Infection/Condition | Precautions | Comments |
---|
Abscess | | |
Draining/major | Contact | |
Draining/minor | Standard | |
Acquired immune deficiency virus (HIV) | Standard | Postexposure prophylaxis (PEP) for some exposures |
Avian influenza | Droplet | Enhanced precautions (i.e., airborne may be recommended) |
Bronchiolitis | Contact | |
Clostridium | | |
botulinum | Standard | Not transmitted person to person |
difficile | Contact | |
perfringens | Standard | Not transmitted person to person |
Conjunctivitis | | |
Bacterial | Standard | |
Viral | Contact | Most commonly: adenovirus, enterovirus, coxsackievirus A24 |
CreutzfeldtJakob disease | Standard | Single-use equipment preferred, special cleaning (NaOH, heat, and time requirements) for contaminated instruments and environment |
Diphtheria, pharyngeal | Droplet | Until two cultures >24 h apart are negative |
Escherichia coli | Standard | Contact precautions if patient incontinent |
Haemophilus influenzae | | |
Seasonal | Droplet | Single-patient room or cohort, gown, and glove |
Pandemic | Droplet | Enhanced precautions (airborne may be recommended) |
Hepatitis, viral | | |
A | Standard | Contact precautions for incontinent patients |
B | Standard | |
C | Standard | |
E | Standard | Contact precautions for incontinent patients |
Herpes, zoster (varicella-zoster) | | |
Disseminated | Airborne, contact | Health-Care workers (HCWs) without immunity should not care for patient if immune HCW available. |
Localized | Standard | |
Impetigo | Contact | |
Legionnaires' disease | Standard | Not transmitted person to person |
Lice | | |
Head | Contact | |
Body | Standard | |
Pubic | Standard | |
Lyme disease | Standard | |
Malaria | Standard | |
Measles | Airborne | Susceptible 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 | | |
Bacterial | Standard | |
Fungal | Standard | |
Neisseria | Droplet | |
Streptococcus | Standard | PEP available |
Multidrug-resistant organisms (MDROs: MRSA, VRE, VISA/VRSA, ESBLs, resistant Streptococcus pneumoniae) | Standard/contact | |
Mumps | Droplet | Susceptible HCWs should not care for patient if immune HCW available. |
Mycoplasma | Droplet | |
Mycobacterium tuberculosis | Airborne | |
Parainfluenza | Contact | |
Pertussis | Droplet | Single-patient room or cohort. PEP available. Tdap recommended |
Poliomyelitis | Contact | |
Rabies | Standard | |
Respiratory syncytial virus | Contact | Standard mask should be worn. |
Rhinovirus | Droplet | |
Rubella | Droplet | Susceptible HCW should not care for patient if immune HCW available. Vaccine available. Nonimmune exposed individuals may be contagious from days 521 after exposure. |
Salmonella | Standard | Contact precautions for incontinent patients |
SARS-CoV | Airborne, droplet, contact | Maintain precautions until 10 days after resolution of fever. |
Shigella | Standard | Contact precautions for incontinent patients |
Smallpox | Airborne, contact | Maintain precautions until all scabs have crusted and separated (34 wks). Nonvaccinated HCW should not care for patient if immune HCW available |
Staphylococcal | | |
Major, wound | Contact | |
Streptococcal | | |
Major, wound | Contact, droplet | |