1. By Prof. OSSAMA RASSLAN Secretary General, Egyptian Society of Infection Control

2. I.C. program Patient care Employee health Environmental hygiene Surveillance of infection Prevention & Control Activities(Outlines) Prevention & Control Activities

3. Ward specific measures Disease/ Organism specific measures Antibiotic policy Reportable diseases Isolation policies Prevention & Control Activities (contd.) Prevention & Control Activities

4. I.C. program Ward sp. measures Patient care Ds./Org. sp. measures Employee health AB policy Environm. Hygiene Reportable diseases Surveillance of inf. Isolation policies Prevention & Control Activities

5. Organizational structure - ICC- ICT - ICD (ICO) - ICN- ICLN Infection Control Program For each item: Membership Qualifications Duties Meeting periodicity Prevention & Control Activities

6. Handwashing - Routine - Surgical (H.W. facilities - antiseptics) Patient Care Standard precautions 1. Protective barriers 2. Resuscitation facilities 3. Decontamination (later) Protective barriers - Gowns - Gloves - Masks - Eye protection - Shoe covers Prevention & Control Activities

7. Invasive Procedures Wound dressing Oral alimentation Other activities Patient Care (cont.d) Invasive procedures - Indwelling urinary catheters - IV catheters - IV injections - Endoscopy Prevention & Control Activities

8. Old/ New Employee medical exam. [ Initial (at time of employment) & Periodical] Exposure to blood, body fluids or tissue (exposure control plan) Staff accident or ward related infections Work restrictions Education Employee health (Occupational health) Prevention & Control Activities

9. Decontamination Cleaning - Disinfection - Sterilization Hospital waste management. - Color coding - Segregation at source - Collection - Transportation - Storage - Disposal - Recycling regular waste Environmental hygiene (Hosp. Env. Control) Regular waste Biohazardous waste - Identification - Handling - Disposal Prevention & Control Activities

10. Microbiologic sampling - Not routine - Outbreak investigation - Research purposes Housekeeping policy Laundry policy Construction policy (Construction, design & remodeling measures) Environmental hygiene Prevention & Control Activities

11. Sterile water (for invasive procedures) Appropriate air supply (room ventilation) Proper storage of sterile supply Environmental hygiene Prevention & Control Activities

12. A. Elements - Data collection - Data collation (consolidated or tabulated) - Data analysis - Reporting Surveillance of infection Criteria for Nosocomial infections Surveillance analysis & reporting Prevention & Control Activities

13. Surveillance analysis & reporting (cont.d) B. Uses (improvement of outcomes & processes) - Provide baseline data on infection risk - Problem identification - Problem investigation - Evaluation of control measures - Evaluation of practices - Education of HCW - Research - Risk management Surveillance of infection Prevention & Control Activities

14. C. Approaches - Comprehensive, Total - Priority-directed, Site-specific - Problem-oriented (outbreak response surveillance) D. Worksheets Surveillance of infection Surveillance analysis & reporting (cont.d) Prevention & Control Activities

15. - Site, design & construction of unit - Function & activity of unit - Type of patient - Expected infections& diseases - Treatment modality (AB, Chemoth.) - Type of intervention - Type of case (long-term, short-term, day care) Ward specific measures (Dept or unit) Measures differ according to: Prevention & Control Activities

16. Where - O.R. - ICU - Ped. & Neon. ICU- Pediatrics - Medical wards- Outpatient clinics - Surgical wards - Ante/Postnatal care unit ……..etc Ward specific measures - Laboratory Construction Safety Techniques & investigations ( e.g. pipetting, cell counting, blood sampling) Prevention & Control Activities

17. Blood borne pathogen (Prevention precautions - Control) e.g. HBV, HCV, HIV T.B. Pneumonia MRSA VRE Multidrug resistant organisms Scabies ….etc Disease &/or Organism specific measures Prevention & Control Activities

18. Clinical use - Therapeutic (Empirical - Targeted) - Prophylactic Hospital AB committee - membership - meetings - duties Education (better to say: Communication with clinicians) Antibiotic policy Prevention & Control Activities

19. Investigation & mgt of major outbreaks (or clusters) How? - Diarrhea - MRSA - VRE Notification of communicable disease How? Reportable Diseases Prevention & Control Activities

20. Enteric isolation Blood & body fluid isolation Respiratory isolation Strict isolation Contact isolation Protective isolation Isolation policies Prevention & Control Activities