outbreak among the staff of MCCA水痘爆发的员工在该策略ppt课件.pptx

Chickenpox outbreak among the staff of Alshallali ICU 14.06 - 24.06.2012Alshallali ICUMain ICU at Omdurman military teaching hospital Capacity of 17 beds:8 medical, 4 surgical, 4 HDU and one isolation bed 4 ICU consultants6 registrars of anesthesia6 medical registrars16 medical officers60 staff nurse18 aid nurses12 dietitianOne clinical pharmacist 14th June ------------------- 24th June 2012ICU setting before 14th April 2012 Before 14 April 2012No: isolation room, receptionist area, clean utility rooms, visitors waiting room, on call rooms and staff officesEquipmentstorage Old ALshallali ICUNew extension17 beds (3% of the total hospital beds)Missing facilities New extension 17 beds ( 3% of the total hospital beds) Old ICU14.4.2012On call roomIsolation room (-ve)??????????? HDU???????On call room???????????? Medical ICU Surgical ICU Old ICUReceptionist AreaClean and Dirty Utility Rooms.Equipment Storage.Visitors Waiting RoomStaff officesPlasmapheresis On call room14.4.2012??Equipment Storage????????? HDU????????? On call room??????? ???? Medical ICU Surgical ICU Case scenario Two possible index casesThe first patient was 22 years immunocompetant male presented to the AE with chickenpox complicated by chickenpox pneumonia 29th of may 2012.Admitted to the AE hospital for 24 hours The dept of communicable was aware of the case Admitted to the ICU on 30/may/2012 Indication : respiratory distress with severe hypoxemia, with ? need for assisted ventilation.Where in ICU ? On call room30.5.2012??Equipment Storage????????? HDU????????? On call room????????? ???? Medical ICU Surgical ICU 30.5.2012 INFECTION CONTROL PRECAUTIONSStandard precautionsDisposable glovesSurgical masksInstructions : nursed by staff with H/O childhood chickenpoxExclusion of susceptible staff from attending the affected patientTransported to radiology department without any infection control precautions Patient improved on : Oxygen therapyI.V acycloviarI.V stero