Wednesday, 19 May 2010

DISEASE REQUIRING CONTACT PRECAUTIONS

Disease Precautionary period

Infection or colonization with multidrug-resistant bacteria Until off antibiotics and culture negative

Clostridium difficile enteric infection Duration of illness

Escherichia coli disease, in diapered or incontinent patient Duration of illness

Shigellosis, in diapered or incontinent patient Duration of illness

Hepatitis A, in diapered or incontinent patient Duration of illness

Rotavirus infection, in diapered or incontinent patient Duration of illness

Respiratory syncytial virus infection, in infants and young children Duration of illness

Parainfluenza virus infection, in diapered or incontinent patient Duration of illness

Enteroviral infection, in diapered or incontinent patient Duration of illness

Scabies Until 24 hours after initiation of effective therapy

Diphtheria (cutaneous) Duration of illness

Herpes simplex virus infection (neonatal or mucocutaneous) Duration of illness

Impetigo Until 24 hours after initiation of effective therapy

Major abscesses, cellulitis, or pressure ulcer Until 24 hours after initiation of effective therapy

Pediculosis (lice) Until 24 hours after initiation of effective therapy

Rubella, congenital syndrome Place infant on precautions during any admission until age 1, unless nasopharyngeal and urine culture are negative for virus after age 3 months

Staphylococcal furunculosis in infants and young children Duration of illness

Acute viral (acute hemorrhagic) conjunctivitis Duration of illness

Viral hemorrhagic infections (Ebola, Lassa, Marburg) Duration of illness

Zoster (chickenpox, disseminated zoster, or localized zoster in immunocompromised patient) Until all lesions are crusted; requires airborne precautions

Smallpox Duration of illness; requires airborne precautions