Page 139 - policy and procedure infection control

Policies and Procedures on Infection Control

2. Dressings should be removed in the hydrotherapy room and disposed immediately.
3. Patient should be covered with a clean dressing towel before returning to their bed.
4. The Hydrotherapy room and its related equipments should be disinfected with high
level disinfectant in between patients.
5. Patient colonized with multiple drug resistant organisms should be cleaned last if
common hydrotherapy/ shower room is used.
6. All wounds should be covered with a clean dressing towel until the next dressing is
done. Aseptic technique should be followed when inspecting the wound.
7. Wound dressing should be done under strict aseptic technique.
8. Dressing should be kept clean and dry to prevent contamination to the surrounding
area.
9. Wounds that are left exposed such as face should be covered with topical ointment.

6.8.7 Culturing and Surveillance
1. Swab culture should be taken from the burn wound on admission from patient who is
being transferred from other unit or hospital.
2. Tissue culture or tissue biopsy should be taken when clinical infection is suspected.

3. Routine wound swabs are not encouraged.

6.8.9 Antibiotic Policy
1. The use of antibiotic should be tailored to the specific susceptibility patterns of
organism or documented infections such as pneumonia, urinary tract infection or
wound infection.
2. Prophylactic antibiotic is recommended for immediate peri-operative period during
wound debridement and skin grafting to cover the risk of transient bacteraemia and
should be discontinued after 24 hours.

128 Ministry of Health Malaysia