Page 193 - policy and procedure infection control

Policies and Procedures on Infection Control

• Screen staff if there is evidence of further spread
3. Low risk areas of a hospital where MRSA is endemic:
• Admission screen
o known to be previously infected / colonized

o Frequent readmissions
o Transferred from MRSA-affected hospitals
o Transferred from hospitals abroad
• Basic control measures
• Carry out full MRSA screen on the index patient
• Screening of contact only if clinical infections are detected
4. Minimal risk areas of a hospital where MRSA is endemic :
• Basic control measures

Environmental screening shall be done only during an outbreak

13.2.8.2 Transfer of colonized / infected patients
• Within the hospital
 Bathe & wash hair with antiseptic detergent 4% chlorhexidine gluconate
scrub or 2% triclosan

 Clean new clothing
• Out- patients or specialist clinics eg radiology department
 Keep at the end of working session
 Make prior arrangements
• Another hospitals
 ICD to ICD
• Discharge of patients

 Inform GP / health care staff
• Deceased patients
 Plastic body bags not necessary
13.2.8.3 Transport of colonized / infected patients
• Lesions should be occluded WITH impermeable dressing.
• Attendants should wear appropriate PPE i.e. gloves if handling patient.
• Trolley / wheelchairs should be cleaned with 70% alcohol.
• Staff should wash hands with antiseptic after the procedure.

182 Ministry of Health Malaysia