Page 159 - policy and procedure infection control

Policies and Procedures on Infection Control

4. Alert all parties involved of probable outbreak and carry out further ICN
investigations such as screening of involved patients, contacts
and an environment microbiological samples to identify source,
reservoir and mode of transmission.

5. Produce report on the outcome of the investigations (possible ICCT
primary source, microorganism, magnitude of an outbreak) and
recommendation immediate actions to contain the outbreak and
prevent further transmission.

6. Discussion at the ICCT level only if it is a minor outbreak. HIACC ICCT/HIACC/
chairman will then inform Hospital Director if it is a major outbreak. Hospital Director
Declare outbreak. Recommend closure of unit/ward if indicated.

7. Check if infection control policies and procedures are breached. ICN

8. Administer outbreak control measures according to the known ICCT
modes of transmission (airborne, droplet or contact) of the
organisms and appropriate source control. (contaminated TPN,
chlorhexidine).

9. Re-evaluate the outbreak situation and effectiveness of ICCT
interventions. Take remedial action if the outbreak is still not
contained.

10. Announce end of outbreak when no more new cases or the number HIACC
of cases has reduced to usual mean control limit. (arbitrarily within
1 month)

11. A final report is produced at the end of the outbreak. Recommend ICCT/HIACC
on change of infection control policies or procedures if indicated

12. Disseminate report to all relevant departments. ICCT

For community outbreak involving other healthcare facilities consult ‘SOP for potential infectious
disease MOH 2004’Public Health Division

148 Ministry of Health Malaysia