Page 192 - policy and procedure infection control

Policies and Procedures on Infection Control

• Ensure OT table be cleaned with 70% alcohol after MRSA case done.
• Visitors shall obtain permission and instruction from the duty nurse before any contact
with patients and practice hand hygiene after contact.

Four categories of risk have been identified as related to the potential to develop serious
infection as a result of acquiring MRSA as in table below. The risk depend on the local
hospital MRSA prevalence and intervention measures shall be decided by the HIACC

Risk categories
High Moderate Low Minimal

Intensive care General surgery Geriatric (acute) Geriatric (long stay)
Special care baby Urology General medicine Psychiatric
unit
Neonatal Paediatric Psychogeriatric
Burns unit
Gynaecology
Transplant unit
Obstetric
Cardiothoracic
Dermatology
Orthopaedic
Trauma

Vascular

13.2.8Recommended Practices
13.2.8.1 Risk Category
1. High risk areas of a hospital where MRSA is endemic:
• Admission screening

• Discharge screening for MRSA positive patient
• Use antiseptic for bathing affected patient
• Screening of contacts
• Isolate /cohort carriers
• Screen skin lesions of staff after a single case
• Screen all staff if additional cases of MRSA occurs
2. Moderate risk areas of a hospital where MRSA is endemic:
• Screen all patients if there is evidence of transmission (> base line)
• Isolate/cohort carriers

• Use antiseptic for bathing affected patient

Ministry of Health Malaysia 181