Black Fungus: Assam asks Hospitals to form Multi-Speciality teams, Separate Wards
GUWAHATI: Assam government has directed the hospital authorities in the state to set up a dedicated ward for Mucormycosis or black fungus patients and to for multi-speciality teams.
In a fresh standard operating procedure (SOP) issued by the state government, it said that a dedicated ward for Mucormycosis patients and a separate waste disposal mechanism has to be in place.
“A multi-speciality team that includes specialists from oro-facial-maxillary, ENT, neurosurgery, ophthalmology and plastic surgery should be ready for immediate surgery as debridement of infected tissues is the only confirmatory treatment,” the SOP said.
It has asked the authorities that all high-risk patients who had steroid treatment should be subjected to baseline Neutrophil count and then every third day until discharge. In case count less than normal, they should be screened for any fungal infections, it added.
The state government has also said that the use of prophylactic antifungal particularly Voriconazole has to be restricted as well as the use of Broad Spectrum Antibiotic.
“Possible source of Mucormycetes in the hospital environment like damp wall and floor, air conditioner (AC) filters, old food materials. Any organic materials, soiled and contaminated linens including bandage etc. soiled and contaminated mask, equipment and devices used for patient care, contaminated oxygen cylinder and its accessories, humidifiers, leakage in water pipes should be specifically checked frequently to avoid any occurrence of mucormycosis,” the SOP said.
Besides asking the hospital authorities to mop and clean the ICUs, wards and hospital premises, it has asked to clean the humidifier bottle with mild detergent and hot water using a small brush and weekly cleaning of a cylinder, valver and flowmeter.