Inf isolation precautions chart - VIP educations

[Pages:29]Causitive Agent/Disease/Condition

Abscess ? Draining, Major

Abscess ? Draining, Minor or Limited

Acinetobacter baumannii ? Carbapenem-intermediate or -resistant Acquired Immunodeficiency Syndrome (AIDS)

Actinomycosis

Adenovirus ? Conjuntivitis

Adenovirus ? Gastroenteritis Adenovirus ? Respiratory infection -Infants and Children

Amebiasis (Entamoeba histolytica )

Anthrax ? Cutaneous or Pulmonary

Aspergillosis

NORTHWESTERN MEMORIAL HOSPITAL INF 8.11 Appendix A: Disease Specific Isolation Precautions Chart

Isolation Precautions

Required

Infective Materials

Duration of Precautions

Infection Control Report to CDPH

Additional Comments

Glove & Gown Wound drainage Duration of illness.

No

Standard

No

The patient, their

body fluids and

their

All glove boxes must be removed from patient

Glove & Gown environment. Duration of hospitalization. No room following patient discharge or transfer.

Standard

Yes IC reports newly identified cases to CDPH.

Standard

Glove & Gown Eye secretions Duration of illness.

Glove & Gown

Feces

Mask, Glove & Respiratory

Gown

secretions

Duration of illness. Duration of illness.

No

Infants in PWH NICU or Newborn Nurseries will require placement at least 6 feet from other No patients with visable barrier in place.

Infants in PWH NICU or Newborn Nurseries will require placement at least 6 feet from other No patients with visable barrier in place.

Infants in PWH NICU or Newborn Nurseries will require placement at least 6 feet from other No patients with visable barrier in place.

Standard Standard

Yes

Potential agent of bioterrorism, contact Infection Control & Prevention Department (6-2729 or 5-9196) immediately. Refer to Safety Management Policy # 6.28.2 SFTY Yes BioTerrorism Response Plan.

Standard

No

For addtional information please visit or contact the Infection Control and Prevention Department 1

Causitive Agent/Disease/Condition

Avian Influenza Babesiosis Blastomycosis

Botulism Brucellosis

Burkholderia cepacia Campylobacter gastroenteritis Candidiasis (all forms including mucocutaneous) Cellulitis

? Uncontrolled draining

NORTHWESTERN MEMORIAL HOSPITAL INF 8.11 Appendix A: Disease Specific Isolation Precautions Chart

Isolation Precautions

Required

Mask, Glove, Gown & Eye

Protection

Infective Materials

Respiratory secretions

Duration of Precautions

14 days after onset of symptoms, an alternate diagnosis is confirmed or diagnostic tests confirm patient is not infected with

Influenza A Virus.

Infection

Control Report to

Additional Comments

CDPH

Negative airflow room required. Staff must wear

goggles or face shield when within 3 feet of

patient. Discard all PPE after each use. Patient

must have dedicated equipment; stethoscope,

blood pressure cuff, thermometer, etc. See

Policy # INF 8.08 Care of Prentice Patient

Requiring Isolation Precautions for patients

Yes residing in PWH.

Standard

No

Standard Standard

Yes

Potential agent of bioterrorism, contact Infection Control & Prevention Department (6-2729 or 5-9196) immediately. Refer to Safety Management Policy # 6.28.2 SFTY Yes BioTerrorism Response Plan.

Standard Standard

Yes

Patients with Cystic fibrosis (CF) colonized or infected must not be admitted to a unit where another CF patient resides. Persons with CF who visit must wear a mask when within 3 feet of a No colonized or infected patient.

Standard

Feces

Yes

Standard

No

Glove & Gown

Duration of illness.

