| MODULE 1 -
INTRODUCTION AND PURPOSE FOR THE COURSE |
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| MODULE 2 -
NOSOCOMIAL INFECTION ASSOCIATED WITH CONSTRUCTION AND MAINTENANCE IN HOSPITALS |
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| 2.1 |
History: 1970s
to present day |
| 2.2 |
Current State of
Knowledge |
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2.2.1 |
Incidence |
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2.2.2 |
Etiology |
| 2.3 |
Airborne
Infection by Aspergillus |
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2.3.1 |
Ecology of Aspergillus |
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2.3.2 |
Mechanisms of Human Exposure |
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2.3.3 |
Diseases |
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2.3.4 |
Risk Factors |
| 2.4 |
Airborne
Infection by Legionella |
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2.4.1 |
Ecology of Legionella |
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2.4.2 |
Mechanisms of Human Exposure |
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2.4.3 |
Diseases |
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2.4.4 |
Risk Factors |
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| MODULE 3 -
EVOLUTION OF BEST PRACTICE STANDARDS FOR INFECTION PREVENTION IN HOSPITAL CONSTRUCTION AND
MAINTENANCE |
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| 3.1 |
Timeline for Development of
Consensus Best Practices |
| 3.2 |
US Centers for Disease
Control Recommendations |
| 3.3 |
The Kennedy Checklist |
| 3.4 |
American Institute of
Architects Guideline |
| 3.5 |
Health Canada Guideline |
| 3.6 |
US OSHA Technical Manual,
Section III, Chapter 7 - Legionella |
| 3.7 |
CSA Z317.13 |
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| MODULE 4 - THE
HEALTH CANADA GUIDELINE: APPROACH AND RECOMMENDATIONS |
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| 4.1 |
Basic Approach and Premise |
| 4.2 |
Types of Construction and
Maintenance Activities |
| 4.3 |
Population and Geographical
Risk Groups |
| 4.4 |
Risk Assessment Infection
Prevention Matrix |
| 4.5 |
Infection Prevention
Measures |
| 4.6 |
Some Issues / Problems with
the Approach and Recommendations |
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| MODULE 5 -
SEPTEMBER 2002 LEGIONNAIRES DISEASE OUTBREAK AT A SOUTHWESTERN ONTARIO HOSPITAL |
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| 5.1 |
Initial Case Presentation
and Clinical Case Finding |
| 5.2 |
Occupational Hygiene
Investigation and Outbreak Control in Accordance with US OSHA Recommendations - Actions
and Outcomes |
| 5.3 |
Epidemiological
Investigation Outcomes |
| 5.4 |
REA Protocol for Water
System Purging and Sterilization |
| 5.5 |
Issues Arising |
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| MODULE 6 - ACTION
PLANS FOR HOSPITALS |
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