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

Winchester & Eastleigh Healthcare NHS Trust
Policy for Isolation and Infectious Diseases Policy
Any patient found to be infected with Multi-resistant Acinetobacter or MRAC-C
should be placed in isolation. They should be nursed in a single room, when these
are at a premium priority should be given to these patients. See appendix 2.
Good Standard Precautions and use of Personal Protective Equipment (PPE) (see
CPO076), should always be adhered to. Disposable plastic yellow aprons and
gloves must be worn for direct patient contact by all the multidisciplinary team. FFP2
masks if patients sputum positive and there is a risk of generating infective aerosols.
Treatment of infection should be based on the susceptibility testing and the clinical
situation. Clinical staff are encouraged to contact a microbiologist for advice when
treating an infection caused by this. Serious infections will usually be treated with
carbapenem antibiotic, depending on the results of susceptibility testing.
The patient should remain in isolation while in hospital until they can be discharged
to their own homes or residential homes if clinically suitable. Ward staff must liaise
with the nursing/residential homes or other hospitals if the patients are to be
discharged there.
Visitors
If visitors are visiting other patients in the hospital, they should be requested to visit
the infected patient last. Visitors should wear apron and gloves, if they are carrying
out hands on care, which should be removed immediately before exiting the room.
After removal of gloves they should wash their hands on leaving the room.
Movement of patients within the hospital
This should be kept to a minimum to reduce the risk of spread.
Outbreak Control
The Infection control team and consultant microbiologist will consider whether other
patients on the ward have risk factors for colonisation/infection. These include ITU
admission, duration of hospital stay, presence of wounds, use of broad-spectrum
antibiotics including carbapenems, indwelling urinary catheters, central venous
catheters, mechanical ventilation and Parenteral nutrition. If more than one patient
is identified then this is an outbreak. It will then be decided whether patient and/or
environmental screening is needed and whether patient decontamination should take
place.
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Authorities
Document Control Information
Author:
Sponsor:
Date:
Dr Kordo Saeed
microbiologist
Sue Dailly Lead Nurse
Infection Prevention and
Control
Paula Shobbrook Director of
Infection Prevention and
Control
01/08/11
Type:
Scope:
Reference:
Issue No:
Status:
Policy
Major
CP022 (IC 04)
4
Published