No

For addtional information please visit or contact the Infection Control and Prevention Department 2

Causitive Agent/Disease/Condition

NORTHWESTERN MEMORIAL HOSPITAL INF 8.11 Appendix A: Disease Specific Isolation Precautions Chart

Isolation Precautions

Required

Infective Materials

Duration of Precautions

Infection Control Report to CDPH

Additional Comments

Chancroid (soft chancre) Chicken pox (Varicella zoster virus)

Standard

Mask, Glove & Gown

Respiratory secretions, vesicular lesion

fluid

Until lesions are dry and crusted.

Yes

Negative airflow room required. Refer to Infection Control Policy # 8.08 INF Care of Prentice Patient Requiring Isolation Precautions Yes for patients in PWH.

Chlamydia trachomatis infection

Standard

Cholera (Vibrio cholerae)

Clostridium difficile- associated disease

Conjunctivitis ? Bacterial ? Chlamydia ? Gonococcal

Conjunctivitis ? Viral (Keratoconjunctivitis)

Coxsackie Virus (an Enterovirus) ? Infants and Children

Standard

Glove & Gown

Feces

Until patient has formed stool or duration of hospitalization.

Standard

Glove & Gown Glove & Gown

Eye secretions

Respiratory secretions and

feces

Duration of illness. Duration of illness.

Coxiella burnetti (Q fever)

Standard

For addtional information please visit or contact the Infection Control and Prevention Department

Yes Potential agent of bioterrorism, contact Infection Control & Prevention Department (6-2729 or 5-9196) immediately. Refer to Safety Management Policy # 6.28.2 SFTY

Yes BioTerrorism Response Plan.

Patients without associated diarrhea do not No require Glove & Gown Precautions.

Consider Glove & Gown Precautions if type of infection is unknown. Please notify Infection Control & Prevention Department if >2 patients on the same unit are on precautions for No conjunctivitis. Please notify Infection Control & Prevention Department if >2 patients on the same unit are No on precautions for conjunctivitis. Infants in PWH NICU or Newborn Nurseries will require placement at least 6 feet from other No patients with visable barrier in place.

Potential agent of bioterrorism, contact Infection Control & Prevention Department (6-2729 or 5-9196) immediately. Refer to Safety Management Policy # 6.28.2 SFTY Yes BioTerrorism Response Plan.

3

Causitive Agent/Disease/Condition

Creutzfeldt-Jakob disease (CJD) Croup Cryptococcosis Cryptosporidiosis Cyclosporiasis Cytomegalovirus infection Decubitus ulcer ? Infected, major Decubitus ulcer

? Infected, minor Dengue Fever

NORTHWESTERN MEMORIAL HOSPITAL INF 8.11 Appendix A: Disease Specific Isolation Precautions Chart

Isolation Precautions

Required

Infective Materials

Standard

High infectivity tissues; brain, spinal cord and eyes. Low infectivity tissues; CSF, kidneys, liver, lungs, lymph nodes, spleen, and placenta.

See Additional Respiratory

Comments

secretions

Duration of Precautions

Infection Control Report to CDPH

Additional Comments

Please refer to Surgical Services Policy # 1.12 SS Creutzfeld-Jakob Disease (CJD)/Prions: Operating Room Guidelines

Croup is caused by a diverse group of organisms, please refer to causative agent for specific No isolation precautions.

Standard

No

Standard

Yes

Standard

Yes

Standard

No

Glove & Gown Wound drainage While drainage is present. No

Standard

No

Standard

No

For addtional information please visit or contact the Infection Control and Prevention Department 4

NORTHWESTERN MEMORIAL HOSPITAL INF 8.11 Appendix A: Disease Specific Isolation Precautions Chart

Causitive Agent/Disease/Condition

Diphtheria (Corynebacterium diptheriae ) ? Cutaneous

Isolation Precautions

Required

Infective Materials

Duration of Precautions

Infection Control Report to CDPH

Two negative cultures from

throat, nose and lesions

Respiratory

obtained 24 hours after

secretions and completion of appropriate

skin lesions and antibiotic therapy and taken

articles soiled by not less than 24 hours

Glove & Gown skin lesions.

apart.

