Prepared by the Ministry of Health and 18 December 2025 published in the Official Gazette dated “Inpatient Treatment Institutions Infection Control Regulation”, brought radical changes and new standards to minimize the risk of infection in hospitals. 2005 The old regulation, which had been in force since 2017, was completely repealed..
Here are the prominent details of the regulation that ushered in a new era in the healthcare system.:
In hospitals “Infection Control Committee” It Became Mandatory
With the new regulation, Infection Control Committee in all inpatient treatment institutions, both public and private (NOT) It was made mandatory to establish.
Highest Decision-making Body: Committee, It will be the most competent authority in infection prevention activities within the hospital and its decisions will be considered binding for the hospital management..
Meeting Frequency: At least per year in hospitals with intensive care 4, In others, at least 2 will meet once.
Wide Participation: Committee; From assistant chief physician to pharmacist, There will be a wide range of expert staff, from the hospital manager to the quality officer and surgical medicine representatives..
In Number of Personnel “Number of Beds” criterion
The strength of infection control teams in hospitals, will be determined by the size of the institution:
Nurse Staff: Her 150 for bed 1 An infection control nurse will be assigned.
Intensive Care Sensitivity: Number of intensive care beds 50 and in hospitals above, her 50 An additional nurse will be assigned for the intensive care bed.
Medical Secretary Support: 150 It became mandatory to appoint a full-time medical secretary to handle correspondence in bedside institutions..
Antibiotic Use Is Nearby
In the scope of combating resistant bacteria, one of the biggest problems in hospitals “Antimicrobial Stewardship” period begins.
Coordination with Pharmacy: Antibiotic usage data from the pharmacy will be analyzed.
Audit: Infection control team, will determine antibiotic use policies and audit these practices and report them to the management.
Strict Monitoring of Epidemic and Risky Areas
Regulation, not only patient treatment, Controls every corner of the hospital:
Semi-Annual Inspection: intensive care units, operating rooms, dialysis units and sterilization centers at the latest 6 will be inspected once a month.
Support Services: Kitchen, laundry, Areas such as ventilation systems and waste management will also be subject to regular checks for infection risk..
Visitor Restriction: In case of a threatening risk, The committee will have the authority to stop patients and visitors from entering the relevant department..
”Infection Control Nursing” specializing
Infection control nurses, To be selected among people who have a Ministry-approved certificate.. These nurses will not be assigned any additional duties other than infection control, including on-call service.. In addition, the tenure of these people (unless otherwise) that's it 7 determined as year.
What Will Change in the New Era??
This regulation, developing in hospital (healthcare related) infections “an expected result” not, “a preventable problem” emphasizes that. Digitalization is also at the forefront; All surveillance data USHİESA (NHS Associated Infections Surveillance Network) will be entered into the system instantly.
With this step of the Ministry, The aim is to shorten hospital stays and reduce deaths due to infection..
18 December 2025 THURSDAY
Official Gazette
Number : 33111
REGULATIONS
From the Ministry of Health:
INDOOR TREATMENT INSTITUTIONS
INFECTION CONTROL REGULATION
CHAPTER ONE
Preliminary Provisions
Aim
ARTICLE 1- (1) Purpose of this Regulation; Preventing healthcare-associated infections in inpatient facilities, take control, detect problems, Establishment of the infection control committee established to carry out solution-oriented activities and to inform the competent authorities of the decisions to be taken at the level of inpatient treatment institutions., To regulate the duties and powers and working procedures and principles.
Scope
ARTICLE 2- (1) This Regulation; It covers public institutions and organizations, inpatient treatment institutions belonging to real persons or private law legal entities, and the personnel working in these inpatient treatment institutions..
Rest
ARTICLE 3- (1) This Regulation; 7/5/1987 dated and 3359 of the Basic Law on Health Services No. 3 third article and 9 article 1 (c) with clause 1 Presidential Decree on the Presidential Organization no. 508 Prepared based on pearl substance.
