme ah cach a (eo) | teh msn = nti ca re oe) a deme mh i re) i? | sa ati ret a pred a acl ee rear pide aod xi de gp - expe, compte saa fc ‘pei de som inf BA ive erected AND ~H1VB) 2 nade inftaeapainier din ssa medial ee ech peta ans proceda fme vie ‘5. CONTROLUL INFECTILOR EN LABORATORUL DIE "TEHNICA DENTARA, Loe dp cn ae inde satan ents Sees epee ie “pcm weet ten pce grni loners Daan pono184 Nace cole se fa pnd pect wanda, penta preven expmeree eon pelea “oat fer protec orton (arent desi — fa ec) tele a inal a prime Se Ibarra enact ca cia st fe ate desing, al ae deinen pi ce ot ie pg linac un desert de nil ine iat een cn kratr Gute de enact pct ete aa Plot I elzaes propia deck pesomal eel tecbuie of poate echigemen! indivi de poetic (eu. mas. ole cul imbecamit de pete) ae dernfecui tbe oh Seales asl ni tic de deinfetar (ip de subnet, agentes ‘elope, mp de canned, st a interee chinic x det st feteze sablttea mae dang 4 Agata de decinfecte cles su ie xt abt eft seven sal dmasoale a mateo do amrentiiroolt) baie ‘¥cjoccze ft-us iprecoabil (15.30 mou) itoclai ever po ext a continence vr sot dak pa wa pms ares ssa a fost aap elf pbk de od een. enr dsinfectarea propel: ~ sone ores de cca cer pt inte Solu de hipctentit © su pot pez ce ein de foaled 013% sks contact pets @ pron 10030 6e ite, wood ox sn vlan fi late shundat tet itr de ps ~ motel tant din pips (eis due ip Moen, pot inwoduse fy hipcist de soda §25% gent I ort sax aad 0,3% pes 30 dente, Pi lumi intel et dnt 18, Article termoreisteate care via cout cw mecoule le st fepuetlepaieotior lng mee de ares, ae facia de oar ie) ete stent ise de eon ul pce, |) Instrumental de abrator roa wzat pe Ince poece Plena cosa ez, pet, ses, esruestar de fsa)eie sera su devintectat de el inal. Insoametarl crema ie in mod normal a contac ret ce Psst fc ere pectece potenti contaminate care oa sap sla scr (acto. sanguine fe carte st _Petefier de deatoctre de nvel sede | asec de presune i bile de apt cae sunt a sad spect [ces a contaninares ca mcrorgsaiane, thie 8 fe cite i icstecne el pn zi, ar spate de media web te cape A einfcate felon ona de test nae de eden dete. 6 CONTROLUL INFECTIILOR IN CABINETU, RADIOLOGIC "Bape loge oaatlgie tel efaduate fond * Smentle Ge protec pecult (aes, mate, protec 1 oat cle, [ 2), + sedis einen flat + etc sopra peat, (pile de tein spice de ea sinte a inpul dap § Sb egmecs sammie "FP roel de ners peat rein ives nde ts Esai pine cout a ifr ete wmttoucesna ndcnennanr trombone 0 156 Progities cabinet alge > dap spe coesputzoue sar pn maa essere > ae derinfecteart senna det, tal linda ace, Tool de acivre ne opto epee al prt tu derinetat de ve ess gave abst sete ap sehen SWS, > se api element de tr fk de nik fxn "pe pole esata ce or ven In ona det ct Tegument patent Gener, tes: + peiaberloale de conta, + peti coal sa int alo + peseazral loi it det p CCD st inet fp pe co soc de mete (ncaa lit teilor digi et neces tlre de tier de ote pet tutte compete) > setadepsea mins se ead gins crespurstare aio, > beac gi ages pean chp ste (on dct pe sopra ‘oil on a ais th clog) toe lene ese necoare pty rar exper aig Hoe de eli, see pr-ene, lr de a ime etre 9 us espe dn pai cde wih Fa, ‘> oe apa psf cam echt cng de pmb ger icin de protec: > sespall ole ape maui deconslae, ola. mae slotline meat de roe ini > se relies expencren rail ' J jchepaaninaceneintennntet 17 Dig pee gt PEST ot