infection control chart
DESCRIPTION
Infection control chartTRANSCRIPT
1
All
clie
nts a
dmitt
ed to
the
hosp
ital a
utom
atic
ally
are
con
side
red
to b
e on
stan
dard
pre
caut
ions
. The
dis
ease
s lis
ted
belo
w re
quire
stan
dard
pre
caut
ions
plu
s add
ition
al
prec
autio
ns th
at a
re n
oted
in th
e is
olat
ion/
prec
autio
n co
lum
n.
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Am
ebia
sis (
Enta
moe
ba
hist
olyt
ica)
D
ysen
tery
Con
tact
Pre
caut
ions
Fece
s
Dur
atio
n of
illn
ess-
until
sy
mpt
om fr
ee.
Bro
nchi
oliti
s C
onta
ct P
reca
utio
ns (f
or
infa
nts a
nd y
oung
chi
ldre
n on
ly).
Res
pira
tory
secr
etio
ns
Dur
atio
n of
illn
ess-
until
sy
mpt
om fr
ee.
If re
spira
tory
sy
ncyt
ial v
irus (
RSV
) ant
igen
po
sitiv
e, re
fer t
o R
SV.
Var
ious
etio
logi
c ag
ents
hav
e be
en a
ssoc
iate
d w
ith th
is
synd
rom
e, i.
e., r
espi
rato
ry
sync
ytia
l viru
s (R
SV),
para
influ
enza
viru
ses,
aden
oviru
ses,
influ
enza
viru
ses.
C
hick
enpo
x (V
aric
ella
) A
irbor
ne a
nd C
onta
ct
Prec
autio
ns
Airb
orne
dro
plet
s and
skin
le
sion
s U
ntil
all l
esio
ns a
re c
rust
ed (a
t le
ast 5
day
s afte
r ons
et o
f le
sion
s).
Susc
eptib
le p
erso
ns sh
ould
not
en
ter t
he ro
om.
Pers
ons i
mm
une
from
pre
viou
s var
icel
la in
fect
ion
may
ent
er th
e ro
om w
ithou
t a
mas
k. T
hose
imm
une
by
vacc
inat
ion
shou
ld w
ear a
mas
k w
hen
ente
ring
the
room
. A
sp
ecia
lly v
ente
d ro
om is
ne
cess
ary.
The
doo
r to
the
clie
nt’s
room
shou
ld re
mai
n cl
osed
. Th
e cl
ient
mus
t wea
r a
mas
k w
hen
leav
ing
thei
r roo
m.
Susc
eptib
le c
lient
s who
hav
e be
en
expo
sed
shou
ld b
e pl
aced
on
Airb
orne
Pre
caut
ions
beg
inni
ng
10 d
ays a
fter e
xpos
ure
and
cont
inui
ng th
roug
h da
y 21
afte
r la
st e
xpos
ure
(up
to 2
8 da
ys if
V
ZIG
has
bee
n gi
ven)
. C
lient
s ar
e co
nsid
ered
infe
ctio
us 2
day
s be
fore
ons
et o
f ras
h an
d up
to 5
da
ys a
fter o
nset
of l
esio
ns.
Afte
r ex
posu
re, u
se v
aric
ella
zos
ter
imm
une
glob
ulin
(VSI
Z) a
s re
com
men
ded
by In
fect
ious
D
isea
ses S
ervi
ce.
Clo
stri
dium
diff
icile
en
tero
colit
is
Con
tact
Isol
atio
n Fe
ces
Dur
atio
n of
illn
ess-
until
sy
mpt
om fr
ee
2
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Com
mon
col
d D
ropl
et P
reca
utio
ns
(for
infa
nts a
nd y
oung
ch
ildre
n on
ly).
Res
pira
tory
secr
etio
ns
Dur
atio
n of
illn
ess-
until
sy
mpt
om fr
ee.
Rhi
novi
ruse
s are
mos
t fre
quen
tly
asso
ciat
ed w
ith th
e co
mm
on c
old.
In
fect
ion
is u
sual
ly m
ild in
adu
lts,
but m
ay b
e se
vere
in in
fant
s and
yo
ung
child
ren.
Oth
er e
tiolo
gic
agen
ts su
ch a
s res
pira
tory
sy
ncyt
ial v
irus (
RSV
) and
pa
rain
fluen
za v
iruse
s may
als
o ca
use
this
synd
rom
e.
