M. A. El-Farrash

Recommendations to prevent infection by the

H1N1 virus consist of the standard personal

precautions against influenza.

This includes frequent washing of hands with

soap and water or with alcohol-based hand

sanitizers, especially after being out in public.

H1N1 Infection Control

M. A. El-Farrash

People should avoid touching their mouth, nose

or eyes with their hands unless they have washed

their hands.

If people do cough, they should either cough into

a tissue and throw it in the garbage immediately,

cough into their elbow, or, if they cough in their

hand, they should wash their hands immediately.

M. A. El-Farrash

H1N1 Infection Control

M. A. El-Farrash

Healthcare providers:

Be aware of case definitions;

procedures for screening,

infection control, laboratory

testing; and antiviral regimens

for H1N1 and other novel

influenza viruses.

H1N1 Infection Control

M. A. El-Farrash

In case of aerosol generating procedures (e.g. aspiration

of respiratory tract, intubation, resuscitation,

bronchoscopy, autopsy) use N-95 masks.

Gloves and gown should be used for all patient contact.

Eye protection (goggles or face shields) should be put on

when being within 1 meter of a suspected patient.

Pay careful attention to hand hygiene before and after all

patient contact or contact with items potentially

contaminated with respiratory secretions. M. A. El-Farrash

H1N1 Infection Control

Monitor health of health-care workers exposed to

H1N1 influenza patients.

Antiviral prophylaxis should follow local policy.

Health-care workers with symptoms should stay

at home.

Patient care equipment : dedicate separate

equipment to H1N1 patients. If not possible, clean

and disinfect before reuse in another patient.

H1N1 Infection Control

M. A. El-Farrash

Suspected patient isolation:

Place patient in adequately-ventilated room.

If single rooms are not available, cohort patients

in wards keeping at least 1 meter distance

between beds.

Limit numbers of health-care workers/family

members/visitors exposed to the H1N1 patient.

M. A. El-Farrash

H1N1 Infection Control

Dishes/eating utensils :Wash using routine procedures

with water and detergent. Use rubber gloves.

Linen and laundry: Wash with routine procedures,

water and detergent; avoid shaking linen/laundry during

handling before washing. Use rubber gloves.

Environmental cleaning and disinfection : Clean soiled

and/or frequently touched surfaces regularly with a

disinfectant. e.g. door handles.

Treat any waste that could be contaminated with H1N1

virus as infectious clinical waste, e.g. used masks.

H1N1 Infection Control

M. A. El-Farrash

Influenza patients should limit interactions

outside the home and should not go to work,

school or other public areas.

All members of a household with an influenza

patient should carefully follow recommendations

for hand hygiene (frequent hand washing),

particularly after contact with body fluids

(respiratory secretions, urine, or feces). M. A. El-Farrash

H1N1 Infection Control

Household members and other close contacts of

an influenza patients should be actively

monitored by the local health department for

illness.

Household members or other close contacts of

influenza patients should be vigilant for the

development of fever or respiratory symptoms

and, if these develop, should seek healthcare

evaluation. M. A. El-Farrash

H1N1 Infection Control

1. Palm to palm 2. Palm to back 3. Finger webs

4. Palms to Knukles +Finger tips

5. Thumb 6.Wrist

Six Hand Washing Steps

M. A. El-Farrash

M. A. El-Farrash