ee hue te — t ' i. | | : ' A > dae van flo fie et vel de protect se apt Se fnpubal de plate, > ae sa fol fie ca veld rte (le wana stool a msi paste) + se depose ial va yervelroup de i see {sewed ile rans pe ives de proteti + Se-onince tveapa oe protean 1s ove ‘tar in Vala in nae od noerose 2 ia (erent pe crite beat); + slant ca ely psa de past, etx Laing ‘ce miei contaminate; + Setndepan veil de protect se va proces ct degen afc, ‘> selndpieast nie ecpamentl de tei, > se reaizaa ge coepantone amor, > setadepinien arp e pum toler rin de pote: 5 Se aplea minut de comalise @ uenspet ict de plc x mal camer bcs. fn canera obs > dae sa fol ie i ae peri: 2 se ese sali exter lial aviod pit ot ingen pai Sai yt Mla st cat pe un ene cart eh + Senden magi x fae geo sor, ‘se pocesezt ial dp tees prope, > dct 2 flit ie xe de rece‘saan ala. sin ete ith mi dirt 19 | deattcth des ajo) penta serafeee de me din cabinet se dou wig de tant 1 Dinitettaie pctesce rine de abot. 1 Ofvnc us lstoric media aman penta cas oes de ober ample. Preeti din tap so slic personae mec emir {paraturd se chipa meatele medesle pe cee eliza faci de peal arlene, Alege nsuneatr nce rata consti insite de pees rei pe ane our td ne pn mn yn eae sti PN ings pack care uote of examin acts ange j)jpssomes mtnesle tebe 5 he sebimbste inite de examina + se desc ambaajel exe l Alma ond ss de coeoliie cute, + ne procs imal up tec ropa Prepon cabinets radologse pent © aoa expunere > se tideplitar element de hed fick deol sai elfen surat puss aioli, > sederaublect sstemel pxtenzrn pre componente simi ene dup neste proton rice expuncre falaligica lurionra trebule sh werner ‘scp tapel drs ni ss Iniferent dnc exten pacer {J.PROTOCOL GENERAL DE CONTROL AL, INFECTILOR Pornind de Ta datele’ de prezentae, prota general de ‘nro a Unfetilor care tebaie sk Oe aplcat int-on cabinet de medio dentara, cabinet de radloie tte entra impune ‘sens epetaren urmatuaree tape: C.fo tinpal tratamentt ‘Tratt tot pacent ex poten Ifa (ea preci eye ecient Flee de praltile cai ce) eit echipament fdvidual de protete (pura ache rats co mine lng gler fal an Dae de nid foot pete Pint dest, | Pua element de rte ocala (ccbel ct ail msc Bn de rtamentol patent ‘Ocal ou tent de baer end se emcperd cut de ‘Una Seooeae in gorse de apt ale apsaalak der sorpn ov membrane conse pce ea teva mina, via fn snp conrelilaagte oer de proce & Fost barfere Mice pena pete! cotaniaren proved Sars a ear ale Se dexnfectere (tet qk ssrupstn x metre coesperatoe, [7 4") Ushzyh acl dew leat ode ce exe psi ‘A. Imunizarea Tote cacle meal wee fe imine censspecter |10. es ne, Txt) made wie float exmem obra pent & mail nce oli otal contannete Br aatinge det a Toei mace dak 9 umerete de a respi ae ck ote wih pti sn cnt. Reduce ais fare de et de pct, olf vt sop, prone ce ie logic. Real aslare dno pin taco cdi Una prt chine (ce it eeu), Prot ile {genio nae inte dp indepcarea moun, 1 sina mtnogle a ecare paca. + mv nis roe, neu prerte, ei tie mir, "ia lezen strumente ast ipl, ia 9 Gecontaming on stab samen sent + indi ope naval ace de sin ent setopenze seclr on eapcalprtese i mst ste eta taller ev acientele {hed reaplonea apni an ete reaizabit spat acele 3 tlecopeste pes cha fet ce va fimanipalat coespuacton, + apt etic pling ome ance lone ten repeat rece per | | Dap tetantl packet | ala nat mene echt de protein pet decors iaseuseats,epaat opal