Only one healthcare worker, who reported inadvertently rubbing her eyes with contaminated gloves, developed EVD despite the implementation of precautions based on Personal Protective Equipment (PPE) [ 27].
Gradual decreases in all 3 peaks seemed to be achieved by implementation of precautions and infection control measures, such as temporary school and class closings and the prohibition of meetings and club activities.
After detection of the first clone 5 isolate, this strain was found in many infected or colonized ICU patients as well as in patients admitted in the general wards despite the implementation of isolation precaution and environmental surveillance.
When a MDRO was isolated (new patient detection or readmission of a known carrier) and required implementation of additional care precautions, the infection control team monitored health workers about the infection control recommendations (first by phone and then followed by a physical visit).
In addition implementation of universal precautions to infection at these health care facilities may explain the reduced risk of HIV transmission from the patient to the HCW and vice versa.
Wound care hygiene was improved through implementation of contact precautions following the 'Basic personal hygiene policy' and all waste after wound care had to be put directly into plastic waste disposal bags.
Despite widespread implementation of these precautions in high-income countries, the resources to effectively apply patient isolation and transmission-based precaution recommendations are lacking in many low and middle income countries [ 2, 3].
Five different aspects of care was evaluated; hand-over from one nursing shift to another, implementation of universal precautions, patient satisfaction, nursing records, management of chronic illnesses.
In many ICUs, screening for ESBL-PE carriers is routinely performed, essentially for the implementation of isolation precautions.
In conclusion, the ICU staff made important mistakes in their implementation of isolation precautions.