Definitions
ARTICLE 4- (1) mentioned in this Regulation;
a) Ministry: Ministry of Health,
b) Surgical medicine representative: Preferably a general surgeon; Head of the main science department or the expert to be assigned in health application and research centers/university hospitals, In training and research hospitals, the education officer or one of the administrative officers or the expert to be assigned in his place, specialist to be assigned by the administrator in other inpatient treatment institutions,
c) Child health and diseases representative: Specialization in pediatric infectious diseases; the head of the science department or the expert to be assigned in health application and research centers/university hospitals, In training and research hospitals, the education officer or one of the administrative officers or the expert to be assigned in his place, Otherwise, consult a pediatrician, specialist to be assigned by the administrator in other inpatient treatment institutions,
ç) Internal medicine representative: Preferably an internal medicine specialist; the head of the department or science branch in health practice and research centers/university hospitals or the expert to be assigned instead, In training and research hospitals, the education officer or one of the administrative officers or the expert to be assigned in his place, specialist to be assigned by the administrator in other inpatient treatment institutions,
d) Pharmacy: Pharmacies established in inpatient treatment institutions in accordance with the relevant legislation,
e) Infectious diseases and clinical microbiology representative: Specialization in infectious diseases and clinical microbiology; Head of the main science department or the expert to be assigned in health application and research centers/university hospitals, In training and research hospitals, the education officer or one of the administrative officers or the expert to be assigned in his place, Infectious diseases and clinical microbiology specialist to be assigned by the administrator in other inpatient treatment institutions,
f) Infection control team: infection control physician, medical microbiology laboratory representative and his team of infection control nurses,
g) infection control physician: Infectious diseases and clinical microbiology specialist who is involved in the creation and implementation of health care-related infection control programs in line with the decisions of the infection control committee.,
g) infection control nurse: The nurse who is involved in the implementation of infection control programs associated with healthcare services in line with the decisions of the infection control committee.,
h) infection control committee: Preventing healthcare-associated infections in inpatient facilities, take control, detect problems, The committee established to carry out solution-oriented activities and to inform the competent authorities of the decisions to be taken at the level of inpatient treatment institutions.,
i) hospital manager: house administration directorate, administrative financial services directorate, quality support services unit, technical services, support services, cleaning in inpatient treatment institutions such as hotel services, disinfection, sanitation, waste management, food distribution, The manager who ensures and supervises the provision of laundry and auxiliary services in accordance with the relevant legislation.,
i) Workplace health and safety unit: Established to carry out occupational health and safety services in the workplace, unit with the necessary equipment and personnel,
j) Health care services manager: Administrator responsible for nursing services in inpatient treatment institutions,
k) Healthcare-associated infection: Infections that develop in the patient during the provision of care or health services in the health institution and that do not exist or are not in the incubation period at the time of admission to the institution,
l) Medical microbiology laboratory representative: Specialization in medical microbiology; In health practice and research centers/university hospitals that have a routine microbiology laboratory, the head of the medical microbiology department or the expert assigned in his place or the unit manager of the microbiology laboratory., Unit manager of microbiology laboratories in training and research hospitals, administrative officer or training officer or the expert to be assigned in his place.; The specialist responsible for the microbiology laboratory to be assigned by the administrator in other inpatient treatment institutions,
m) SHIESA: National Health Service Associated Infections Surveillance Network,
n) inpatient treatment institution: Except for day hospitals, observation, peak, public institutions and organizations that provide diagnostic and treatment services, inpatient health facility belonging to real persons or private law legal entities,
O) intensive care representative: In health practice and research centers/university hospitals, the head of the relevant intensive care science branch or the expert to be assigned instead, In training and research hospitals, the clinical officer or the relevant intensive care specialist, if any, to be assigned in his place., Otherwise, a physician working full time in intensive care, In other inpatient treatment institutions, the relevant intensive care specialist, if any, or a physician working full-time in intensive care to be assigned by the manager,
ö) Executive: Center director/chief physician responsible for management in health practice and research centers/university hospitals, Chief physician in other inpatient treatment institutions, Coordinator chief physician in inpatient treatment institutions where there is a coordinator chief physician,
p) Management: Center directorate/chief physician in health practice and research centers/university hospitals, chief physician in other inpatient treatment institutions, coordinator chief physician in inpatient treatment institutions where there is a coordinator chief physician,
expresses.
CHAPTER TWO
Infection Control Committee
Formation of the infection control committee
ARTICLE 5- (1) It is mandatory to establish an infection control committee in inpatient treatment institutions..
(2) The infection control committee consists of the following members:
a) The manager or one or more assistant chief physicians/deputy center managers to be assigned by the manager.
b) Infectious diseases and clinical microbiology representative.
c) Child health and diseases representative.
