Page 19 - policy and procedure infection control
P. 19

Policies and Procedures on Infection Control



               2.4   Types of Surveillance
                     1.  National surveillance
                     2.  Hospital – wide ( total) surveillance
                     3.  Periodic surveillance
                     4.  Prevalence studies
                     5.  Targeted surveillance


               National Surveillance

                  Type of Surveillance                        Methods

                  Targeted organisms :      Results collected daily and submitted monthly to Quality
                  MRSA / ESBL              in Medical Care section, MOH
                                            (refer Appendix B for sample form)

                  Point Prevalence          1  day prevalence surveillance, hospital wide. Conducted
                  Study                     twice  a year on the same day throughout the nation
                                            (refer appendix C for sample form)
                  Needle stick injury      Reported yearly during the National Infection and Antibiotic
                                            Control Committee meeting.

                     Participated by all state hospitals, specialist hospitals, Universities hospitals (USM /
                     UKM / UM) and district hospitals providing microbiology cultures.


               Hospital Surveillances

               *     Choice of types of surveillance depends on the requirements of the individual hospital
                     and must be agreed by the Hospital Infection and Antibiotic Control Committee members.


                  Type of Surveillance                        Methods

                  Total Surveillance          The most comprehensive surveillance method; it entails
                                              collection of data for all infections in all hospitalized patients.

                                              Monthly infection rates are calculated to determine
                                              overall hospital rates and rates by site, care unit, service,
                                              pathogen, and surgical procedure.
                                              Advantage: this is useful for establishing baseline and
                                              comparative data.

                                              Disadvantage: requires enormous amounts of time and
                                              labor.




                 8    Ministry of Health Malaysia
   14   15   16   17   18   19   20   21   22   23   24