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Swine Flu: Infection control measures at health facility

Ministry of Health and Family Welfare, Government of India has come up with the set of measure for infection control at health facility. These measure are mentioned below. For full details refer to the original document here.

Droplet Precautions:

Advise healthcare personnel to observe Droplet Precautions (i.e., wearing a surgical or procedure masks for close contact), in addition to Standard Precautions, when examining a patient with symptoms of a respiratory infection, particularly if fever is present. These precautions should be maintained until it is determined that the cause of symptoms is not an infectious agent that requires Droplet Precautions.

Visual Alerts

Post visual alerts (in appropriate languages) at the entrance to outpatient facilities (e.g., emergency departments, physician offices, outpatient, clinics) instructing patients and persons who accompany them (e.g., family, friends) to inform healthcare personnel of symptoms of a respiratory infection when they first register or care and to practice Respiratory Hygiene/Cough Etiquette.

Use of PPE

  1. The medical, nurses and paramedics attending the suspect/ probable / confirmed case should wear full complement of PPE
  2. Use N-95 masks during aerosol-generating procedures.
  3. Perform hand hygiene before and after patient contact and following contact with contaminated items, whether or not gloves are worn.
  4. Sample collection and packing should be done under full cover of PPE.

Decontaminating contaminated surfaces, fomites and equipments

  1. Cleaning followed by disinfection should be done for contaminated surfaces and equipments.
  2. use phenolic disinfectants, quaternary ammonia compounds , alcohol or sodium hypochlorite. Patient rooms/areas should be cleaned at least daily and terminally after discharge. In addition to daily cleaning of floors and other horizontal surfaces, special attention should be given to cleaning and disinfecting frequently touched surfaces.
  3. To avoid possible aerosolization of AI virus, damp sweeping should be performed.
  4. Clean heavily soiled equipment and then apply a disinfectant effective against influenza virus before removing it from the isolation room/area.
  5. When transporting contaminated patient-care equipment outside the isolation room/area, use gloves followed by hand hygiene. Use standard precautions and follow current recommendations for cleaning and disinfection or sterilization of reusable patient-care equipment.

Guidelines for waste disposal

  1. All the waste has to be treated as infectious waste and decontaminated as per standard procedures
  2. Articles like swabs/gauges etc are to be discarded in the Yellow coloured autoclavable biosafety bags after use, the bags are to be autoclaved followed by incineration of the contents of the bag.
  3. Waste like used gloves, face masks and disposable syringes etc are to be discarded in Blue/White autoclavable biosafety bags which should be autocalaved/microwaved before disposal
  4. All hospitals and laboratory personnel should follow the standard guidelines (Biomedical waste management and handling rules, 1998) for waste management.

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