ç) Internal medicine representative.
d) Surgical medicine representative.
e) adult intensive care, At least one intensive care representative from each of the inpatient treatment institutions with pediatric intensive care or neonatal intensive care..
f) Epidemiology subspecialist if available.
g) Medical microbiology laboratory representative.
g) Health care services manager.
h) infection control physician.
i) infection control nurse.
i) Pharmacy manager.
j) hospital manager.
k) Quality management officer.
l) Workplace health and safety unit representative.
(3) of the second paragraph (b) ve (h) The representatives mentioned in these clauses may be the same person..
(4) By the management in line with the recommendations of the infection control committee, Heads of major science branches or science branches, training officers, administrative officers, Unit managers and administrative unit representatives may also be assigned to the infection control committee..
(5) If there is no infectious diseases and clinical microbiology specialist in the inpatient treatment institution where the infection control committee is established, For infection control medicine, consultancy service is received from an infection control physician working in an inpatient treatment institution within the borders of the same province..
(6) In inpatient treatment institutions with more than one hundred and fifty beds, a full-time medical secretary is appointed to carry out the communication work of the infection control committee, with the approval of the administrative head and the head of the infection control committee and the approval of the manager.. In addition, more medical secretaries may be assigned as needed in institutions with seven hundred fifty beds and above..
Duties and powers of the infection control committee
ARTICLE 6- (1) The duties and powers of the infection control committee are as follows::
a) Within the framework of scientific principles, Determining an infection control program appropriate to the characteristics and conditions of the inpatient treatment institution, To forward it to the relevant departments for implementation with the approval of the management and to follow up.
b) To write down the infection prevention and control standards that should be applied in the inpatient treatment institution, taking into account current national and international guidelines, and to update them when necessary..
c) Personnel working in inpatient treatment institutions, (b) To ensure that they are provided with in-service training and to supervise the practices so that they can apply the standards stated in the paragraph..
ç) To plan and ensure the continuity of surveillance, taking into account the needs and conditions of the inpatient treatment institution, in line with the national healthcare-associated infections surveillance standards established by the Ministry..
d) Determining priorities based on analysis of surveillance data, Determine infection control program and goals, Presenting the annual work report to the management at the end of the year, including the level of achievement of the targets.
e) Antiseptic related to infection prevention and control, disinfectant, To give opinions to the relevant commissions on issues such as the purchase of fixtures and consumables such as antibiotics and sterilization processes.
f) To make suggestions regarding all kinds of construction and renovation plans that are requested by the management and may cause infections..
g) patients, To carry out the necessary examinations in case of detecting a risk of infection that poses a threat to visitors and institution employees, determine isolation measures, When necessary, to make decisions on restricting or stopping the admission of patients and visitors to the relevant department and to follow the practices..
g) Determining antimicrobial management policies based on the results of surveillance data and antibiotic use data obtained from the pharmacy, Evaluating and analyzing antibiotic use practices, Reporting to management with solution suggestions.
h) Sterilization, To determine the principles of antisepsis and disinfection and to supervise the use of antiseptics and disinfectants in accordance with the standards.
i) To ensure that the data collected in accordance with the national healthcare-associated infections surveillance standards are entered into USHIESA in a timely manner and to ensure the healthcare-associated infections prepared by the infection control team., factors, Reporting the surveillance report containing resistance patterns and feedback to the management quarterly to be forwarded to the relevant departments.
i) Evaluating the annual study report and results prepared by the infection control team, analyze and present to management with suggestions.
j) According to the analysis of health care-related infection surveillance data, to set targets for the infection control program together with the heads of the priority departments and to evaluate the target achievement rates together with the physician and nurse in charge of the relevant unit at the end of each year and to present these evaluations to the management in the annual work report..
k) Ensuring that the infection control team or teams work in line with the committee plans.
l) To make decisions on the problems and solution suggestions submitted by the infection control team and other members of the committee and to communicate them to the management in writing and to follow the practices..
m) Ensuring that protective measures are taken for personnel, such as immunization and prophylaxis against occupational infection risks.
n) Notifying the management in writing in case of detection of an infection-related event that may pose an acute public health threat.
O) Within the scope of the branches of the infection control committee members; Aseptic drug preparation and storage with rational antibiotic use for the pharmacy manager, Culturing methods for medical microbiology laboratory representative, Providing training to inpatient hospital staff on infection prevention and control issues such as surgical antibiotic prophylaxis for the surgical medicine representative.
ö) Providing consultancy on practices for legionnaires' disease control in inpatient treatment institutions..
p) hospital ventilation system, hospital cleaning, water systems, laundry, kitchen, Ensuring that activities for infection prevention and control are carried out in support services such as waste management.
