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