Con
junc
tiviti
s, vi
ral (
acut
e he
mor
rhag
ic)
Con
tact
Isol
atio
n Ey
e dr
aina
ge
Dur
atio
n of
illn
ess-
until
sy
mpt
om fr
ee.
Dec
ubitu
s ulc
er, i
nfec
ted,
m
ajor
Con
tact
Isol
atio
n W
ound
dra
inag
e D
epen
ds o
n th
e ex
tent
and
co
nditi
on o
f the
ulc
er.
Maj
or: N
o dr
essi
ng o
r dre
ssin
g do
es n
ot a
dequ
atel
y co
ntai
n dr
aina
ge.
Dip
hthe
ria
C
utan
eous
Ph
aryn
geal
Con
tact
Pre
caut
ions
D
ropl
et P
reca
utio
ns
Wou
nd d
rain
age
Res
pira
tory
secr
etio
ns
Unt
il cu
lture
s fro
m in
fect
ed si
tes
are
nega
tive
for
Cor
yneb
acte
rium
dip
hthe
riae
on
two
sepa
rate
day
s. C
olle
ct
cultu
res >
24
hour
s apa
rt an
d no
t so
oner
than
24
hour
s afte
r the
la
st d
ose
of a
ntib
iotic
s. U
ntil
cultu
res a
re n
egat
ive
for
Cor
yneb
acte
rium
dip
hthe
riae
on
two
sepa
rate
day
s. C
olle
ct
cultu
res >
24
hour
s apa
rt an
d no
t so
oner
than
24
hour
s afte
r the
la
st d
ose
of a
ntib
iotic
s.
Epi
glot
titis
Dro
plet
Pre
caut
ions
R
espi
rato
ry se
cret
ions
U
ntil
24 h
ours
afte
r sta
rt of
ef
fect
ive
ther
apy.
Ep
iglo
ttis i
s ofte
n du
e to
H
aem
ophi
lus i
nflu
enza
e.
Trea
tmen
t for
bot
h sy
stem
ic
infe
ctio
n an
d ca
rrie
r sta
te is
ne
eded
. Fo
r rec
omm
enda
tions
re
gard
ing
prop
hyla
xis a
fter
expo
sure
, cal
l Inf
ectio
us D
isea
ses
Serv
ice
(for
clie
nts a
nd fa
mily
) an
d O
ccup
atio
nal H
ealth
(for
em
ploy
ees)
. E
sche
rich
ia c
oli
gast
roen
teri
tis
(ent
erop
atho
geni
c,
ente
roto
xige
nic,
en
tero
inva
sive
, en
tero
hem
orrh
agic
)
Con
tact
Pre
caut
ions
Fe
ces
3
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Fift
h’s D
isea
se/E
ryth
ema
Infe
ctio
sum
(Par
vovi
rus
B19
)
Dro
plet
Pre
caut
ions
R
espi
rato
ry se
cret
ions
U
ntil
onse
t of r
ash
(not
co
nsid
ered
infe
ctio
us a
fter
appe
aran
ce o
f ras
h).
Ger
man
Mea
sles
Rub
ella
C
onge
nita
l rub
ella
Dro
plet
Pre
caut
ions
(doe
s not
re
quire
room
with
neg
ativ
e pr
essu
re a
nd e
xter
nal
exha
ust)
Con
tact
Pre
caut
ions
(doe
s not
re
quire
room
with
neg
ativ
e pr
essu
re a
nd e
xter
nal
exha
ust)
Res
pira
tory
secr
etio
ns a
nd
urin
e R
espi
rato
ry se
cret
ions
and
ur
ine
For 7
day
s afte
r ons
et o
f ras
h.
Isol
atio
n is
requ
ired
durin
g an
y ad
mis
sion
for t
he fi
rst y
ear a
fter
birth
, unl
ess n
asop
hary
ngea
l and
ur
ine
cultu
res a
fter 3
mon
ths o
f ag
e ar
e ne
gativ
e fo
r rub
ella
Susc
eptib
le p
erso
ns sh
ould
not
en
ter t
he ro
om.
Pers
ons i
mm
une
by v
acci
natio
n or
nat
ural
illn
ess
may
ent
er th
e ro
om w
ithou
t a
mas
k. S
usce
ptib
le c
lient
s who
ha
ve b
een
expo
sed
shou
ld b
e pl
aced
on
Dro
plet
Pre
caut
ions
be
ginn
ing
7 da
ys a
fter e
xpos
ure
and
cont
inui
ng th
roug
h da
y 21
af
ter l
ast e
xpos
ure.
