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policy and procedure infection control (i-xii) cyan

policies And procedures On infection control Quality Medical Care Section, Medical Development Division, Ministry of Health Malaysia Prepared in 2009. Printed in 2010. 2nd edition FORWARD. FORW. BY THE DIRECTOR- general OF HEALTH OF MALA. HEALTH YSIA. MALAYSIA. A highly effective strategy in reducing healthcare-associated infections in hospitals is through the proper implementation and practice of policies and procedures on infection control by healthcare providers committed to this vital patient safety effort. This revised edition of policies and procedures on infection control ' Guideline is intended to assist healthcare providers to keep track and adhere to best practices in the control of hospital infection in hospitals. The availability of this guideline will also ensure uniformity of practice in infection control in all Ministry of Health (MOH) hospitals in the country. infection control policies and procedures , when consistently applied and integrated into all systems and processes, will yield the desired outcome.

MESSAGE FROM THE DEPUTY DIRECTOR-GENERAL OF HEALTH (MEDICAL) This is the 2 nd edition on Policies and Procedures on Infection Control Guideline, which was first published in 2001. The Guideline Committee Members from the …

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Transcription of policy and procedure infection control (i-xii) cyan

1 policies And procedures On infection control Quality Medical Care Section, Medical Development Division, Ministry of Health Malaysia Prepared in 2009. Printed in 2010. 2nd edition FORWARD. FORW. BY THE DIRECTOR- general OF HEALTH OF MALA. HEALTH YSIA. MALAYSIA. A highly effective strategy in reducing healthcare-associated infections in hospitals is through the proper implementation and practice of policies and procedures on infection control by healthcare providers committed to this vital patient safety effort. This revised edition of policies and procedures on infection control ' Guideline is intended to assist healthcare providers to keep track and adhere to best practices in the control of hospital infection in hospitals. The availability of this guideline will also ensure uniformity of practice in infection control in all Ministry of Health (MOH) hospitals in the country. infection control policies and procedures , when consistently applied and integrated into all systems and processes, will yield the desired outcome.

2 Reduced infection rates. It is my fervent hope that all relevant parties will adopt the various recommendations set out in this guideline in their infection control activities for more efficient and effective infection control in our hospitals, thereby minimising the healthcare-associated infection rates in our hospitals. Finally, I wish to congratulate the Guideline Committee Members from the National infection and Antibiotic control Committee and the Medical Development Division, MOH for their efforts in producing and revising the policies and procedures on infection control ' Guideline 2010. Obviously much time and commitment have been given by them to produce this guideline and I would like to commend them for a job well done. As the saying goes, There is no elevator to success; you have to take the stairs . Thank you. TAN SRI DATO' SERI DR. HJ. MOHD. ISMAIL MERICAN. i MESSAGE. FROM THE DEPUTY DIRECTOR- general OF HEALTH.

3 HEALTH. (MEDICAL). This is the 2nd edition on policies and procedures on infection control Guideline, which was first published in 2001. The Guideline Committee Members from the National infection and Antibiotic control Committee, together with the Quality in Medical Care Section, of the Medical Development Division have put in much effort to revise and update this new edition, and I would like to commend them on their efforts. Efforts at preventing healthcare associated infections in hospitals remain an ongoing and difficult challenge in the medical care setting. Practising good infection control measures can significantly reduce patient morbidity and mortality in hospitals and has been proven to be cost-effective as well. The need to have one common policy and procedure on infection control guideline, to be adopted and practised by all hospitals under the auspices of the Ministry of Health (MOH), is of utmost importance.

