Introduction Bacaan Penuh ( bersaiz 5.5 MB)

Policies and Procedures on Infection Control Ministry of Health Malaysia 143 2. Signage directing patients with chronic cough to go to specific or identified counter. These patients should be provided with surgical mask. 3. Provide N95 respirator for HCW in-charge of triaging. 4. Educate patient with suspected or confirmed infectious TB disease on strict respiratory hygiene and cough etiquette. 5. Sputum induction room should be made available at OPD. 6. Ideally patients should be seen in a designated consultation room for TB equipped with appropriate environmental control, good ventilation with or without UV light. HCW should be protected using N95.

7.3.4 Dental Clinic

1. Dental HCWs should routinely identify and document whether the patient has symptoms or signs of TB disease. Educate patient with suspected or confirmed infectious TB on strict respiratory hygiene and cough etiquette. 2. Non-urgent dental treatment should be postponed, and these patients should be promptly referred to an appropriate medical respiratory unit for further assessment. 3. These patients should be kept in the dental health-care setting as short as possible. 4. For urgent dental cases for a patient who has suspected or confirmed infectious TB disease, dental care should be provided in a setting that meets the requirements for an AII room if available.N95 must be used while performing procedures on such patients.

7.3.5 Pharmacy

Cut down patient mixmovement at pharmacy – patient to collect medication at chest clinic or special counter at pharmacy or other options. Dispensing should be done at special counter and positive pressure from phar- macy area out. 1. Allocate special code number or counter for TB infectious patients to col- lect anti-TB drugs or other medications. 2. Pharmacist or assistant pharmacist on duty at that counter must wear N95 mask when dealing with Tb infectious patients. 3. Provide priority service to TB patients to minimize the length of time spent in the department.

7.3.6 Intensive Care Unit ICU

1. ICUs with a high volume of patients with suspected or confirmed TB dis- ease should have at least one AII room. Place ICU patients with suspected or confirmed infectious TB disease in an AII room, if possible. 2. Where AII is not available, portable air cleaning system e.g. HEPA filter should be installed in ICU wards.