da ; ‘tect sooo ‘Car desta near semble see Seria instrament fo poten este mol sa es nt ieee ein te 1st + cfd ete posi tone ere cae vin fa eat x Miele ‘pone iv menimcle ancoae ae pac enu care a8 fort connie de serie pacino, 1 tate etelaie san liza odeiafecse de nivel eorespunetn, + nitinol ears eu indcntr ilopicl ‘contamina pee de mia ol evacot ihe stagnate taba de ap: isis entineae gl ge mia eh again, fine de wi, stron lasooie,eingle de ‘eeepc 2.9 mine a ewptel Stele ear 20 30 secnde eg de ttt al pace +e seria de der, liza eng! de ep de i floats ac a efecra ese tent slezare sua cel pin enfetre de nivel cepa, + cork sez isle de mi Manipulate get nrrumentaral ascot 6 wc flsn | oot insruneatirl srt tact (at, lame de Ns a comtinere ‘eat a ptfore sete de rocesrnee, ‘econtaodmat suprateee de medi Fy Tadepit lessee de bint Reet de pe spate de eat: + evict acest apace cv un get cimic cream + ‘etna terse fee de potest de pe unio dea, sparta ticle. [eg Denne snot erties 6 dene FE sopici elotle de ocai, tate eae aricole evr f tine i alco eel dear pee102 Neca Rtn ont ub ii ee maid art mtn tr denier opal cna ine mt eit tel wate pect pera seen) rosa inmnd orposit deter onaminte +a deere ese segs fe seep. ied serge const tna ea deere, + ps ede mde tite ce tage av se femeni ia I CAPITOLUL 8 PROTECTIA CADRELOR MEDICALE © Pia de fat x caro mete wba oto pare Fegan pogdr de onl lif asia tlt slate noc bie de wed dent 2 Te medina dear, tee! de cadr mde (CM) deine Fe pened cae pin cen prfesonalt st ptenal expe se nde a contctl ca mater flog (infetate) ice ‘sonal medal eerste; ‘eves in boro tec dent, ‘eons estar caine logic eons aula (een); raen ea, dee ace deat sa ecole de (eho data, _ Misr generale de protec cael edict infefle ‘finite cael de meds dentart sut rupete cn cee SAPS poet ik ania “Fie + lee ice etgaent de protec penal;_ anise Aen iano mena 16 eed + educate matical cotina 1+ soe de apr i sbcdate a icdeatlrcidenior co se delafese; 1+ exsizce cabinet pen oda deur, co de igual 9 iaren cor fii corypaatowe penta cnr iat, + ese cota estate la ccs (ca pre 4 progranelor prune de inte peat asia otra ikl, entitle de medi dent ete ihe Jescs moda pol ede pose, sinbol— apn nse lami a eis core pemanete cloner de be ie Tacice cbiet de medics ented modi der tubule st ‘easel inglemexise si pane ibe fn cone eupoto- ‘cole replomentie de contrl al nfecilr ca sigue rtetin tite pecenilor et eadilor medias inp atl rape 1. STATUSUL DE SANATATE AL PERSONALULUL MEDICAL is aoumite cca mele pei (aus msi, se a tegunnicr, gril, eae po ce preprints « cadre medine daa asses in In oot a pain infect. ‘Ananite minopee de tstmeat qi procedud edie (decontuian, fines) pot rate de le peel med fect a coi de epi sguaat, i inp ce abe proce pot rez nie esc al peat peor pene pacient. ovine tl ami yee ei tt us, ‘Macape cabintelor de medics deta de enervin ges stltn nton mod eae respecte at * ep ta mans a alacant i a ete stan dessa esr a ear pce. °° stats mun ee pnsipall factor carter fa proteia inet det eat 9 li ator ce pot aven ace fet, depress neta a faflor imenire ete elemental major cae predispane © pou Ln infer | i | creze si dacd sunt implica Wn activi de contac cnc sunt supusc 4 f ¥ 1 } repens cul dea idee ca mare a exper ccapfone CCoudile prediapocaste I ifecare uoasim accepte sant 1 Seaopesa tare de cic! ein cu chemical malign), malin uenint nfs ce predic iano defcete (UIV-SIDA), ‘Staeatopumentelo este easemenea import spot bs Inc, deoarece atest loc repent bre mst de protetic fc cea ma fies “Togametele mile care aa sus integre sa pein ae endaive san scene pot fag eoloizate de miceorpaisnsle tuoiate ttmentclor mallee, care pot feta eau ou sare de ett penn motel Ene seca sor cn eat lfetat, operators evi ars F delat peu pen 6 pea pesos medals (Cele ma eevee sitesi de afc tegumentr oe inetoase Parente pot event secu afta) gi cae pot prevents sca de i FGravis presipmne ose general de tase pcla a ‘etic late anumite prcarispeile peta clini rs de late ocwpcas ex aca pstogeni cae po rode afc rave (oma congenial) le prod concept ‘Testarea stil desinatate a cadrlor medile eo stonsologc, sat popee tei mst eri de teste ‘nla ass enol de aia allo medial ‘A: Brluareapininlt erin tatu ni de ool. ogre fm deri sche tere seen Speirs ight eth. d conc te ie rec de care ‘B-muntarea, ‘onte CO elmave wel pe inuszate pets HVB, HVA, TBC, git beat. (Cesare de abratr, Dato evan fn poole» TBC, ee ogni eres DR tn tuberin i especie pent’ cae ce ten pce lusiuonalia exe mee eet aah ‘a angen tnt-ua cabloet de medciod dentars caicle ‘motile tebe #8 Se evute da ane de volte lst peocale de ‘lati apt ep dt sora se petra ace ealatd. Pini fecal cae webuie sme ics ele uel lcci de einae asl de nate ender mete set peeaate taba 13, [Tere Raton, |-Obigsode pees Co fae Mae Lona a licensee jars fenoen Meine ficeattenim [SSonstarnont sen ime- pute [me ie! [cme [eae as [wmrm eae levers fexianiowace | creamepareuaa,s, jrmnie se [cet nerrting ton ere pane efewse (oar ania emu ana mine wy feresmtomany fim vc nnvamn feat [eee : Dh A cette uae swan vce founmne {temse gn onda ie ce [ohn mt =r om exaliav pore agot tatanent de speciainte Ws hacin tena difero peruse frm peat adult1a Nestor maar ecomandats personal cel 1 Vas recombine HV Reprint cca lect mod de pro a neta HV find cout de sec parisien toatl te nat pet CM ieee crs expene 1s cotaaae ca singe st fade cope de Ia pciea, cx peo ‘major in amine paso cu isi de rea anflacice In roe de tere; nv reduce efete adverse aapa feng gu ete conrad aide one st a prcee cars ua de infect ca HVD, | fark a protoce eectekagetce saw adver remsifeatie,ponozll | neil eae ast cote pte fect capacleah teal ste {ea 2 in dps teria seed aca pet ae dete apensal secogc ‘Schena de aise presse 3 doze de vein adalat Intnl toi a a lad ap pia ee 3 an ps 2401 6. 4 ‘Vesna de urge se face opt scr O42 x ape 12 lca spe cas in cae ate ese ml ne 1m | fe fever wl ss ma mle opel Exit forle mie de imam cu vaca biveeat peu Ios ld np prec fie > 10a eid ca a ee | ep de ip A Be area scr adit ea cen prea sales 2. Vacinaroe TBC Insnaaes BOG (sce Cate Goer) ee fed recom rote neg popslibe peat opi pen al de ace sel oma coder fein in peeves tense MTB, mt ma sla reves female detect conplt special a op sn nisi fecal mein rd 1 ‘Se foc, n speci In CM a carter a tabreliod IDR) a at ‘li negative sau tstl Maton este wept snpesachaen ‘acces BCG poate fii ge preven info CM ei lable de MTB ce eieats crseet a wedi unl ea ese rent In cael COM eu odin congenital sn doa. 4. Vacin antigravity wx parla!) ot int petr CM cae ae cota ae ce sc est te cae lastezk insta de Hngagre «uno ascii coi, de foenmea exten CM cate cone media fvozate vps {hogs de nl Se aniniivn sual © waged doe nomial anna de fora eal (vasa a ase de tpl 8 tapos ‘uciaa), doph 0 anand steal