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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