Clie
nts a
re
cons
ider
ed in
fect
ious
a fe
w d
ays
befo
re to
7 da
ys a
fter o
nset
of
rash
.
Hae
mop
hilu
s inf
luen
zae,
in
vasi
ve
Ep
iglo
ttitis
M
enin
gitis
Pn
eum
onia
Dro
plet
Pre
caut
ions
D
ropl
et P
reca
utio
ns
Dro
plet
Pre
caut
ions
(for
in
fant
s and
you
ng c
hild
ren
only
).
Res
pira
tory
secr
etio
ns
Res
pira
tory
secr
etio
ns
Res
pira
tory
secr
etio
ns
Unt
il 24
hou
rs a
fter s
tart
of
effe
ctiv
e th
erap
y.
Unt
il 24
hou
rs a
fter s
tart
of
effe
ctiv
e th
erap
y.
Unt
il 24
hou
rs a
fter s
tart
of
effe
ctiv
e th
erap
y.
Trea
tmen
t for
bot
h sy
stem
ic
infe
ctio
n an
d ca
rrie
r sta
te is
ne
eded
. Fo
r rec
omm
enda
tions
re
gard
ing
prop
hyla
xis a
fter
expo
sure
, cal
l Inf
ectio
us D
isea
ses
Serv
ice
(for
clie
nts a
nd fa
mily
) an
d O
ccup
atio
nal H
ealth
(for
em
ploy
ees)
. Tr
eatm
ent f
or b
oth
syst
emic
in
fect
ion
and
carr
ier s
tate
is
need
ed.
For r
ecom
men
datio
ns
rega
rdin
g pr
ophy
laxi
s afte
r ex
posu
re, c
all I
nfec
tious
Dis
ease
s Se
rvic
e (f
or c
lient
s and
fam
ily)
and
Occ
upat
iona
l hea
lth (f
or
empl
oyee
s).
Trea
tmen
t for
bot
h sy
stem
ic
infe
ctio
n an
d ca
rrie
r sta
te is
ne
eded
. Fo
r rec
omm
enda
tions
re
gard
ing
prop
hyla
xis a
fter
expo
sure
, cal
l Inf
ectio
us D
isea
ses
Serv
ice
(for
clie
nts a
nd fa
mily
) an
d O
ccup
atio
nal h
ealth
(for
em
ploy
ees)
.
4
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Han
d, fo
ot, a
nd m
outh
di
seas
e
Con
tact
Pre
caut
ions
R
espi
rato
ry se
cret
ions
and
fe
ces
For 7
day
s afte
r ons
et.
Hep
atiti
s, vi
ral
Ty
pe A
Con
tact
Pre
caut
ions
(for
di
aper
ed o
r inc
ontin
ent
clie
nts)
Fece
s
Dur
atio
n of
illn
ess
Her
pes s
impl
ex
M
ucoc
utan
eous
D
isse
min
ated
seve
re o
r pr
imar
y
Neo
nata
l
Con
tact
Pre
caut
ions
C
onta
ct P
reca
utio
ns
Lesi
on se
cret
ions
Dur
atio
n of
illn
ess-
until
sy
mpt
om fr
ee.
Unt
il le
sion
s dry
and
cru
sted
H
erpe
s zos
ter
(Shi
ngle
s)
D
isse
min
ated
Airb
orne
and
Con
tact
Pr
ecau
tions
Lesi
on a
nd re
spira
tory
se
cret
ions
Dur
atio
n of
-unt
il al
l les
ions
are
cr
uste
d.
Pers
ons s
usce
ptib
le to
var
icel
la
shou
ld n
ot e
nter
the
room
.
Clie
nts w
ho h
ave
been
exp
osed
sh
ould
be
man
aged
in
cons
ulta
tion
with
Infe
ctio
n C
ontro
l.
Impe
tigo
C
onta
ct P
reca
utio
ns
Lesi
ons
For 2
4 ho
urs a
fter s
tart
of
effe
ctiv
e an
tibio
tic th
erap
y.
5
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Influ
enza
Dro
plet
Pre
caut
ions
R
espi
rato
ry se
cret
ions
D
urat
ion
of il
lnes
s-un
til
sym
ptom
free
.