Yes

Additional Comments

Diphtheria (Corynebacterium diptheriae ) ? Pharyngeal

Donavanosis (Granuloma inguinale, Granuloma venereum)

Mask Standard

Two negative cultures from

throat and nose obtained 24

hours after completion of

Negative airflow room required. Refer to

appropriate antibiotic

Infection Control Policy # 8.08 INF Care of

Respiratory therapy and taken not less

Prentice Patient Requiring Isolation Precautions

secretions

than 24 hours apart.

Yes for patients in PWH.

No

Ebola Virus (Viral Hemorrhagic Fever)

Mask, Glove & Gown

Blood, body fluids, organs,

respiratory secretions

Duration of illness.

Negative airflow room required. Potential agent of bioterrorism, contact Infection Control & Prevention Department (6-2729 or 5-9196) immediately. Refer to Safety Management Policy # 6.28.2 SFTY BioTerrorism Response Plan. Refer to Infection Control policy 8.08 INF Care of Prentice Patient Requiring Isolation Yes Precautions for patients in PWH.

Echinococcosis

Echovirus (an Enterovirus) ? Infants

Echovirus (an Enterovirus) ? Adults

Standard

Respiratory Glove & Gown secretions, feces

Duration of illness.

Standard

No Infants in PWH NICU or Newborn Nurseries will require placement at least 6 feet from other

No patients with visable barrier in place.

No

For addtional information please visit or contact the Infection Control and Prevention Department 5

NORTHWESTERN MEMORIAL HOSPITAL INF 8.11 Appendix A: Disease Specific Isolation Precautions Chart

Causitive Agent/Disease/Condition

Isolation Precautions

Required

E. coli - Escherichia coli 0157:H7 (Gastroenteritis)

Glove & Gown

E. coli - Enterohemorrhagic Escherichia coli,

EHEC (Gastroenteritis)

Glove & Gown

E. coli - Enterotoxigenic Escherichia coli, ETEC (Gastroenteritis)

Glove & Gown

E. coli - Enteropathogenic Escherichia coli, EPEC (Gastoenteritis)

Glove & Gown

E. coli - Shiga Toxin-Producing Escherichia

coli STEC, (Gastroenteritis)

Glove & Gown

Infective Materials

Feces Feces Feces Feces Feces

Duration of Precautions

Infection Control Report to CDPH

Duration of illness.

Yes

Duration of illness.

Yes

Duration of illness.

Yes

Duration of illness.

Yes

Duration of illness.

Yes

Additional Comments

E. coli - Escherichia coli (Gastroenteritis)

Standard

No

Encephalitis

Standard

Yes

Entamoeba histolytica (Enteritis, Amebiasis)

Standard

Feces

Yes

Enterobiasis (Pinworm, Oxyuriasis)

Enterococcus species Vancomycin-resistant (VRE) Colonization or Infection

Enterovirus ? Infants and Children

Standard

No

Patient placed in VRE Flagging System by IC;

automatic order for precautions triggered every

subsequent admission. Removal from system; 3

The patient, their

negative rectal cultures or two negative stool

body fluids and

cultures obtained at least one week apart while

their

patient off therapeutic antibiotics. Negative

Glove & Gown environment. Duration of hospitalization. No cultures may accumulate across admissions.

Respiratory

Infants in PWH NICU or Newborn Nurseries

secretions and

will require placement at least 6 feet from other

Glove & Gown

feces.

Duration of illness.

No patients with visable barrier in place.

For addtional information please visit or contact the Infection Control and Prevention Department 6

Causitive Agent/Disease/Condition

Enterovirus ? Adults

Enterovirus (Hand, Foot and Mouth Disease) ? Infants and Children Enterovirus (Hand, Foot and Mouth Disease) ? Adults

Epiglottitis due to Haemophilus influenzae

Epstein-Barr virus infection Including mononucleosis

NORTHWESTERN MEMORIAL HOSPITAL INF 8.11 Appendix A: Disease Specific Isolation Precautions Chart

Isolation Precautions

Required

Infective Materials

Duration of Precautions

Infection Control Report to CDPH

Additional Comments

Standard Glove & Gown

Respiratory secretions and

feces.

