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Ministry Of Health Infection Control Directorate Report # -----------Facility Code No.: Facility Name :Kardex 1Nat:Sex:Age:Name:Bed:Room: KNHSS location code:Ward:File No:History (Details):Diagnosis:D.O.A:Duration:Operation& Date:Treating Unit\ DoctorType of Operation:Urinary CatheterizationIntravenous CatheterizationCatheterizations\DrainsETT\ TracheotomyRelevant Factors:3rd:1st. :Site & Onset Of Infection:4th.:2nd.:Total Number of Infections:Daily Progress:654321AntimicrobialsAll Nosocomial Infections(Lab. Confirmed & clinically Diagnosed)AmpicillinpenicillinsOrganism Isolated:Site:Date:AmoxicillinOxacillinPenicillin GPipracillin\TazobactamCefuroximeCephalosporinsCefotaximeCeftazidimeCeftriaxoneCefepimeCefpodoximeCefoxitinCephalothinImipenemCarbapenemsMeropenemAntibiotic Therapy:VancomycinGlycopeptidesTeicoplaninAmikacinAminoglycosidesGentamycinTetracyclineTetracyclinesTigecyclineCiprofloxacinQuinolonesLevofloxacinMoxifloxacinColistinPolimixinProphylaxis A\BErythromycinMacrolidsClindamycinlicozomidesRifampicinmiscellaneousFusidic acidNitrofurantoinLinezolidTrimethoprimSulfa & TrimethoprimI.C. Doctor Signature:I.C. Nurse Signature:D.O .Discharge/ Death: ................
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