Infection Control Manual Residential Care Part 3 Infection Control Standards IC6: Additional Precautions

Transcription

1 IC6: 0110 Appendix I Selection Table Infection Control Manual esidential Care IC6: Additional Legend: outine Practice * reportable to Public Health C - Contact ** reportable by Lab D - Droplet A - Airborne Droplet/Contact Abscess Draining, minor or limited (dressing covers and adequately contains drainage) Draining, major (no dressing, or dressing does not adequately contain drainage) AIDS (see HIV) Campylobacter gastroenteritis (see Gastroenteritis) Candidiasis (all types) C while draining Cellulitis (with drainage) C while draining if dressing does not adequately contain drainage Chickenpox (see Herpes zoster) Conjunctivitis C Duration of symptoms Creutzfeldt-Jacob disease (CJD & vcjd) * Cryptosporidiosis (see Gastroenteritis) Cytomegalovirus infection Decubitus ulcer (see Abscess) Diarrhea (see Gastroenteritis) Diphtheria (toxin producing) cutaneous C * until off antibiotic and culture negative x 2 evised March 2014 IC6: 0110 Appendix I Selection Table Page 1 of 6

2 Infection Control Manual esidential Care IC6: Additional pharyngeal D * until off antibiotic and culture negative x 2 Enteroviral infections Epstein-Barr virus (infectious mononucleosis) E. coli gastroenteritis (see Gastroenteritis) ESBL (Extended Spectrum Beta Lactamase producing organisms) Contact precautions if evidence of transmission Gastroenteritis (diarrhea) C if feces cannot be * (if epidemic) Campylobacter C * C difficile C until no diarrhea for 72 hours Cryptosporidium * E. coli O157:H C * E. coli other species Giardia lamblia Noro (Noro-like) virus C * (if endemic) until no diarrhea for 48 hours mask when handling emesis See GI Outbreak Protocol otavirus C Salmonella C * evised March 2014 IC6: 0110 Appendix I Selection Table Page 2 of 6

3 Infection Control Manual esidential Care IC6: Additional Shigella species C * Viral (if not covered elsewhere) C * until no diarrhea for 72 hours Foodborne illness * German measles (see ubella) Giardiasis (see Gastroenteritis) Hand, foot and mouth disease (see Enteroviral infections) Helicobacter pylori Hepatitis, viral Hepatitis A * Hepatitis B and HbsAg positive (chronic carrier) * Hepatitis C * Hepatitis D/E/ G * Herpes simplex Mucocutaneous and disseminated or primary, severe Mucocutaneous and recurrent (skin, oral or genital) Herpes zoster (Varicella zoster, shingles, chickenpox) Localized, in immune competent resident Localized, in immune compromised resident Disseminated C C A /C A/C until lesions are dry Susceptible HCW should not enter room it there is an immune care giver available Assess immunity of roommates. Consult Infection Control evised March 2014 IC6: 0110 Appendix I Selection Table Page 3 of 6

4 Infection Control Manual esidential Care IC6: Additional Chickenpox A/C Consult Infection Control HIV * Impetigo C Until 24 hours of effective treatment Infectious mononucleosis (see Epstein-Barr virus) Influenza D / C For duration of symptoms or 5 days whichever is sooner See I protocol ** Legionnaires Disease * * Lice C until 24 hours after treatment Methicillin-resistant Staphylococcus aureus (active infection (MSA) No risk factors for transmission and or See MSA standard colonized isk factors for transmission C See MSA standard Measles A * 4 days after onset of rash Meningitis * Mumps Mycoplasma pneumoniae for duration of illness Noro (Noro-like) virus (see Gastroenteritis) Pediculosis (see Lice) Pertussis (Whooping cough) D * for 5 days after start of antibiotic therapy Pinworm Pneumonia evised March 2014 IC6: 0110 Appendix I Selection Table Page 4 of 6

5 Infection Control Manual esidential Care IC6: Additional Unknown cause evised March 2014 IC6: 0110 Appendix I Selection Table Page 5 of 6 Adenovirus for duration of illness Bacterial not listed elsewhere Chlamydia spp. H. influenzae Mycoplasma spp. Pneumocystis carinii Staphylococcus aureus Streptococcus, group A invasive * see Streptococcal disease Viral espiratory Infection espiratory Syncytial Virus (SV) Use Droplet if resident respiratory hygiene is poor Severe Acute espiratory Syndrome (SAS) A/C * heumatic fever ingworm otavirus infection (see Gastroenteritis) ubella (German measles) A * for 4 days after onset of rash Salmonellosis (see Gastroenteritis) Scabies C until 24 hours post treatment Skin wound or burn (see Abscess) Staphylococcal disease (S aureus); See abscess, pneumonia Streptococcal disease (group A Streptococcus) See abscess or pneumonia * (if invasive e.g. necrotizing fasciitis,

6 Infection Control Manual esidential Care IC6: Additional sepsis) Tuberculosis, Active Pulmonary Disease A * (if active disease) Mantoux skin test positive but no evidence of active respiratory disease Extrapulmonary Urinary Tract Infection (including pyelonephritis), with or without urinary catheter Vancomycin-resistant enterococcus (VE) No risk factors for transmission See VE Standard isk factors for transmission See VE standard Varicella Zoster (see Herpes zoster) Whooping cough (see Pertussis) Wound infection (see Abscess) Zoster (see Herpes zoster) eferences CDC Guidelines for Isolation precautions: Preventing transmission of infections in health Care settings PIDAC outine Practices and additional precautions in all health care settings evised March 2014 IC6: 0110 Appendix I Selection Table Page 6 of 6