Table 34.2.
Infection control strategic bundle in prevention of nosocomial transmission of swine-origin influenza virus (S-OIV) A(H1N1)
| 1. “Just-in-time” education of infection control practice to health care workers |
| (a) Open infection control forum for all staff and special session for various clinical departments |
| (b) Special session for staff who are attending isolation facilities |
| (c) Special session for staff when inpatients and coworkers are confirmed with S-OIV |
| 2. Enhanced infection control practice |
| (a) Enforcement of standard and transmission-based precautions in clinical area, especially with directly observed hand hygiene practice |
| (b) Wearing surgical mask at all times in patient care area and compliance on cough etiquette |
| (c) Regular environmental cleaning with soap and water and ad hoc environment cleaning with disinfectant (sodium hypochlorite 500 ppm) upon identification of confirmed case of S-OIV |
| 3. Early recognition of index case in hospitalized patients |
| (a) Triage of suspected patients in emergency room and admission to isolation facilities |
| (b) Alertness of patients with nosocomial onset of upper respiratory tract infection and referral to isolation facilities |
| (c) Implementation of rapid molecular diagnostic test with turnaround time within 24 h |
| 4. Preventing introduction of index case to other hospitalized patients |
| (a) Promoting absenteeism for sick health care workers |
| (b) Giving 7-day sick leave for infected health care workers |
| (c) Visitors wearing a surgical mask in the hospital and promoting directly observed hand hygiene for visitors |
| 5. Audit of infection control compliance |
| (a) Unobtrusive hand hygiene observation and monitoring the compliance of wearing surgical mask |
| (b) Monitoring the consumption of alcohol-based hand rub in the hospital |
| (c) Monitoring the incidence of nosocomial influenza A infection |
| 6. Administrative support |
| (a) Provision of alcohol-based hand rub at every bed, all ward entrances, and corridors |
| (b) Provision of manpower and equipment for laboratory diagnostics and contact tracing |
| (c) Coordination of infection control training sessions for staff |