co excnde istccel ée tienen de ip antl op ingen de oa en rote do, ‘Powe faint ravi nal ea gil 3ea times de sarcnd neexstind date despe riscul matern sau feta al vaccinii cadrelor “endcale grave cae rete condifi medial ex se eect pena compan: pg. “4. Vain raja (ru a) at diat CM caren monte tual, doh sau cae “it dagnovicte caren se adaisteat inl doe sbeuan, ‘gest eo a2 dos interval do loa ‘Peeacanile majore qi contrandctile sunt legate de saearte sai + pride + stain dete + false ca HIV een infant mains, temp nenoeeresom 2 oon: atts, amie0 art + tape prin ime. nrc de enti anfletice p+ ingei deglatits ‘missteps 1+ nase rede de nwnogoblie. (Ce mai rtsmandeit forms de vesn exe cl tvleat— poe, | con, rte, males patra media ere ate pica ce | ‘se pte cin grep i pt cele el fc Cate mene carean fost mnie ev vlcn eves insta, vin vrs activa aa evs ct vrs wns cum cin de tip ecanomat, wr beef de reraciare ou date e vac x its a oven fn ese iret ain in nit a 1) crest ininear 2 eee en era de {spn csc pe en ete pe fi cet sa eat ae pn apse tag metre —— aa ‘At tga ct cae madi pve a ia de a ‘ee me eau ns ee el (CY, HVE VG {fyi ei ax) x pe oni Goa oan ict ties tpl ea ela tao te ude pa wb fof pra ar mete de te sp, pease em repute des ikea pond mee ep ou ets Tat cle me de x eae eve cop de fv ar aed on ptt aN, ste aoe, euler oferepsbitatea de nnnizare anne de. deyent pavide, 2 Cale matical gravid tei ede pointe de ama s anusniti paciengi care au infeeti specifics [tn icone eons stmt mak st pve nl cone cnc me ad op pa ee ee 5. Vain arbi (ris vie) Este inet pes toate CM scepter tba), chor iit exteaecanoseut sk pt serologic eons In Moines enei dove subcuta, cx aca preci more 4 | omnia ce la pj. CM provide i memes vais sav ae vin vide interval 5 la de momen ete he informate espe riscol terete La eae et expat fu, dei el = ‘sallrmair slate te considera uphill so amine coe. 6. Yoein petra vier urtan stint! penta tote CM suze vast in adit snc daze nice subexag, cv ace forma de veda trivalent ex pena oar pecans ca aul, 7. Vain varices (in in) i ce infcat penbueadrele medicare ma mite str doting (rin ice) $h deoarece T-93% dia penal Ist de ont sentir serologic nite e aca te feces da pun de vee eon. SS TContimares immitifit la rabeolt este de obiced o parte a P yao media deri pestle,CS — tinal beniesicseae Ribs RSNeWateaige! tunica? neemaaec STE Sar TS m i act rubeols se iaslears i pi mera de srt exist risa pci de moma congeaital ever coi Dia atm, stl sacra rel eb velo es ‘adie mei angered pei pt faut fe avi ep ea ep dic ace ant pce sa ei lx ete ab lille depress, teal rea omic crespsione ‘Vaccinaea peau reo uebuic eit in pone facpete de sarcn iar cone teu eenitek px 2 fn dup wcrace rss eviaadhenes de snine aesice cage cop Dect se copier cee, cade mele ptf te pea, | seco ap 2 fn de In nine vein pot fe 0 ‘evaeie dct eal test scloce sot neatietowe Profs ystepoere cu inunoglobalik man pomalt x va reve nectar Ia pesonee nema fe ate, tee mcd vale Jn prota citer medal gravid expe bel ‘Ainstwe de mnogu man nomals tebe eats“ oar ct eaeaes ul avert cont confer a te | ‘cpitoe accept de ma, ise va raz it mai reps pos dope ‘xpos, smal de tts secogiceextine pe dna de Il dele Hepat . ‘Tescle prema Geran eect peut x cofion stil finan le HV sunt foate ingore pate cadcle medle fem, deoneeinfcare HIVBafemelor gai refi ata te le soul tat Deowtoe lips de oc vocal pats VB pe tu a