In th
e ab
senc
e of
an
epid
emic
, in
fluen
za m
ay b
e di
ffic
ult t
o di
agno
se o
n cl
inic
al g
roun
ds.
Dur
ing
epid
emic
s, th
e ac
cura
cy o
f di
agno
sis i
ncre
ases
. C
ohor
ting
of
clie
nts m
ay b
e co
nsid
ered
dur
ing
perio
ds o
f hig
h ce
nsus
. Im
mun
izat
ion
is st
rong
ly
enco
urag
ed fo
r hea
lth c
are
prov
ider
s and
clie
nts a
t ris
k fo
r se
rious
com
plic
atio
ns.
Con
tact
In
fect
ious
Dis
ease
s Ser
vice
for
reco
mm
enda
tions
rega
rdin
g th
e us
e of
pro
phyl
axis
for n
on-
imm
uniz
ed p
erso
ns.
Lic
e (p
edic
ulos
is)
C
onta
ct P
reca
utio
ns
Infe
sted
are
a U
ntil
effe
ctiv
e tre
atm
ent h
as
been
com
plet
ed a
nd ro
om/
pers
onal
item
s ade
quat
ely
disi
nfec
ted.
Empl
oyee
s with
dire
ct c
onta
ct
shou
ld b
e ex
amin
ed fo
r in
fest
atio
n. C
loth
ing
and
bedd
ing
may
be
disi
nfec
ted
by m
achi
ne
was
hing
and
dry
ing
*use
hot
cy
cles
). D
ry c
lean
ing
or st
orin
g ite
ms i
n a
plas
tic b
ag fo
r 10
days
is
als
o ef
fect
ive.
Use
of a
n en
viro
nmen
tal i
nsec
ticid
e is
not
ne
eded
. M
easl
es (r
ubeo
la, r
ed
mea
sles
)
Airb
orne
Pre
caut
ions
(use
a
mon
itore
d ro
om w
ith
nega
tive
pres
sure
and
ex
tern
al e
xhau
st)
Res
pira
tory
secr
etio
ns
For 4
day
s afte
r ons
et o
f ras
h.
For i
mm
unoc
ompr
omis
ed
patie
nts,
mai
ntai
n pr
ecau
tions
fo
r dur
atio
n of
illn
ess.
Prom
ptly
not
ify In
fect
ion
Con
trol.
Sus
cept
ible
per
sons
sh
ould
stay
out
of t
he ro
om.
All
othe
r per
sons
shou
ld w
ear a
mas
k up
on e
ntry
. A
spec
ially
ven
ted
room
is n
eces
sary
. Th
e cl
ient
m
ust w
ear a
mas
k w
hen
leav
ing
the
room
. Th
e do
or to
the
clie
nt’s
ro
om sh
ould
rem
ain
clos
ed.
Susc
eptib
le c
lient
s who
hav
e be
en
expo
sed
shou
ld b
e pl
aced
on
Airb
orne
Pre
caut
ions
beg
inni
ng 5
da
ys a
fter e
xpos
ure
and
cont
inui
ng th
roug
h da
y 21
afte
r la
st e
xpos
ure.
Clie
nts a
re
cons
ider
ed in
fect
ious
4 d
ays
befo
re to
4 d
ays a
fter o
nset
of
rash
.
6
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Men
ingi
tis
H
aem
ophi
lus i
nflu
enza
e,
know
n or
susp
ecte
d
N
eiss
eria
men
ingi
tis
(men
ingo
cocc
al),
know
n or
susp
ecte
d
V
iral (
asep
tic o
r no
nbac
teria
l)
Dro
plet
Pre
caut
ions
D
ropl
et P
reca
utio
ns
Con
tact
Pre
caut
ions
(for
in
fant
s and
you
ng c
hild
ren
only
Res
pira
tory
secr
etio
ns
Res
pira
tory
secr
etio
ns
Fece
s
Unt
il 24
hou
rs a
fter s
tart
of
effe
ctiv
e th
erap
y.
Unt
il 24
hou
rs a
fter s
tart
of
effe
ctiv
e th
erap
y.
Dur
atio
n of
illn
ess-
until
sy
mpt
oms f
ree.
Trea
tmen
t for
bot
h sy
stem
ic
infe
ctio
n an
d ca
rrie
r sta
te is
ne
eded
. Fo
r rec
omm
enda
tions
re
gard
ing
prop
hyla
xis a
fter
expo
sure
, cal
l Inf
ectio
us D
isea
ses
Serv
ice
(for
clie
nts a
nd fa
mily
) an
d O
ccup
atio
nal H
ealth
(for
em
ploy
ees)
. Tr
eatm
ent f
or b
oth
syst
emic
in
fect
ion
and
carr
ier s
tate
is
need
ed.
