59MDWI44-157 — Infection Prevention And Control Program

59MDWI44-157 governs infection prevention and control, including patient care, equipment, environment, isolation, and precautions.

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  • Publication number: 59MDWI44-157
  • Title: INFECTION PREVENTION AND CONTROL PROGRAM
  • Date: 2020-05-08

View 59MDWI44-157 on armypubs.army.mil


It covers infection reporting, hand hygiene, reusable equipment reprocessing, environmental controls, and transmission-based isolation. It requires infection notifications, specified cleaning practices, protective measures, and isolation procedures.

Applies to: This Medical Wing Instruction (MDWI) applies to personnel assigned, attached, or under contract to 59th Medical Wing (MDW), with the exception of healthcare workers (HCWs) assigned to the 959th Medical Group.

Topics covered

  • Healthcare-associated infection reporting
  • Hand hygiene
  • Reusable medical equipment
  • Instrument decontamination
  • Airborne isolation rooms
  • Transmission-based isolation
  • Patient transport precautions

Questions and answers

Who must follow 59MDWI44-157 in operational healthcare units?

All personnel from operational healthcare units with an established 59 MDW Memorandum of Agreement or Memorandum of Understanding will follow this instruction. (paragraph 1)

How must suspected or confirmed healthcare-associated infections be reported?

HCWs notify the Infection Control Office (ICO) of any suspected or confirmed HAIs by telephone (210-292-7803). (paragraph 1)

When should hands be washed instead of using alcohol-based hand rub?

When hands are visibly dirty or contaminated with proteinaceous material or are visibly soiled with blood or other body fluids, wash hands with either a non-antimicrobial soap and water or an antimicrobial soap and water. (paragraph 1)

How must reusable medical equipment be handled?

Reusable medical equipment must be cleaned, reprocessed and maintained according to the manufacturer’s IFU. (paragraph 1)

What room is required for airborne isolation?

For Airborne isolation a negative pressure isolation room is required. (paragraph 1)

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