Infection Control

Vision

Reduce nosocomial infections and strengthen infection control activities.

Mision

1. Ensure that all hospital staff comply with infection control and antibiotic policies, procedures, guidelines and regulations.

2. Maintain and improve infection control and antibiotic activities.

3. Ensure a hospital environment that is safe from disease infection.

Objective

1. GENERAL

Preventing and controlling Healthcare Associated Infections at Hospital Kuala Lumpur

2. SPECIFIC

I. Increase the awareness and knowledge of Kuala Lumpur Hospitals’ employees related to infection control through continuous learning.

II. Protecting Kuala Lumpur Hospital employees from any Healthcare Associated Infections and injuries while on duty.

III. Ensure that patients are discharged after receiving primary treatment without contracting a Healthcare Associated Infection

Organisation Chart

Services

1. Ensure compliance with the Infection Control Policy is practiced by all categories of health workers.

2. Provide advice to health workers, patients and visitors about preventive measures and control of infectious diseases in the ward/department.

3. Conducting surveillance at the hospital and national level. Among the surveillances carried out are as follows:

a. Healthcare Associated Infection (HCAI) once a year (October)

b. Period Prevalence Study on Bloodstream Infection (BSI) once a year (April)

c.   Healthcare Associated — MultiDrug Resistant Organism (HA-MDRO) Lab Based Surveillance-continuous surveillance of Alert Organisms:

i.    Methicillin Resistant Staphylococcus Aureus (MRSA)

ii.   Extended Spectrum Beta   Lactamase     (ESBL)     producing Klebsiella Pneumonias

iii.  Extended Spectrum Beta Lactamase (ESBL) producing Escheria coli

iv.  Acinetobacter Baumanni

v.   Vancomycin  Resistance    Enterobacter (VRE)

vi.  Carbapenem Resistant Enterobactericeae (CRE)

d. Hand Hygiene Compliance Surveillance

• • • carried out continuously every month (750 opportunities) and data sent to KKM 4 times a year (in March, June, September, December)

e. Central Venous Catheter (CVC) Care Bundle Compliance Audit - once a year (in October)

f. KKM Infection Prevention and Control Audit - once a year (in April)

g. Environmental Audit

• • •  3 times a year (every 4 months in April, June, and September)

4. Assist in the implementation of the Antimicrobial Stewardship program in Departments at Hospital Kuala Lumpur.

5. Monitor the air quality in the operating theatre according to the schedule that has been set periodically (air sampling / air particulate count)

6. Giving talks related to infection control to hospital workers from various categories.

Client Charter

Ensure hospital staffs are given awareness and understanding of Standard Precaution and Transmission Based Precaution to prevent and control the transmission of infection to patients, visitors and hospital health personnel.