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1 Patients harboring dangerous organisms should be placed in separate rooms. This is essential to protect other patients and healthcare workers. Most of our hospitals do not follow isolation protocols because of lack of awareness as well as faults in their structural design. Hospitals should be built according to recommended design which includes provision for contact, droplet and airborne precautions and provision for positive pressure rooms for immunocompromised patients and negative pressure rooms for air borne precaution 5, 6. It is not too difficult to create isolation facilities in hospitals where such provisions are presently nonexistent. A corner room or two in each floor can be converted into isolation area with provisions for personal protective gears such as gown, gloves, mask, etc. In Bangladesh management of hospital waste is another neglected area where there is gross violation of basic human rights 7. In general, hospitals do not have a system for safe disposal of wastes. Recycling of discarded items from hospitals and clinics is common topic in the media coverage. Sorting the hospital wastes by categories of sharps, infected and non infected items and disposing them to recommended place through proper processing should be considered as one of the basic necessities of hospital management. In Dhaka some of the privately run hospitals have initiated basic infection control measures but the overwhelming majority of both government and private hospitals are even not aware of existence of such measures. Microbiologists can play a key role here. They can contribute not only by providing culture and sensitivity reports but also by helping in conducting training program for healthcare workers, quality control of central sterile supply department (CSSD), and surveillance.

How big a challenge to initiate three basic infection control practices in hospitals of Bangladesh?