Page 33 - policy and procedure infection control

Policies and Procedures on Infection Control

Isolation
Diseases Duration of Isolation
Precautions
Wound Infections Standard
•Dressing covers and
contains discharge adequately
•No dressing or dressing Contact
does not contain discharge
adequately

Table 2: Clinical Syndromes Requiring Empiric Precautions to Prevent Transmission
Pending Confirmation of Diagnosis

Empiric
Clinical Syndrome Potential Pathogens
Precautions
Diarrhea

Acute diarrhea in a incontinent/ Enteric Pathogens Contact
diapered patient
Diarrhea in a patient with history of Clostridium difficile Contact
recent antibiotic use
Meningitis
Meningitis Neisseria Meningitidis Droplet
Generalised exanthems/rash
Petechial/echymotic with fever Neisseria Meningitidis Droplet
Vesicular Varicella Airborne &
Contact
Erythematous maculopapular with Measles Airborne
coryza and fever

Respiratory Infections
Atypical pneumonia Influenza Droplet
CXR suggestive of Pulmonary Mycobacterium Tuberculosis Airborne
tuberculosis
Risk of multidrug resistant organism
History of infection or colonization with Resistant Bacteria Contact
multidrug resistant organism
Skin or Wound Infection
Abscess or draining wound that cannot Staphylococcus aureus, Group Contact
be covered A streptococcus

22 Ministry of Health Malaysia