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Isolation and infectious diseases policy - Hampshire Hospitals NHS ...

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Winchester & Eastleigh Healthcare <strong>NHS</strong> Trust<br />

Policy for <strong>Isolation</strong> <strong>and</strong> Infectious Diseases Policy<br />

<br />

<br />

<br />

Varicella zoster<br />

Parvovirus B19(particularly antenatal wards <strong>and</strong> paediatrics)<br />

Norovirus<br />

Fungi – in specialist units (like ITU, NNU)<br />

C<strong>and</strong>ida species<br />

Aspergilus<br />

There are separate mechanisms for notifying <strong>and</strong> responding to cases of healthcare<br />

associated infections, Human Immunodeficiency Virus (HIV)/Sexually Transmitted<br />

Infections (STIs) <strong>and</strong> Creutzfeldt-Jakob Disease. Therefore, cases of these <strong>diseases</strong><br />

should not be reported routinely under this requirement.<br />

Healthcare associated infections: M<strong>and</strong>atory reporting of healthcare associated<br />

infections has proved to be effective in providing real time surveillance data that infection<br />

control teams routinely use for control measures. Such surveillance systems include all<br />

laboratory reports of bacteraemia for a variety of microorganisms, some of which are<br />

associated with healthcare settings; Staphylococcus aureus (including MRSA);<br />

Clostridium difficile; Surgical Site Infection Surveillance Service (SSISS); <strong>and</strong><br />

glycopeptide-resistant enterococcal bacteraemia. See CPO21 Surveillance Policy.<br />

HIV <strong>and</strong> STIs: Genitourinary medicine (GUM)/sexual health clinics routinely follow up<br />

contacts of cases <strong>and</strong> take necessary public health actions. Clusters or outbreaks of<br />

disease are managed in collaboration with the HPA. Patient confidentiality is of vital<br />

importance in HIV <strong>and</strong> STI settings to retain patients’ trust in health services <strong>and</strong> to<br />

encourage access to clinics <strong>and</strong> services for information <strong>and</strong> advice, testing, diagnosis<br />

<strong>and</strong> treatment. However, notification is required if a patient attending a GUM clinic is<br />

diagnosed with acute <strong>infectious</strong> hepatitis. This disease is also spread by non-sexual<br />

means <strong>and</strong> so notification will ensure that contact tracing is undertaken <strong>and</strong> control<br />

measures offered to non-sexual contacts that could be at risk.<br />

CJD: The incidence of Creutzfeldt-Jakob Disease is monitored in the UK by the National<br />

CJD Surveillance Unit (NCJDSU) <strong>and</strong> all suspected cases should be reported to this<br />

unit. The unit assists clinicians with the investigation of this disease <strong>and</strong> works in<br />

collaboration with the HPA <strong>and</strong> the CJD Incidents Panel in the investigation <strong>and</strong><br />

management of CJD incidents. See CPr031 CJD <strong>and</strong> other Transmissible Spongiform<br />

Encephalopathy Guidelines.<br />

24<br />

Authorities<br />

Document Control Information<br />

Author:<br />

Sponsor:<br />

Date:<br />

Dr Kordo Saeed<br />

microbiologist<br />

Sue Dailly Lead Nurse<br />

Infection Prevention <strong>and</strong><br />

Control<br />

Paula Shobbrook Director of<br />

Infection Prevention <strong>and</strong><br />

Control<br />

01/08/11<br />

Type:<br />

Scope:<br />

Reference:<br />

Issue No:<br />

Status:<br />

Policy<br />

Major<br />

CP022 (IC 04)<br />

4<br />

Published

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