CONTACT PRECAUTIONS By: Jayson and Hernando Type of Isolation Contact Isolation Indications Requirements Duration of Precaution and

examples of diseases Disease Precautionary period Infection or colonization with multidrug-resistant bacteria Clostridium difficile enteric infection Escherichia coli disease, in diapered or incontinent patient Shigellosis, in diapered or incontinent patient Hepatitis A, in diapered or incontinent patient Until off antibiotics and culture negative Duration of illness Duration of illness

Contact PATIENT PLACEMENT precautions Private room; are used to door may be prevent the left open. transmission of If private room infections that not available, are transmitted place patient in by bacteria or room with other patient having organisms that active infection can be with the same transmitted by microorganism, direct contact but with no with the other infection. patient's skin or other GLOVING mucous Wear clean, membranes, or nonsterile by indirect examination contact with gloves when the patient's entering room. environment. Change gloves Contact after contact involves dry or with infective moist material (e.g., substances fecal materials and physical or wound transfer of drainage). microorganism Remove gloves s to a before leaving susceptible patient room. person or transfer of the HANDWASHING organism from Wash hands an inanimate with object to a antibacterial susceptible agent or use person alcohol - based handrub after removing gloves. Do not touch potentially contaminated surfaces or items before leaving the room. GOWNS AND PROTECTIVE APPAREL Wear clean, nonsterile gown when entering the

Duration of illness Duration of illness

Rotavirus infection, in Duration of diapered or illness incontinent patient Respiratory syncytial Duration of virus infection, in illness infants and young children Parainfluenza virus Duration of infection, in diapered illness or incontinent patient Enteroviral infection, Duration of in diapered or illness incontinent patient Scabies Until 24 hours after initiation of effective therapy Duration of illness

Diphtheria (cutaneous)

Herpes simplex virus Duration of infection (neonatal or illness mucocutaneous) Impetigo Until 24 hours after initiation of

patient room if you anticipate contact with patient or if the patient is incontinent, has diarrhea, an ileostomy, colostomy or wound drainage not contained by a dressing. Remove gown before leaving room. Do not allow clothing to contact potentially contaminated surfaces or items before leaving the room. PATIENT CARE EQUIPMENT Reserve noncritical patient care equipment for use with a single patient, if possible. Clean and disinfect any equipment shared among infected and noninfected patients. Adapted from: Infection Control Signs, www.etnacomm.com, ETNA Communications, Chicago, IL. Copyright 2000.

effective therapy Major abscesses, Until 24 hours cellulitis, or pressure after initiation of ulcer effective therapy Pediculosis (lice) Until 24 hours after initiation of effective therapy Place infant on precautions during any admission until age 1, unless nasopharyngeal and urine culture are negative for virus after age 3 months

Rubella, congenital syndrome

Staphylococcal Duration of furunculosis in infants illness and young children Acute viral (acute hemorrhagic) conjunctivitis Viral hemorrhagic infections (Ebola, Lassa, Marburg) Zoster (chickenpox, disseminated zoster, or localized zoster in immunocompromised patient) Smallpox Duration of illness Duration of illness Until all lesions are crusted; requires airborne precautions Duration of illness; requires airborne precautions