Guidelines for INFECTION CONTROL POLICY - Safdarjung Hospital

SURVEILLANCE AND REPORTING OF INFECTIONStatutory NotificationsAll notified by Secretary, Hospital Infection Control Team to the MS of SJH.Prompt notification and reporting of disease is essential.The objectives of notification are:1. Regulatory obligation by Govt. of India. All notifiable and reportable diseases must bereported to concern authorities.2. To collect accurate and complete epidemiological information on the disease.3. To ensure prompt and appropriate control measures to prevent the spread of infection.Any patient suffering from a notifiable/reportable disease when detected shall becommunicated to the designated authority immediately.ACTIVE SURVEILLANCEActive surveillance of Healthcare associated Infections (HCAI)The microbiology department shall be responsible for reporting any information about infectionssuspected to be hospital acquired on prescribed format to Infection Control Nurse (ICN). TheICN in consultation with ICO may proceed for investigation of HCAI.Active surveillance of High Risk AreasActive surveillance shall be done at least for high risk areas.High risk areas under various setting include:• Intensive care units (NICU, PICU, ICUs – CTVS, CCU, Burns, Trauma, Respiratory,H1N1)• Operation Theatres• Dialysis Unit• Burns Unit• Transfusion services unit• Food handlers• Drinking water• CSSDOperation TheatresBoth surface contamination and air quality will be investigated periodically. Culture swabs andair sampling plates will be sent from Operation Theatres periodically atleast once in a month.Fogging of OTs will be done on the basis of these reports and/or clinical procedures carriedout in the operating areas. No routine fogging is recommended. Any civil or engineering worksshould invite fogging of OTs.ParameterComplianceSurface swabsOnce in MonthAir SamplingOnce in MonthDisinfectant MonitoringOnce in Month, (In- Use disinfectant method,Glutaraldehyde monitoring strip)8