Duration of illness.

No

Infants in PWH NICU or Newborn Nurseries will require placement at least 6 feet from other No patients with visable barrier in place.

Standard Mask

Respiratory secretions

Until 24 hours following appropriate antibiotic therapy.

No

Negative airflow room required. Refer to Infection Control Policy # 8.08 INF Care of Prentice Patient Requiring Isolation Precautions No for patients in PWH.

Standard

No

Erlichiosis (Rickettsial Fever)

Erythema infectiosum (Parvovirus B19, Fifth's Disease)

Standard Mask

Respiratory secretions

7 days from onset of illness.

Yes

Infants in PWH NICU or Newborn Nurseries will require placement at least 6 feet from other No patients with visable barrier in place.

Bacteria that produce extended spectrum beta-

lactamases (ESBLs), making them resistant to

The patient, their

3rd generation cephalosporins and monobactams

body fluids and

and can make infections harder to treat. Most

Extended Spectrum beta lactamase (ESBL)

their

common ESBL producers are E. coli and K.

Gram-negative organisms

Glove & Gown environment. Duration of hospitalization. No pneumoniae.

Fifth's Disease (Erythema infectiosum, Parvovirus B19)

Mask

Respiratory secretions

7 days from onset of illness.

Infants in PWH NICU or Newborn Nurseries will require placement at least 6 feet from other No patients with visable barrier in place.

Gastroenteritis - all organisms, suspected or confirmed, for continent patients unless otherwise specified.

Standard

Please notify Infection Control & Prevention Department if >2 patients on the same unit are on precautions for gastroenteritis.

For addtional information please visit or contact the Infection Control and Prevention Department 7

NORTHWESTERN MEMORIAL HOSPITAL INF 8.11 Appendix A: Disease Specific Isolation Precautions Chart

Causitive Agent/Disease/Condition

Gastroenteritis - all organisms, suspected or confirmed, for patients diapered or incontinent unless otherwise specified. Gastroenteritis

? Adenovirus Diapered or Incontinent Patients Gastroenteritis ? Campylobacter Diapered or Incontinent Patients Gastroenteritis ? Cholera Diapered or Incontinent Patients

Isolation Precautions

Required

Glove & Gown

Glove & Gown

Glove & Gown

Glove & Gown

Gastroenteritis ? Clostridium difficile (C. diff )

Gastroenteritis ? Cryptosporidiosis Diapered or Incontinent Patients

Gastroenteritis ? E. coli 0157:H7 infection Diapered or incontinent patients

Gastroenteritis ? E. coli

Gastroenteritis ? Giardia lamblia

Gastroenteritis ? Norovirus Diapered or incontinent patients

Gastroenteritis ? Rotavirus Diapered or incontinent patients

Glove & Gown Glove & Gown Glove & Gown

Standard Standard Glove & Gown Glove & Gown

Infective Materials

Feces Feces Feces Feces Feces Feces Feces

Feces Feces

Duration of Precautions Duration of illness.

Infection Control Report to CDPH

Additional Comments

Please notify Infection Control & Prevention Department if >2 patients on the same unit are on precautions for gastroenteritis.

Duration of illness.

No

Duration of illness.

Yes

Duration of illness.

Yes

Until patient has formed

stool or Duration of

hospitalization.

No

Duration of illness.

Yes

Duration of illness.

Duration of illness. Duration of illness.

Yes

No

Yes Ensure consistent environmental cleaning and disinfection; prolonged shedding may occur in

No immunocompromised patients. Ensure consistent environmental cleaning and disinfection; prolonged shedding may occur in

No immunocompromised patients.

For addtional information please visit or contact the Infection Control and Prevention Department 8

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