(2) infection control committee, Responsible for all work related to infection prevention and control activities in institutions.
(3) The infection control committee can create more than one infection control team and, when necessary, creates working groups related to its field of duty..
Working procedure
ARTICLE 7- (1) infection control committee, Works as the highest decision-making body in infection prevention and control. Regularly at least four times a year in three-month periods in inpatient treatment institutions with intensive care units, In institutions without intensive care units, it meets at least twice a year.. Infection control committee in emergency situations, It may convene upon the invitation of the chairman or upon the application of one of the members to the chairmanship and the approval of the chairman..
(2) Members of the infection control committee are appointed for a period of four years.
(3) Chairman of the infection control committee, Infectious diseases and clinical microbiology representative conducts. In institutions where the infectious diseases and clinical microbiology representative cannot attend or where there is no infectious diseases and clinical microbiology representative, the chairman is the manager assigned to the committee..
(4) Members of the infection control committee, It meets to discuss the agenda prepared by the infection control team and presented to them in advance.. Meeting place by infection control team, date, The meeting invitation, including time and agenda, is presented to the management.. The meeting date and agenda are notified to the members by the management at least two days before the meeting..
(5) Members who cannot attend ordinary or extraordinary meetings for any reason, Submits written excuses to management.
(6) infection control committee, It meets with the absolute majority of the total number of members and takes decisions by the majority vote of those present.. In case of equality of votes, The opinion to which the president is a party is deemed to have been decided.. Committee decisions are signed by members who attend the meeting physically or digitally.. Those who oppose the decision, They sign the decision by stating the reason for their opposing opinion in writing.. All decisions made in physical and digital environments, It is stored in accordance with the relevant legislation and protected in accordance with traceability principles..
(7) Annual working report of the infection control committee, It is prepared by the infection control team and presented to the management after being discussed in the infection control committee..
Infection control committee decisions
ARTICLE 8- (1) Infection control committee decisions are binding.. Management, Takes the necessary measures to implement the decisions of the infection control committee.
CHAPTER THREE
Infection Control Team
Infection control team
ARTICLE 9- (1) The duties and powers of the infection control team are as follows::
a) Maintaining practices for infection prevention and control in accordance with current national and international guidelines and determining new practices when necessary..
b) Evaluating surveillance data, Identifying problems and presenting solution suggestions to the infection control committee.
c) Ensuring that data collected in accordance with national healthcare-associated infections surveillance standards are entered into USHIESA in a timely manner in accordance with the standards.; healthcare-associated infections every three months, factors, Prepare the surveillance report including resistance patterns and feedback and report it to the infection control committee.
ç) To make recommendations to the infection control committee to take protective measures such as immunization and prophylaxis against the risks of personnel related to occupational infection..
d) Taking into account surveillance data and antibiotic use data from the pharmacy, monitoring antibiotic use practices, directing and informing the infection control committee.
e) Sterilization, Supervising antisepsis and disinfection processes, submitting the inspection report to the infection control committee.
f) Conducting an investigation when an epidemic is suspected, Carrying out necessary work in the presence of an epidemic.
g) Hospital cleaning in coordination with relevant administrative units for infection prevention and control purposes, ventilation and water systems, kitchen, Inspect areas related to support services such as laundry and waste management twice a year, every six months, presenting inspection results to the infection control committee.
g) Intensive care unit where the risk of healthcare-associated infections is high, newborn, palliative care, clinics such as hematology and oncology, dialysis units, sterilization, To inspect the units where interventional procedures such as operating rooms and endoscopy are performed twice a year, every six months, in terms of infection prevention and control and to present the inspection results to the infection control committee..
h) Prepare the draft annual work report and submit it to the infection control committee.
i) Determining the agenda of infection control committee meetings and conducting their secretariat.
infection control physician
ARTICLE 10- (1) infection control physician, from infectious diseases and clinical microbiology experts, Preferably, those with experience in epidemiology and the prevention and control of healthcare-associated infections. If there is no infectious diseases and clinical microbiology specialist within the municipality where the inpatient treatment institution is located, The role of infection control physician is carried out by a specialist physician from internal branches, preferably an internal medicine specialist or a pediatrician..
(2) A specialist physician who meets the conditions specified in the first paragraph can provide infection control medicine services in a maximum of two different inpatient treatment institutions..
(3) If the infection control committee deems it appropriate, more than one infection control physician may be assigned to the inpatient treatment institution.. In this case, the distribution of duties of infection control physicians, carried out by the infection control committee.