4 It will not only ensure standardization of infection control activities in hospitals, but will also facilitate the future monitoring and audit system on infection control . To ensure successful implementation of the guideline's recommendation, all training on infection control for our healthcare providers in the MOH will need to utilise the guideline, as it will serve as a valuable technical resource on infection control activities. It is my hope that the implementation of this guideline by our healthcare providers, will enhance the quality of healthcare provided to our patients in MOH hospitals in our noble efforts to ensure patient-centred care. DATUK DR. NOOR HISHAM BIN ABDULLAH. ii MESSAGE. FROM THE CHAIRPERSON OF GUIDELINE COMMITTEE. The review of the policies and procedures on infection control Guideline has been a necessary endeavor to reflect developments and advancements to the current infection control practices, in order to provide a more up-to-date guide for healthcare providers.

5 The first edition of this guideline has been reviewed in its entirety, resulting in a completely revised 2nd edition. This policies and procedures on infection control Guideline has been developed based on evidence from various international policies and procedures in infection control . The changes of notes include updated details on the structure, functions and management in the chapters on hospital infection and antibiotic control committee, implementation of healthcare associated infections surveillance as well as hospital outbreak management and sterilization. This edition also includes new chapters on isolation precautions and updates on standard precautions, hand hygiene, PPE, transmission based and design of isolation room. Various clinical practices and processes, activities to reduce the common healthcare associated infections and infection control in specific healthcare settings are also noteworthy additions to this guideline.

6 Guideline committee members who contributed to the chapters are well recognized as authorities or leaders in the field of infection control . It is my utmost hope that all healthcare providers will benefit from this policies and procedures on infection control Guideline. A vote of thanks are in order for chapter writers and coordinators, the Quality in Medical Care Section, Medical Development Division and all those involved in one way or another, for their support, dedication and commitment in making this guideline a reality. DR. CHRISTOPHER K. C. LEE. iii ADVISORS. Y. Bhg. Tan Sri Dato' Seri Dr. Hj. Mohd Ismail Merican Director general of Health Malaysia Y. Bhg. Datuk Dr. Noor Hisham Abdullah Deputy Director general of Health (Medical). Y. Bhg. Dato' Dr. Hj. Azmi Shapie Director Medical Development Division Dr. Hjh. Kalsom Maskon Deputy Director Quality in Medical Care Section GUIDELINE COMMITTEE MEMBERS LIST.

7 Dr. Christopher Lee Kwong Choong (Chairman) Dr. Suresh Kumar a/l Chidambaran Sg. Buloh Hospital, Selangor Sg. Buloh Hospital, Selangor Dr Tan Kah Kee Dr. Hjh. Zubaidah Abdul Wahab Tuanku Jaafar Hospital, Seremban, Negeri Sembilan Sg. Buloh Hospital, Selangor Dato' Dr Abdul Jamil Abdullah Dr. Norhanim Asidin Sultanah Nur Zahirah Hospital, Kuala Terengganu, Terengganu Pusat Darah Negara, Kuala Lumpur Datin Dr. Ganeswrie a/p Rajasekaran Dr. Fong Siew Moy Sultanah Aminah Hospital, Johor Bharu, Johor Likas Hospital, Sabah Dr. Mahiran Mustafa Dr. Nurahan Maning Raja Perempuan Zainab II Hospital, Kota Baru, Kelantan Raja Perempuan Zainab II Hospital, Kota Baru Dr. Timothy William Dr. Kamarul Azhar Mohamad Razali Queen Elizabeth Hospital, Kota Kinabalu, Sabah Pediatric Institute, Kuala Lumpur Hospital Dr. Hjh. Kalsom Maskon Dr. Rozaini Mohd Zain Deputy Director Quality in Medical Care Section, MOH.

