Page 12 - policy and procedure infection control
P. 12

Policies and Procedures on Infection Control




                  1. HOSPITAL INFECTION AND ANTIBIOTIC CONTROL
                      COMMITTEE



                1.1   Roles of Hospital Infection and Antibiotic Control Committee
                      1.  The Hospital Infection and Antibiotic Control Committee (HIACC) of MOH is responsible
                          for developing policies and procedures related to infection control and antibiotic usage
                          in the hospital and its affiliated health facilities.
                      2.  The HIACC will act as a source of expertise on matters relating to infection and
                          antibiotic usage.
                      3.  The HIACC advises the Hospital Director on the technical matters related to Infection
                          Control in the hospital.
                      4.  The policies and procedures of the HIACC should be in line with the principles and
                          general policies set out by the National Infection and Antibiotic Control Committee (NIACC).

                1.2   Infection Control Doctor (ICD)
                      1.  The ICD is the Chairman of HIACC and is responsible for the day-to-day management
                          of infection control in the hospital.
                      2.  The ICD will be appointed by the hospital director. The ICD should have appropriate
                          training and experience in matters relating to infection and antibiotic control. Infection
                          control should make up a portion of his/her daily activities.
                      3.  The ICD will refer to the HIACC for major matters of policy development and for the
                          management of outbreaks in accordance to the major outbreak policy.

                1.3   Chairman of HIACC
                      1.  The chairman should have the training, experience, commitment and seniority needed
                          to provide effective leadership of the HIACC. A senior clinician, preferably with a
                          background in infectious disease or microbiology, is best suited for the position.
                      2.  In the absence of the ICD, the meeting will be chaired by another consultant
                          microbiologist or Infectious Disease Physician (IDP).

                      3.  In large hospitals, a secretary to the HIACC maybe appointed by the hospital director
                          to assist the Chairman. The secretary maybe chosen from the members of the HIACC.

                1.4   Membership of the HIACC

                      The members should include:
                      •   The Infection Control Doctor (Chairman)
                      •   Medical Microbiologist (if not available, scientific officer in microbiology)
                      •   The Infectious Disease Physician / Paediatrician



                                                                          Ministry of Health Malaysia  1
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