Duties of the infection control physician
ARTICLE 11- (1) The duties and powers of the infection control physician are as follows::
a) Meeting with infection control nurses at least once a week to evaluate the work., advising infection control nurses.
b) Supervise the work carried out by infection control nurses and the in-service training program.
c) To provide training to inpatient treatment institution staff on infection prevention and control within the framework of the infection control committee's program..
ç) Data collected in accordance with national healthcare-associated infections surveillance standards, To monitor timely entry into USHİESA.
d) Regularly evaluate surveillance data with the infection control team, interpret, making plans for the prevention and control of infections.
e) Participating in the development and implementation of infection control programs.
f) Initiating an investigation and informing the infection control team when an outbreak is suspected.
g) Problems identified regarding infection control measures in inpatient treatment institutions, forward to relevant units and infection control committee; Establishing infection control measures in these units, make recommendations for implementation and evaluation.
infection control nurse
ARTICLE 12- (1) infection control nurse, by the management with the recommendation of the infection control committee and the approval of the health care services director., They are selected among nurses who have a bachelor's degree and preferably have an infection control nursing certificate approved by the Ministry and work under the infection control committee..
(2) In inpatient treatment institutions, One infection control nurse for every hundred and fifty beds, depending on the number of beds in the institution; In addition, regardless of the number of beds in the institution, it is mandatory to assign one more infection control nurse for every fifty intensive care beds in hospitals with fifty or more intensive care beds.. In institutions with more than fifty intensive care beds, When the number of intensive care beds is divided by fifty, if the remaining number is twenty-five or more, it is mandatory to assign another infection control nurse..
(3) Infection control nurses certified by the Ministry, Unless a contrary proposal is made by the infection control committee, He/she holds this position for at least seven years.. Including on-call services for infection control nurses, No additional duties other than infection prevention and control can be assigned..
Duties of the infection control nurse
ARTICLE 13- (1) The duties and powers of the infection control nurse are as follows::
a) Conducting surveillance of healthcare-associated infections in accordance with national healthcare-associated infections surveillance standards, evaluate patients with daily clinic visits, monitor laboratory and imaging results, By coordinating with the responsible physicians and nurses, identifying patients who develop or are at risk of developing healthcare-associated infections and ensuring that necessary precautions are taken..
b) Intensive care unit where the risk of healthcare-associated infections is high, newborn, palliative care, in clinics such as hematology and oncology, in dialysis units; Areas/clinics where patients are followed with isolation precautions or sterilization, Units where invasive interventional procedures such as operating rooms and endoscopy are performed, and laundry rooms, Monitoring and evaluating support service units such as cafeterias.
c) Healthcare-associated infection surveillance data, Towards USHIESA, enter fully and on time.
ç) infections, Identifying microorganisms and changes in antibiotic resistance and reporting them to the infection control team.
d) Participating in investigations when there is a suspicion of an epidemic and carrying out the necessary studies in the presence of an epidemic.
e) Meeting with an infection control physician at least once a week to evaluate the work..
f) Clinic, Communicating problems related to services and units to the relevant units and infection control committee together with the infection control physician, Establishing infection control measures in these units, To contribute to the implementation and evaluation and to follow up.
g) Participating in the development and implementation of infection control programs.
g) Monitoring infection control practices throughout the inpatient treatment facility.
h) Providing training to inpatient treatment facility staff about healthcare-associated infections and their control..
CHAPTER FOUR
Miscellaneous and Final Provisions
Training and certification
ARTICLE 14- (1) The procedures and principles regarding the training and certification of people who will perform infection control nursing duties are determined by the Ministry..
physical conditions
ARTICLE 15- (1) A room is allocated by the management to infection control nurses to carry out the activities of the infection control team.. Necessary technical equipment and stationery, including computers, are provided for each staff member..
national guides
ARTICLE 16- (1) For infection prevention and control in inpatient treatment institutions; 6 The first paragraph of the article (b) National guides containing the infection prevention and control standards specified in the paragraph are prepared by the Ministry and published on the official website of the Ministry..
Repealed regulation
ARTICLE 17- (1) 11/8/2005 dated and 25903 Infection Control Regulation for Inpatient Treatment Institutions published in the Official Gazette No. has been repealed..
Force
ARTICLE 18- (1) This Regulation shall enter into force on the date of its publication..
Executive
ARTICLE 19- (1) The Minister of Health shall enforce the provisions of this Regulation..