For r
ecom
men
datio
ns
rega
rdin
g pr
ophy
laxi
s afte
r ex
posu
re, c
all I
nfec
tious
Dis
ease
s Se
rvic
e (f
or c
lient
s and
fam
ily)
and
Occ
upat
iona
l Hea
lth (f
or
empl
oyee
s).
Ente
rovi
ruse
s are
the
mos
t co
mm
on c
ause
of a
sept
ic
men
ingi
tis.
M
enin
goco
ccal
pne
umon
ia
(Nei
sser
ia m
enin
gitid
is)
Dro
plet
Pre
caut
ions
R
espi
rato
ry se
cret
ions
U
ntil
24 h
ours
afte
r sta
rt of
ef
fect
ive
ther
apy.
Tr
eatm
ent f
or b
oth
syst
em
infe
ctio
n an
d ca
rrie
r sta
te is
ne
eded
. Fo
r rec
omm
enda
tions
re
gard
ing
prop
hyla
xis a
fter
expo
sure
, cal
l inf
ectio
us D
isea
ses
Serv
ice
(for
clie
nts a
nd fa
mily
) an
d O
ccup
atio
nal H
ealth
(for
em
ploy
ees)
.
Men
ingo
cocc
emia
(m
enin
goco
ccal
seps
is)
(Nei
sser
ia m
enin
gitid
is)
Dro
plet
Pre
caut
ions
R
espi
rato
ry se
cret
ions
U
ntil
24 h
ours
afte
r sta
rt of
ef
fect
ive
ther
apy.
Trea
tmen
t for
bot
h sy
stem
in
fect
ion
and
carr
ier s
tate
is
need
ed.
For r
ecom
men
datio
ns
rega
rdin
g pr
ophy
laxi
s afte
r ex
posu
re, c
all i
nfec
tious
Dis
ease
s Se
rvic
e (f
or c
lient
s and
fam
ily)
and
Occ
upat
iona
l Hea
lth (f
or
empl
oyee
s).
7
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Mul
ti D
rug
Res
ista
nt
Org
anis
ms (
MD
RO
)
Met
hici
llin-
resi
stan
t St
aph.
Aur
eus (
MR
SA)
infe
ctio
n or
col
oniz
atio
n
Van
com
ycin
-res
ista
nt
ente
roco
ccus
(VR
E)
Con
tact
Pre
caut
ions
C
onta
ct P
reca
utio
ns
Wou
nd d
rain
age
and/
or
secr
etio
ns/e
xcre
tions
from
co
loni
zed/
infe
cted
site
s W
ound
dra
inag
e an
d/or
se
cret
ions
/exc
retio
ns fr
om
colo
nize
d/in
fect
ed si
tes.
Unt
il 2
cultu
res o
btai
ned
afte
r co
mpl
etio
n of
ant
ibio
tic
treat
men
t are
neg
ativ
e on
2
sepa
rate
day
s, fr
om a
ll pr
evio
usly
col
oniz
ed/in
fect
ed
site
s (in
clud
ing
nasa
l co
loni
zatio
n, if
app
licab
le).
Prev
ious
ly p
ositi
ve c
lient
s mus
t be
pla
ced
on C
onta
ct P
reca
utio
ns
whe
n re
adm
itted
to th
e ho
spita
l un
til re
peat
cul
ture
s are
neg
ativ
e as
per
crit
eria
und
er “
Dur
atio
n of
Is
olat
ion.
”
Mum
ps
D
ropl
et P
reca
utio
ns (d
oes n
ot
requ
ire a
room
with
neg
ativ
e pr
essu
re a
nd e
xter
nal
exha
ust)
Res
pira
tory
secr
etio
ns
For 9
day
s afte
r ons
et o
f sw
ellin
g.
Susc
eptib
le p
erso
nnel
who
hav
e be
en e
xpos
ed sh
ould
be
excl
uded
fr
om w
ork
from
the
12th
day
afte
r ex
posu
re th
roug
h th
e 26
th d
ay
afte
r exp
osur
e, o
r if s
ympt
oms
deve
lop
until
9 d
ays a
fter t
he
onse
t of p
arot
itis.
