Type and Duration of Precautions Recommended for Selected ...
Precautions I Appendix A I Isolation Precautions I Guidelines Library I Infection Control I CDC Page 1 of 35
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Centers for Disease Control and
CDC 24/7: Saving Lives, Protecting PeopleTM
Prevention
Infection Control
Type and Duration of Precautions Recommended for Selected Infections and Conditions1
Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007)
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Appendix A Updates [September 2018]
Changes: Updates and clarifications made to the table in Appendix A: Type and Duration of Precautions Recommended for Selected Infections and Conditions.
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A
Infection/Condition
Type of Precaution
Duration of Precaution
Precautions/Comments
Abscess Draining, major
Contact+ Standard
Duration of illness Until drainage stops or can be contained by dressing.
Abscess Draining, minor or limited
Standard
nla
If dressing covers and contains drainage.
Acquired human immunodeficiency syndrome (HIV)
Standard
nla
Postexposure chemoprophylaxis for some
blood exposures [866].
Actinomycosis
Standard
nla
Not transmitted from person to person.
Adenovirus infection (see
n/a
nla
nla
agent-specific guidance under
Gastroenteritis, Conjunctivitis,
Pneumonia)
Amebiasis
Standard
nla
Person-to-person transmission is rare.
Transmission in settings for the mentally
challenged and in a family group has been
reported [1045]. Use care when handling
diapered infants and mentally challenged
persons [1046].
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Precautions I Appendix A I Isolation Precautions I Guidelines Library I Infection Control I CDC Page 2 of 35
lnfection/Cond ition
Type of Precaution
Duration of Precaution
Precautions/Comments
Anthrax
Standard
nla
Infected patients do not generally pose a
transmission risk.
Anthrax Cutaneous
Standard
nla
Transmission through non-intact skin contact
with draining lesions possible, therefore use
Contact Precautions if large amount of
uncontained drainage. Handwashing with
soap and water preferable to use of waterless
alcohol-based antiseptics since alcohol does
not have sporicidal activity [983].
Anthrax Pulmonary
Standard
n/a
Not transmitted from person to person.
Anthrax
n/a
Until environment Until decontamination of environment
Environmental:
completely
complete [203]. Wear respirator (N95 mask or
aerosolizable spore
decontaminated PAPRs), protective clothing; decontaminate
containing powder or other
persons with powder on them (Notice to
substance
Readers: Occupational Health Guidelines for
Remediation Workers at Bacillus anthracis-
Contaminated Sites - United States, 2001
-2002 accessed September 2018).
Hand hygiene: Handwashing for 30-60
seconds with soap and water or 2%
chlorhexidine gluconate after spore contact
(alcohol hand rubs inactive against spores
[983].)
Postexposure prophylaxis following
environmental exposure: 60 days of
antimicrobials (either doxycycline,
ciprofloxacin, or levofloxacin) and
postexposure vaccine under IND.
Antibiotic-associated colitis (see
n/a
n/a
n/a
C/ostridium difficile)
Arthropod-borne ? viral encephalitides (eastern, western, Venezuelan equine encephalomyelitis; St Louis, California encephalitis; West Nile Virus) and
? viral fevers (dengue, yellow fever, Colorado tick fever)
Standard
nla
Not transmitted from person to person except
rarely by transfusion, and for West Nile virus
by organ transplant, breastmilk or
transplacentally [530, 1047]. Install screens in
windows and doors in endemic areas.
Use DEET-containing mosquito repellants and
clothing to cover extremities.
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Infection/Condition Ascariasis Aspergillosis
Type of Precaution
Duration of Precaution
Standard
11/a
Standard
n/a
Avian influenza (see influenza,
n/a
n/a
avian below)
Precautions/Comments
Not transmitted from person to person.
Contact Precautions and Airborne if massive soft tissue infection with copious drainage and repeated irrigations required [154].
n/a
B
Infection/Condition
Type of Precaution
Duration of Precaution
Precautions/Comments
Babesiosis
Standard
n/a
Not transmitted from person to person, except rarely
by transfusion.
Blastomycosis, North American, cutaneous or pulmonary
Standard
n/a
Not transmitted from person to person.
Botulism
Standard
n/a
Not transmitted from person to person.