fom deconstals pe tea unr rei ample, anise \wuoogiobaint HVB saa de vacin atlVE se coset actual ea corp peat cade medial pride rein cn msi ine olin a as Tobercutrn| Doc inp cn se declngeato form eid berclod, Se indicat tenps sndaed mtbr Govind itp J chau dooce ee cesiert af fet sa pest ant op Ctegabvews Dei vl fot seven oi ia sive uae cade laeile pe tua sailor f cae 0 fo implctecadele media ‘aide, ea ptt costo acute «CMV I "Tm carte meaeate pavide Wetec 8 bees a swe ine ete eld ev CV, al ase ee hee pti pent ove itt Varies De ifr virs varie poe fa sere ics Peo ncdrle mec pave, ad cout de fac doar in idee medal fen nea init mat, teea pata sata nia es robe de ope iain Dac fect ve podse pine 20 de it de saint nes ea inate pt roduc oeasol ot apres fects ae aa 29 in xh | Sera viel feet a 9 i peste fea) Whine ale pot evden de oars coped relat a 20 de se (Cem pen prin da cata rae nee egeceno isu ae naires pot nol ga. Vacs evel eet cemande elo meile galt panocke res fort an ei 9 tateJi ese eam ein eit dnd us Ded gravida code mascalee enpa acids tele ste ‘sinister imenoplobuine varclice (ev imunoglbutne wane ‘ume oi rimel, asin 96 de ee exper. Adastra de Aciclovir sas meiaest arate (vs a8 "alive pene antamentl afl ea vw varcel oer se face oar dap cosa de cae medical specs a ol ines. fat de a sogem amunite rege de cru g ptocule cae tbeie ‘plement exci eabie ematici dena a vedere: |. De atemenes, presentares mor elimente de profile post |expance poste aus electra ttmentaa «atic tree Siow pra rece su Kai cal de infin «exer metcale a oxupatonle. Infect cu parvoveat Infetea ghvideicr ce BID sale fale ale sain pote Spt oe es acs este port, cele medial gravide tebvie st evite fae cate wate pace HIV+ penta cacrle media neimane ‘onatel ce persone inecateex provi fee fe de eat a ‘rc, cu excep evi peo laenonpest exe pot aves © nll de neti ria, se neces spate ate «male dap contact a ice et nda coat ev aon acestorn 22. MANAGEMINTUL EXPUNERILOR OCUPATIONATE Leghitlaewndncas fm vgnars(OMS MIAO) «abit 0 rahare sol de pari expunerer ocestionale (apart eat de menct gi ls aivinten press de pron mec fence de conte stgee re cer 1 cont pemsnentineviil content M1-costctimprevati coo, Teo inerisent Activiile specie ena cabinet de mods’ dentrk se Snes pile ont capt ees pares permanent a “a ‘Paulo ives ‘Scop prez dvesclor atta dps expat ssn ‘suet nso cae se yo tans nad stentlr seco 2 pm de a epunee vaccine puta HAV. | can tect 2 spam el expencre poate ans doei ib 6 esi ~ ninsttave de imanophbline omne nomale ed 20 {reat 17d expe se vse fn interval de 2e eelexpunere, te seeart imaniznes rr order medias eine (estar on ati — toate cade media neimune treble fle cise dee coca det eu pace pats el puta 3 ie de pit ‘exper pn lave ap in expen sa pod 7 ile peri obi ac boas 2 inl ‘ote ec anise Ge apogee numa ct ‘ua pid dap expnee elo mel vie ens rec lei cu fei incogice. | Cale modicale eecetile In tmblatie st ea seftzh | meine pot fh esetnate avi cae peso cost | inc direct, altel, pat este vacint saw primete dor de | ee Tmmogisbine Ia interval de tip pect, eadal media post ace din cine pk i 14 a dat ne expos, } Meningie Poa eae mole em fot implicate a conte cnce | esate teu eu penne intent cane ea | enivere profi: | — chemoprofilaxie co sifsmpicies pentru catrele medicste I epi: ~ chemoprie ce afta ne cpoionacia pent cae ‘compan cence) { footie ravide (tot cloctlr adverse