Pa
rvov
irus
B19
Fifth
dis
ease
(e
ryth
ema
infe
ctio
sum
)
Dro
plet
Pre
caut
ions
Res
pira
tory
secr
etio
ns
Unt
il on
set o
f ras
h oc
curs
(not
co
nsid
ered
infe
ctio
us a
fter
appe
aran
ce o
f ras
h).
Preg
nant
hea
lthca
re w
orke
rs a
re
not e
xclu
ded
from
con
tact
with
cl
ient
s, bu
t mus
t com
ply
with
D
ropl
et P
reca
utio
ns.
Ph
aryn
gitis
Dro
plet
Pre
caut
ions
(for
in
fant
s and
you
ng c
hild
ren
only
)
Res
pira
tory
secr
etio
ns
Unt
il 24
hou
rs a
fter s
tart
of
effe
ctiv
e th
erap
y
Plag
ue
Pn
eum
onic
D
ropl
et P
reca
utio
ns
If c
lient
requ
ires t
rans
port,
mus
t ha
ve m
ask
on.
8
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Pneu
mon
ia
A
deno
viru
s
B
acte
rial n
ot li
sted
el
sew
here
(inc
ludi
ng
gram
-neg
ativ
e ba
cter
ia)
Etio
logy
unk
now
n
H
aem
ophi
lus i
nflu
enza
e
H
erpe
s sim
plex
M
enin
goco
ccal
(N
eiss
eria
men
ingi
tidis
)
Dro
plet
and
Con
tact
Pr
ecau
tions
(for
infa
nts a
nd
youn
g ch
ildre
n on
ly)
Dro
plet
Pre
caut
ions
(for
in
fant
s and
you
ng c
hild
ren
only
) D
ropl
et P
reca
utio
ns (f
or
infa
nts a
nd y
oung
chi
ldre
n on
ly).
Use
Con
tact
Pr
ecau
tions
dur
ing
RSV
se
ason
, dur
ing
an R
SV
outb
reak
, or i
f RSV
is in
the
diag
nost
ic d
iffer
entia
l.
Res
ume
Dro
plet
Pre
caut
ions
if
RSV
is ru
led
out.
Dro
plet
Pre
caut
ions
(for
in
fant
s and
you
ng c
hild
ren
only
) D
ropl
et P
reca
utio
ns
Dro
plet
Pre
caut
ions
Res
pira
tory
secr
etio
ns a
nd
fece
s R
espi
rato
ry se
cret
ions
R
espi
rato
ry se
cret
ions
R
espi
rato
ry se
cret
ions
R
espi
rato
ry se
cret
ions
R
espi
rato
ry se
cret
ions
Dur
atio
n of
illn
ess-
until
sy
mpt
om fr
ee.
Dur
atio
n of
illn
ess-
until
sy
mpt
om fr
ee.
Dur
atio
n of
illn
ess-
until
sy
mpt
om fr
ee.
If re
spira
tory
sy
ncyt
ial v
irus (
RSV
) ant
igen
po
sitiv
e, re
fer t
o R
SV.
Unt
il 24
hou
rs a
fter s
tart
of
effe
ctiv
e th
erap
y.
Dur
atio
n of
illn
ess-
until
sy
mpt
om fr
ee
Unt
il 24
hou
rs a
fter s
tart
of
effe
ctiv
e th
erap
y.
R
espi
rato
ry sy
ncyt
ial v
irus
(R
SV) i
nfec
tion
or su
spec
ted
Con
tact
Pre
caut
ions
R
espi
rato
ry se
cret
ions
U
ntil
sym
ptom
free
and
na
soph
aryn
geal
ant
igen
test
is
nega
tive
for R
SV (a
t lea
st 1
w
eek
afte
r pos
itive
test
) on
2 co
nsec
utiv
e da
ys.
To a
void
the
poss
ibili
ty o
f fal
se-
nega
tive
test
resu
lts, t
he “
calg
i sw
ab”
met
hod
shou
ld b
e us
ed to
ob
tain
nas
opha
ryng
eal s
peci
men
s.
Rot
avir
us in
fect
ion
C
onta
ct P
reca
utio
ns
Fece
s D
urat
ion
of il
lnes
s and
stoo
l st
udy
nega
tive
for r
otav
irus o
n 2
sepa
rate
day
s.