8 Quality in Medical Care Section, MOH. SECRETARIA. SECRETARIAT. ARIAT. Quality Medical Care Section, Medical Development Division, Ministry of Health Dr. Hjh Kalsom Maskon Dr. Rozaini Mohd Zain Dr. Juliana Mat Sutris Pn. Siti Eisah Hj. Noor Pn. Halijah Hashim Pn. Sa'abah Rosnan Pn. Emira Ghazali iv CONTRIBUTORS LIST. HOSPITAL infection AND ANTIBIOTIC infection control IN SPECIFIC HEALTHCARE. control COMMITTEE (HIACC) SETTING. Dr. Christopher Lee Kwong Choong Dr Ee Boon Leong Dr. Mohd Rashid Baharon HEALTHCARE ASSOCIATED infection Dr. Nor Izham Hakim Darail SURVEILLANCE Dato' Dr. Chang Kian Meng Dr. Nurahan Maning Pn. Habidah Isa Dr. Wong Hin Seng ISOLATION PRECAUTION Pn. Kamariah Jusoh Dr. Suresh Kumar Dr. Rahayu Shahar Adnan Pn. Rahijah Abdul Rahman CLINICAL PRACTICE Dr. Mohd Shah Mahmood Dato' Dr Yasmin Ayoub Dr. Hjh. Zubaidah Abdul Wahab Dr. Hjh Rosaida Mohd. Said Dr. Nor Hanim Asidin TUBERCULOSIS.

9 Dr. Ganesanathan a/l Shanmuganathan Dr. Mat Zuki Mat Jaeb Dr. Norris Naim Datin Dr. Hjh Aziah Ahmad Mahayiddin Pn. Norima Mohd Noor Pn. Mageswary a/p Lapchmanan HOSPITAL OUTBREAK MANAGEMENT. Pn. Tan Yoke Hwa Dr. Mahiran Mustafa Cik Sameerah Shaikh Abd. Rahman Pn. Siti Farrah Zaidah Mohd Yazid OCCUPATIONAL HEALTH AND SAFETY. Pn. Rozie Ali Dr. Chua Hock Hin Datin Dr. Ganeswrie a/p Rajasekaran PREVENTION OF HEALTHCARE ASSOCIATED Dr. Sirajuddin Hashim infections Dr. Kan Foong Kee Dr. Timothy William Dr. Andrew Gunn Dato' Dr. Abdul Jamil Abdullah Dr. Hj. Azmin Kass Rosman ENVIRONMENTAL. Dr. Saiful Azli Dr. Tan Kah Kee Dr. Ahmad Kashfi Abdul Rahman Dr. Nurahan Maning Dr. Mohd Anuar Hau Abdullah Dr. Tai Li Ling STERILIZATION. Dr. Ng Siew Hian Puan Habidah Isa infection control IN SPECIFIC HEALTHCARE PRINCIPLES OF ANTIBIOTIC SURVEILLANCE. SETTING Cik Sameerah Shaikh Abd. Rahman Dr. Azmin Kass Rosman Cik Shamhanin Adnan Dr.

10 Nurahan Maning Pn. Jacqueline Lai Dr. Noraini Ismail Dr. Tai Li Ling SPECIFIC ORGANISM RELATED INFORMATION. Dr. Ng Siew Hian Zubaidah Abdul Wahab Dr. Christopher Vincent Dr. Muhammad Nazri Aziz Dr. Tan Kah Kee Dr. Noraini Ismail Datin Nooral Zeila Junid Dr. Ahmad Kashfi Abdul Rahman Dr. Tam Pui Ying Dr. Anuradha a/p Radhakrishnan Dr. Salina Din Dr Suresh Kumar Dato' Dr. Kuan Geok Lan Dr. Christopher Lee Kwong Choong Dr. Zaini Mansor Dr. Mahiran Mustafa Dr (Ms) Salina Ibrahim Dr. Nurahan Maning En Mohd Tohir Ibrahim v ACKNOWLEDGEMENT. The guideline development committee would like to express its heartfelt appreciation and gratitude to Tan Sri Dato' Seri Dr. Hj. Mohd Ismail Merican, the Director- general of Health Malaysia for his exemplary leadership, valuable guidance and solid commitment to this very vital patient safety issue. The committee also wishes to thank Datuk Dr. Noor Hisham bin Abdullah, the Deputy Director- general of Health (Medical) for his strong commitment and support for the infection control programme.


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