Key messages

• By far the most important vehicle of transmission remains the hands of attendants.

• The antibiotic policy of the intensive care unit must be kept under continuous review so that there is no indiscriminant use of antibiotics.

• A clinical handwash using a proprietary skin disinfectant, must be performed at the beginning and end of each clinical session.

• Staff should not wear wrist watches, bracelets, rings other than plain bands, or ear or nose ornaments other than studs while carrying out clinical duties.

• Patients with unexplained diarrhea, infected eczema, or communicable diseases, or who are known or suspected carriers of multiple antibacterial-resistant bacteria, should be admitted to source isolation until cleared of transmission risk.

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