9
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Rub
ella
Ger
man
Mea
sles
C
onge
nita
l Rub
ella
Dro
plet
Pre
caut
ions
(doe
s not
re
quire
room
with
neg
ativ
e pr
essu
re a
nd e
xter
nal
exha
ust)
Con
tact
Pre
caut
ions
(doe
s not
re
quire
room
with
neg
ativ
e pr
essu
re a
nd e
xter
nal
exha
ust)
Res
pira
tory
secr
etio
ns
Res
pira
tory
secr
etio
ns
For 7
day
s afte
r ons
et o
f ras
h.
Isol
atio
n is
requ
ired
durin
g an
y ad
mis
sion
for t
he fi
rst y
ear a
fter
birth
, unl
ess n
asop
hary
ngea
l and
ur
ine
cultu
res a
fter 3
mon
ths o
f ag
e ar
e ne
gativ
e fo
r rub
ella
.
Susc
eptib
le p
erso
ns sh
ould
not
en
ter t
he ro
om.
Pers
ons i
mm
une
by v
acci
natio
n or
nat
ural
illn
ess
may
ent
er th
e ro
om w
ithou
t a
mas
k. T
he c
lient
mus
t wea
r a
mas
k w
hen
leav
ing
the
room
. Su
scep
tible
clie
nts w
ho h
ave
been
ex
pose
d sh
ould
be
plac
ed o
n D
ropl
et P
reca
utio
ns b
egin
ning
7
days
afte
r exp
osur
e an
d co
ntin
uing
thro
ugh
day
21 a
fter
last
exp
osur
e. C
lient
s are
co
nsid
ered
infe
ctio
us a
few
day
s be
fore
to 7
day
s afte
r ons
et o
f ra
sh.
Susc
eptib
le p
erso
ns sh
ould
not
en
ter t
he ro
om.
Pers
ons i
mm
une
by v
acci
natio
n or
nat
ural
illn
ess
may
ent
er th
e ro
om w
ithou
t a
mas
k. S
usce
ptib
le c
lient
s who
ha
ve b
een
expo
sed
shou
ld b
e pl
aced
on
Dro
plet
Pre
caut
ions
be
ginn
ing
7 da
ys a
fter e
xpos
ure
an
d co
ntin
uing
thro
ugh
day
21
afte
r las
t exp
osur
e. C
lient
s are
co
nsid
ered
infe
ctio
us a
few
day
s be
fore
to 7
day
s afte
r ons
et o
f ra
sh.
SAR
S (S
ever
e A
cute
R
espi
rato
ry S
yndr
ome)
Airb
orne
and
Con
tact
Pr
ecau
tions
with
gog
gles
ov
er e
yes
Res
pira
tory
dro
plet
s
Scab
ies
C
onta
ct P
reca
utio
ns
Infe
sted
are
a Fo
r 24
hour
s afte
r sta
rt of
ef
fect
ive
ther
apy
and
room
/ pe
rson
al it
ems a
dequ
atel
y di
sinf
ecte
d.
Empl
oyee
with
dire
ct c
onta
ct
shou
ld b
e ex
amin
ed fo
r in
fest
atio
n. C
loth
ing
and
bedd
ing
may
be
disi
nfec
ted
by m
achi
ne
was
hing
and
dry
ing
(use
hot
cy
cles
). D
ry c
lean
ing
or st
orin
g ite
ms i
n a
plas
tic b
ag fo
r 10
days
is
als
o ef
fect
ive.
Use
of a
n en
viro
nmen
tal i
nsec
ticid
e is
not
ne
eded
.
10
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Scar
let f
ever
Dro
plet
Pre
caut
ions
(for
in
fant
s and
you
ng c
hild
ren
only
)
Res
pira
tory
secr
etio
ns
For 2
4 ho
urs a
fter e
ffec
tive
ther
apy.
Shin
gles
(Her
pes z
oste
r)
D
isse
min
ated
Airb
orne
and
Con
tact
Pr
ecau
tions
(use
a m
onito
red
room
with
neg
ativ
e pr
essu
re
and
exte
rnal
exh
aust
)
Lesi
on se
cret
ions
D
urat
ion
of il
lnes
s unt
il al
l le
sion
s are
cru
sted
.
Pers
ons s
usce
ptib
le to
var
icel
la
shou
ld n
ot e
nter
the
room
. Pe
rson
s im
mun
e fr
om p
rior
natu
ral i
llnes
s or v
acci
natio
n m
ay
ente
r with
out a
mas
k. T
he d
oor
to th
e cl
ient
’s ro
om sh
ould
rem
ain
clos
ed a
nd th
e cl
ient
mus
t wea
r a
mas
k w
hen
leav
ing.