Bronchiolitis (see Respiratory Infections in infants and young children)
Contact+ Standard
Duration of illness
Use mask according to Standard Precautions.
Brucellosis (undulant, Malta, Mediterranean fever)
Standard
n/a
Not transmitted from person to person, except rarely
via banked spermatozoa and sexual contact [1048,
1049]. Provide antimicrobial prophylaxis following
laboratory exposure [1050].
C
Infection/Condition
Type of Precaution
Duration of Precaution
Precautions/Comments
Campy!obacter
n/a
11/a
n/a
gastroenteritis (see
Gastroenteritis)
Candidiasis, all forms
Standard
11/a
n/a
including mucocutaneous
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Infection/Condition
Type of Precaution
Duration of Precaution Precautions/Comments
Cat-scratch fever (benign inoculation lymphoreticulosis)
Standard
n/a
Not transmitted from person to person.
Cellulitis
Standard
n/a
n/a
Chancroid (soft chancre) (H. ducrey~
Standard
n/a
Transmitted sexually from person to person.
Chickenpox (see Varicella)
n/a
nla
n/a
Chlamydia trachomatis
Standard
nla
n/a
Conjunctivitis
Chlamydia trachomatis
Standard
n/a
n/a
Genital
(lymphogranuloma
venereum)
Chlamydia trachomatis
Standard
n/a
n/a
Pneumonia (infants ~3
mos. of age)
Chlamydia pneumoniae
Standard
n/a
Outbreaks in institutionalized populations reported,
rarely [1051, 1052].
Cholera (see
n/a
n/a
nla
Gastroenteritis)
Closed-cavity infection Open drain in place; limited or minor drainage
Standard
n/a
Contact Precautions if there is copious uncontained
drainage.
Closed-cavity infection
Standard
n/a
nla
No drain or closed
drainage system in
place
Clostridium botulinum
Standard
nla
Not transmitted from person to person.
Clostridium difficile (see
Contact+ Duration of
nla
Gastroenteritis, C difficile) Standard
illness
Clostridium perfringens Food poisoning
Standard
nla
Not transmitted from person to person.
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Precautions I Appendix A I Isolation Precautions I Guidelines Library IInfection Control I CDC Page 5 of 35
Infection/Condition
Type of Precaution
Duration of Precaution Precautions/Comments
Clostridium perfringens Gas gangrene
Standard
nla
Transmission from person to person rare; 1 outbreak in a
surgical setting reported [1053]. Use Contact Precautions
if wound drainage is extensive.
Coccidioidomycosis (valley fever)
Draining lesions
Standard
11/a
Not transmitted from person to person except under
extraordinary circumstances, because the infectious
arthroconidial form of Coccidioides immitisis not
produced in humans [1054].
Coccidioidomycosis (valley fever)
Pneumonia
Standard
nla
Not transmitted from person to person except under
extraordinary circumstances, (e.g., inhalation of
aerosolized tissue phase endospores during necropsy,
transplantation of infected lung) because the infectious
arthroconidial form of Coccidioides immitisis not
produced in humans [1054, 1055].
Colorado tick fever
Standard
nla
Not transmitted from person to person.
Congenital rubella
Contact+ Standard
Until 1 yr of Standard Precautions if nasopharyngeal and urine
age
cultures repeatedly negative after 3 mos. of age.
Conjunctivitis
Standard
nla
n/a
Acute bacterial
Conjunctivitis
Standard
nla
nla
Acute bacterial
Chlamydia
Conjunctivitis
Standard
n/a
n/a
Acute bacterial
Gonococcal
Conjunctivitis Acute viral (acute hemorrhagic)
Contact+ Standard
Duration of illness
Adenovirus most common; enterovirus 70 [1056], Coxsackie virus A24 [1057] also associated with community outbreaks. Highly contagious; outbreaks in eye clinics, pediatric and neonatal settings, institutional settings reported. Eye clinics should follow Standard Precautions when handling patients with conjunctivitis. Routine use of infection control measures in the handling of instruments and equipment will prevent the occurrence of outbreaks in this and other settings. [460, 461,814, 1058-1060].
Corona virus associated
nla
n/a
nta
with SARS (SARS-CoV) (see
Severe Acute Respiratory
Syndrome)
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