msi reas oti arse ene Pein al ene fre ti net m Rabela Esterecrsndat testa sero ptt asia CM cae tu beoeicint de ada de anogobuline emane noma ‘Sant recoandie presar! waves gpl pet CM fravide mele (fi ifetre tla simi), I cae se ‘Mais! pee dp exper lmuaogobtine wate nome (eae ov prev ina ttc ar prelims psoas deiner, pos tact mara acl peat fi nea groin singel sie eon te ale eset sane tei fe vaca ‘Cale matcale anaes exone Erbe 6 he ecw de Ik “tt ice pce de a7 ile dd pia expanee pd Dice Aap ia expnee et cel poi le dpc pre ah al at boa sale | Varies ster | te ecomsn terre cde medcle reve pata nice “al WW pe tas nk ep ELISA eae pone deci x cere petra ancora opt inet natural (ae dp imei) Peas eadele medile care raat ecepsbile I aflrile co ‘vss su recrandate prenyi sive ofl: + adaotre engine aie 2st te nal interaial de 96 ore de is expunee su adniisace de Tunnogicbie mane normale duc a extn opie uuopibuine varios ~ soe, de asemene, tse adele ‘mefeedia tebe tf nia, ‘Toa cal medclenimane expuse tebe fe excuse eb atc det cu pce pet 10 ede api expec plot 121 ah den tia exgunr, 8p ead tote ene se sae in sts Incareboals sevenma eo ton | in foment Ninel det 9 7 3. PROTOCOALE DE ABORDARE A AES + exquee prelas ; ~ soles met tit sa zone co sip gph cle dtc ~ ile de atieice cx sip de cout isin Sainte cogent ati, compe fot in se demic ll 7 a eit cette) + ese Intent singerarn provoati™ pin spre Acne pat inde mica! ce Yor veers ‘tse ving, > pees 9 eeeteeg Cee an 6 pap |) sendy de mou co pn sc mal ck | Sco dct se pout ele de cnt ia ee Kine | Dato Hacer etal impli, expusrle sects I Stoel (ABS) su ide ctr ale peje sm concn epee ne cae sat ct nr atl de ae Requlancoele ate ale ec eine de medics eats shoriea acs incident ecdeme eae tele pone amen primar shitter chr medcleexjeic au eosin se roche impli hres ops ema -conducerti cabinet stomatologic. aan : cl psec ce oe al “aberdea tsp loo wt dept de | tate idea (ec sts ai, épewes Ge 4 essence ct) | Ns ete tiara pot cre soa fete» ane [poo peice dec apa soe ma er cA anil se eslsfcate pt ins ties mab igh placid a Fle devotee | ®tiberaea tempore i servic =| Pesomaexpsd tebe elierath de oe ndtoril de evi, ‘ind ra de nla sat sepropramal ~ ncaa a ere il denis fst exp. st manoptele de deventamina,iakenere ‘tla oak persunt ~ tn etl ncidetlr in ene ee pent poll media ajar sas pees sui, ‘espn activi cdr dale a cur, evista rominensh in vigoar(OMS 9942008) gapears | ‘cap me eu ems alec A. Peo autor . ‘Scop pes sc ee dea mgr contac x oe aget ine tans pale sng dap expe inal yeep, “exper eta § ~ splae imedt ri sn «sone tire dap care 4 ~ tar de atepce cx tap de covet isin § tins Goa ligt ia, comp tet ‘la demic sol 7, at defen etme om sea fap, Sc. Ryatorea cir = _Dupl sine piste, cap cn ma impr ete de P cae «rensiasi exprne pe bara clea oe va determina ac de0 een sina tel erigeseen e ma ‘rasaiee pe ele angst aenilor fact se va dee dct sini pola! (mecca) post expunere (PPE) ee asia ‘valance portant deere: inte pic PP poste preven! o oa ce pote eal, = PPE etd bie forte const, = PPE pte wea fete socndae seni de acen ete nese dnasoren doar neal ne ees al I cvfuare grado dered wanateres os getinefios ~ tpl de sak coor ota sage su fide corre ipa = ‘tmpel de cst usage sas Sided erpores = damtaces teat de nexpnee, = preceafa suid de singe ate ssbsaje copanle pe Isreal care rds ier, ~ ial de aramet pnt ta acta al ntramena (et sl