National Infection Prevention and Control Guidelines

GOVERNMENT OF THE REPUBLIC OF SIERRA LEONE

MINISTRY OF HEALTH AND SANITATION

National Infection Prevention and Control Guidelines

SIERRA LEONE

National Infection Prevention and Control Guidelines

TABLE OF CONTENTS

Foreword ...................................................................................................... II

Acknowledgements ..........................................................................................II...I .........

List of Contributors and Reviewers ........................................................................IV...

Abbreviations ............................................................................................. V

Chapter 1 INTRODUCTION ............................................................................................. 1

1.1 Background ................................................................................................ 1 1.2 Rationale ...................................................................................................... 1 1.3 Situation Analysis .......................................................................................... 1 1.4 Purpose ...................................................................................................... 2 1.5 Use of these Guidelines .......................................................................................2......... 1.6 General Policy Statements ....................................................................................2............

Chapter 2 STRUCTURE AND MANAGEMENT OF THE IPC PROGRAMME: IPC POLICY ................................................................................................ 4

2.1 Responsibility and Authority .................................................................................4...............

Chapter 3 INTRODUCTION TO HAI AND IPC ...........................................................................6...............

3.1 The Chain of Infection ..........................................................................................6 ...... 3.2 IPC Principles ................................................................................................ 6 3.3 Common and Important HAIs ..............................................................................7...............

Chapter 4 STANDARD PRECAUTIONS AND TRANSMISSION BASED PRECAUTIONS ............................................................2...0............

4.1 Standard Precautions General ..............................................................................2...0............

4.2 Hand Hygiene ................................................................................................ 21

4.3 Personal Protective Equipment (PPE) ........................................................................27............

4.4 Respiratory Hygiene and Cough Etiquette ..................................................................31............

4.5 Injection and Phlebotomy Safety and Sharps Injury Prevention .......................................31...............

4.6 Decontamination of Medical Devices, Linen and Laundry and the Environment ..................4...5 ............

4.7 Health Care Waste Management ...........................................................................7...3............

4.8 Transmission-based Precautions ...........................................................................9...2............

4.9

118

Chapter 5 SPECIAL AREAS OF THE HOSPITAL ........................................................................1...22.........

5.1 Operating Theatres .............................................................................................12...2 5.2 Clinical Laboratory .............................................................................................13...6 5.3 Antenatal and Labour suite IPC ..............................................................................14...2............ 5.4 Infection Prevention Control Standards in the Mortuary Setting .......................................14...4 .........

Chapter 6 OCCUPATIONAL SAFETY AND EMPLOYEE HEALTH ......................................................1...46............

Chapter 7 THE IMPORTANCE OF SURVEILLANCE FOR INFECTION PREVENTION AND CONTROL ............16...8 .........

7.1 Surveillance ................................................................................................ 168 7.2 Standard precautions in health care ........................................................................1...74............

References ................................................................................................ 180

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