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Table 3-6

Prevention of Occupationally Acquired Infections

Infection/ConditionPrecautionsComments
Abscess
Draining/majorContact
Draining/minorStandard
Acquired immune deficiency virus (HIV)StandardPostexposure prophylaxis (PEP) for some exposures
Avian influenzaDropletEnhanced precautions (i.e., airborne may be recommended)
BronchiolitisContact
Clostridium
botulinumStandardNot transmitted person to person
difficileContact
perfringensStandardNot transmitted person to person
Conjunctivitis
BacterialStandard
ViralContactMost commonly: adenovirus, enterovirus, coxsackievirus A24
Creutzfeldt–Jakob diseaseStandardSingle-use equipment preferred, special cleaning (NaOH, heat, and time requirements) for contaminated instruments and environment
Diphtheria, pharyngealDropletUntil two cultures >24 h apart are negative
Escherichia coliStandardContact precautions if patient incontinent
Haemophilus influenzae
SeasonalDropletSingle-patient room or cohort, gown, and glove
PandemicDropletEnhanced precautions (airborne may be recommended)
Hepatitis, viral
AStandardContact precautions for incontinent patients
BStandard
CStandard
EStandardContact precautions for incontinent patients
Herpes, zoster (varicella-zoster)
DisseminatedAirborne, contactHealth-Care workers (HCWs) without immunity should not care for patient if immune HCW available.
LocalizedStandard
ImpetigoContact
Legionnaires' diseaseStandardNot transmitted person to person
Lice
HeadContact
BodyStandard
PubicStandard
Lyme diseaseStandard
MalariaStandard
MeaslesAirborneSusceptible HCW should not care for patient if immune HCW available. Maintain precautions for 4 days after onset of rash. Nonimmune exposed individuals may be infectious from days 5 to 21 after exposure. PEP available (vaccine, immune globulin).
Meningitis
BacterialStandard
FungalStandard
NeisseriaDroplet
StreptococcusStandardPEP available
Multidrug-resistant organisms (MDROs: MRSA, VRE, VISA/VRSA, ESBLs, resistant Streptococcus pneumoniae)Standard/contact
MumpsDropletSusceptible HCWs should not care for patient if immune HCW available.
MycoplasmaDroplet
Mycobacterium tuberculosisAirborne
ParainfluenzaContact
PertussisDropletSingle-patient room or cohort. PEP available. Tdap recommended
PoliomyelitisContact
RabiesStandard
Respiratory syncytial virusContactStandard mask should be worn.
RhinovirusDroplet
RubellaDropletSusceptible HCW should not care for patient if immune HCW available. Vaccine available. Nonimmune exposed individuals may be contagious from days 5–21 after exposure.
SalmonellaStandardContact precautions for incontinent patients
SARS-CoVAirborne, droplet, contactMaintain precautions until 10 days after resolution of fever.
ShigellaStandardContact precautions for incontinent patients
SmallpoxAirborne, contactMaintain precautions until all scabs have crusted and separated (3–4 wks). Nonvaccinated HCW should not care for patient if immune HCW available
Staphylococcal
Major, woundContact
Streptococcal
Major, woundContact, droplet

MRSA, methicillin-resistant Staphylococcus aureus; VRE, vancomycin-resistant enterococci; VISA/VRSA, vancomycin-intermediate/resistant Staphylococcus aureus; ESBL, extended-spectrum beta-lactamase–producing organisms; SARS-CoV, severe acute respiratory syndrome-associated corona virus.

Adapted from CDC Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, 2007. For a complete list of organisms, see Appendix A. Type and duration of precautions recommended for selected infections and conditions: http://www.cdc.gov/ncidod/dhqp/pdf/guidelines/Isolation2007.pdf.