acai imanopers be cae 9 fo wat (ase, extrac, eens) ‘endadonte, eet tha ce wot de wires steunentu, ~ ack nies a fst dict pis echinumel de protec (osu bal cheb de rte mae, Risa de exguere cages inferior asm pe cl smgvad ese mda seas peta pexsomele care a contact ‘alc cu pact darma te Lat dors cea, pasenll eel | Shitlor soe penal solar pnd epul uma maiplis lnececte ines: meal sin rexidaslor entuainte ot Hogs us ide copra le piece. '. Profiles post exponere PPE) Deed expences st considera seaifct (cpa de = ‘amit pe nfo peel avin aca rsa et infect ‘ei neptune mesa aerate eats IV, SV, HVC tenor, Combest alicameniat doves x datas Ge sdmisstaecepind de sta iia sunt preseise pl adenine oar de ctr edie special! n ball inet, Pre mV {supe enmne een HY oe cami suse, PE ct tomentosa meson) eis ae = PPE ~ HIV secomanntt ~ pet exper pecataatt fk ge aa fside cored pote inert ce rset de tenuitere HIV, PPE HIV ~ existent (6am eomandat)- pest expe tle weabeaelor conse ocale san ale tegunentelor | neste la loge sn decorate pte infra (se | tend anemiere 8 HIV, [PPE HIV ee petra eiceexpncc lide cxpoale (Goes alive ect mate ce soge (onset potent nett ex FIV). ‘nel sti av ath aitca de Zidovudine (deme, Agi) redace in sounsite situa rscunte de waosmitere « HIV dupa 0 mere pion, dave a ds wns cel medicament, ‘eh sa nee seit socenvei [.)Deowece ttaretal tual pei HIV pespanesdaistara e teal combate, pnt PRE ucbieintdennen prise 2 sa 3 stent antiezovinke~ Zidovudine, Lavine STO) te expenes senmifeatve clad sara este euposcuth a {ase toda ato grap de ie reset pot iia combiry eo, e tel setae antiovial,ncleed tn ace de tate! gn initrd rte cal cae CM exp eid ot mene ua amet police Postespoee acta teal cet a ni 2436 de oe ep nies, epee piel 2 oe act mcs posse ined» eps emi eace ca | Most Jé mesicamente anirtovinle, tebe alninistate tei | ‘2idoeui 00 Combi instaad ater PPE ctl epede pot Insist de tneepe PPE, ebvie diate cu pena exest > Oprereatare daa 2 riscutr anescr mtiamente; ee eerie ain main a as Ih statin exe cadet mediate operons vip eapunerea |p singe onside senna pera, cabs prin montane | ecwale uu feu sles PPE, deoweee deed se poface F seceonvesia tng xn il dence el copa ees 1 Nacroese sai au nicatoredsee stant afer de a ‘aa eco pin ulizrea pola la HT, condi a cae un mse spent infin stile un ein men oespezite ce 6 rtd saul ntreovil accepate cage penta anise inemide 2.PPR- EVR = HIV.PPE eno apie expect, : ’ £ Pasonce expose carl ttle solgie precedente expect Maen, he tian pea cmicrcemens ES a seman HV feel mr pet meee cae ee sienna de PE. ee rer —— sont Ie) a — j Matuslal ian al adruut medical, ete recomendatl adniniraen de euepsie ep intra de tin eo eaeree am ‘Daca Ia testarea serologic CM na prezint® enticonp la hepatita B "Eine edged font eat ee ~ ei cae ec ace; 3040 pec ce Seve de FFE, av fnreapt medics ditt eer f ene ; ~ npocabtoniciae-efcateslmeted mutt; ~ penis eps nti ot came ie inte mai Ble clnce ascite, meet (eee ecu). | ‘imports edt eserexaveni, ~ ave sin pine PP ~ PPE ete odes a pase engie pote oti ac clade de. te scsi ca ps ss ae apc fate fof pet ipso, sta expe abe ee eae ealamente anv pad en ete seco THbeAG devine negti, far manopercle pe eae le reaiezs, tole rca aiverle, webu ese dap 0 aprecere Ya a tale de lacy, a expen opens « esta tere Hepa © Renan eal poste cletia mazopee teapnice splicing cuit vaivele ao ae rest deca det nal cre es