Sus
cept
ible
cl
ient
s who
hav
e be
en e
xpos
ed
shou
ld b
e m
anag
ed in
co
nsul
tatio
n w
ith In
fect
ion
Con
trol.
Clie
nts a
re c
onsi
dere
d in
fect
ious
2 d
ays b
efor
e on
set o
f ra
sh a
nd u
p to
5 d
ays a
fter o
nset
of
lesi
ons.
Sm
allp
ox
Airb
orne
and
Con
tact
Pr
ecau
tions
(s
trict
gow
n/gl
ove)
Larg
e an
d sm
all r
espi
rato
ry
drop
lets
, ski
n le
sion
s, se
cret
ions
.
Ons
et o
f ras
h to
sepa
ratio
n of
sc
abs (
appr
oxim
atel
y 3
wee
ks)
Priv
ate
room
s pre
ferr
ed.
In e
vent
of
larg
e ou
tbre
ak, c
lient
s with
sa
me
diag
nosi
s can
shar
e re
spira
tory
isol
atio
n ro
om.
Li
mit
clie
nt tr
ansp
ort,
if ne
cess
ary,
clie
nt w
ears
mas
k.
Syph
ilis
Sk
in a
nd m
ucou
s m
embr
ane,
incl
udin
g co
ngen
ital,
prim
ary,
and
se
cond
ary
Con
tact
Pre
caut
ions
Lesi
on se
cret
ions
, blo
od, b
ody
fluid
s
For 2
4 ho
urs a
fter s
tart
of
effe
ctiv
e th
erap
y.
11
Infe
ctio
n/C
ondi
tion
Isol
atio
n/Pr
ecau
tions
In
fect
ive
Mat
eria
l D
urat
ion
of Is
olat
ion
Com
men
ts
Tub
ercu
losi
s
Pulm
onar
y, c
onfir
med
or
susp
ecte
d (s
putu
m sm
ear
is A
FB p
ositi
ve a
nd/o
r ch
est x
-ray
app
eara
nce
stro
ngly
sugg
ests
act
ive
TB, i
.e.,
cavi
tary
lesi
ons;
or
lary
ngea
l.
Airb
orne
Pre
caut
ions
(use
a
mon
itore
d ro
om w
ith
nega
tive
pres
sure
and
ex
tern
al e
xhau
st)
Airb
orne
dro
plet
nuc
lei
A sp
ecia
lly v
ente
d ro
om is
ne
cess
ary.
The
doo
r to
the
patie
nt’s
room
shou
ld re
mai
n cl
osed
. Pe
rson
s ent
erin
g th
e ro
om sh
ould
wea
r spe
cial
ly fi
tted
NIO
SH a
ppro
ved
resp
irato
ry
prot
ectio
n. T
he c
lient
shou
ld
leav
e th
e ro
om o
nly
for e
ssen
tial
purp
oses
, par
ticul
arly
if th
e cl
ient
ha
s mul
tidru
g-re
sist
ant T
B.
Whe
n le
avin
g th
e ro
om, t
he c
lient
sh
ould
wea
r a h
igh-
filtra
tion
surg
ical
mas
k; fo
r mec
hani
cally
-su
ppor
ted
vent
ilatio
n, a
dd a
ba
cter
ial f
ilter
to fi
lter t
he c
lient
'’ ex
hale
d ai
r.
T
ypho
id fe
ver
(Sal
mon
ella
ty
phi)
Con
tact
Pre
caut
ions
(for
di
aper
ed a
nd in
cont
inen
t ch
ildre
n)
Fece
s D
urat
ion
of il
lnes
s-un
til
sym
ptom
free
.
Who
opin
g co
ugh
(per
tuss
is)
D
ropl
et P
reca
utio
ns
Res
pira
tory
secr
etio
ns
For 7
day
s afte
r sta
rt of
eff
ectiv
e th
erap
y.
For r
ecom
men
datio
ns re
gard
ing
prop
hyla
xis a
fter e
xpos
ure,
cal
l In
fect
ious
Dis
ease
s Ser
vice
(for
cl
ient
s and
fam
ily) a
nd
Occ
upat
iona
l Hea
lth (f
or
empl
oyee
s).