Disease
|
Organisms |
Type of precautions |
Duration |
Notes
|
Abscess (with significant drainage)
|
various
|
Contact
|
Until drainage controlled
|
|
Abscess (no significant drainage)
|
various
|
Routine
|
|
|
Amoebiasis
|
Entamoeba histolytica
|
Routine
|
|
Rarely transmitted person-to-person
|
Actinomycosis
|
Actinomyces
|
Routine
|
|
Not transmitted person-to-person
|
Anthrax
|
Bacillus anthracis
|
Routine
|
|
|
Anthrax (cutaneous)
|
Bacillus anthracis
|
Routine
|
|
Contact precautions if significant drainage
|
Anthrax (pulmonary)
|
Bacillus anthracis
|
Routine
|
|
Not transmitted person-to-person
|
Arthropod-borne viral encephalitis
|
Eastern equine encephalitis
|
Routine
|
|
Not transmitted person-to-person
|
western equine encephalitis
|
Contact
|
|
Not transmitted person-to-person
|
Venezuelan equine encephalitis
|
Contact
|
|
Not transmitted person-to-person
|
St. Louis encephalitis
|
Contact
|
|
Not transmitted person-to-person
|
California encephalitis
|
Contact
|
|
Not transmitted person-to-person
|
West Nile virus
|
Contact
|
|
Not transmitted person-to-person
|
not otherwise specified
|
Contact
|
|
Not transmitted person-to-person
|
Arthropod-borne viral fever
|
Dengue virus
|
Routine
|
|
Not transmitted person-to-person
|
Yellow fever virus
|
Contact
|
|
Not transmitted person-to-person
|
Colorado tick fever virus
|
Contact
|
|
Not transmitted person-to-person
|
not otherwise specified
|
Contact
|
|
Not transmitted person-to-person
|
Ascariasis
|
Ascaris lumbricoides
|
Routine
|
|
Not transmitted person-to-person
|
Aspergillosis
|
Aspergillus
|
Routine
|
|
Can consider contact or airborne if large draining infection requiring repeat irrigations
|
Babesiosis
|
Babesia microti
|
Routine
|
|
Not transmitted person-to-person
|
Blastomycosis
|
Blastomyces dermatitidis
|
Routine
|
|
Not transmitted person-to-person
|
Botulism
|
Clostridium botulinum
|
Routine
|
|
Not transmitted person-to-person
|
Botulism (food poisoning)
|
Clostridium botulinum
|
Routine
|
|
|
Bronchiolitis
|
various
|
Contact
|
Duration of illness
|
|
Brucellosis
|
Brucella melitensis
|
Routine
|
|
Not transmitted person-to-person
|
Burn infection
|
Staphylococcus aureus
|
Contact
|
Until drainage stops or is controlled
|
|
Candidiasis
|
Candida
|
Routine
|
|
|
Cat-scratch fever
|
Bartonella henselae
|
Routine
|
|
Not transmitted person-to-person
|
Cellulitis
|
various
|
Routine
|
|
|
Chancroid
|
Haemophilus ducreyi
|
Routine
|
|
Sexually transmitted
|
Chickenpox
|
Varicella-zoster virus
|
Refer to Varicella
|
Chlamydia pneumoniae
|
|
Routine
|
|
|
Cholera
|
Vibrio cholerae
|
Refer to Gastroenteritis
|
Clostridium difficile
|
Clostridium difficile
|
Contact
|
Duration of illness
|
|
Coccidioidomycosis
|
Coccidioides immitis
|
Routine
|
|
Not transmitted person-to-person
|
Congenital rubella
|
Rubella virus
|
Contact
|
Until 1 year of age
|
Routine precautions if nasopharyngeal and urine cultures are repeatedly negative after 3 months of age
|
Conjunctivitis
|
Adenovirus
|
Refer to specific syndrome (conjunctivitis)
|
Chlamydia trachomatis
|
Routine
|
|
|
bacterium, not otherwise specified
|
Routine
|
|
|
virus, not otherwise specified
|
Contact
|
Duration of illness
|
Highly contageous
|
Creutzfeldt-Jakob disease
|
Prions
|
Routine
|
|
|
Croup
|
various
|
Refer to Respiratory infections in infants and young children
|
Cryptococcosis
|
Cryptococcus
|
Routine
|
|
Not transmitted person-to-person
|
Cryptosporidiosis
|
Cryptosporidium
|
Refer to Gastroenteritis
|
Cystic fibrosis
|
various
|
Contact
|
|
Not transmitted person-to-person
|
Cysticercosis
|
Taenia solium
|
Routine
|
|
Not transmitted person-to-person
|
Cytomegalovirus
|
Cytomegalovirus
|
Routine
|
|
|
Dengue
|
Dengue virus
|
Routine
|
|
Not transmitted person-to-person
|
Diphtheria (cutaneous)
|
Corynebacterium diphtheriae
|
Contact
|
Until completed treatment and cultures negative
|
Two cultures 24 hours apart
|
Diphtheria (pharyngeal)
|
Corynebacterium diphtheriae
|
Droplet
|
Until completed treatment and cultures negative
|
Two cultures 24 hours apart
|
Echinococcosis
|
Echinococcus
|
Routine
|
|
|
Encephalitis
|
Herpes simplex virus
|
Routine
|
|
|
Encephalitis or encephalomyelitis
|
various
|
Refer to specific organism
|
Endometritis
|
Streptococcus pyogenes
|
Routine
|
|
|
Endometritis
|
various
|
Routine
|
|
|
Epiglottitis
|
Haemophilus influenzae type b
|
Droplet
|
24 hours of effective therapy
|
|
Food poisoning
|
Clostridium botulinum
|
Routine
|
|
Not transmitted person-to-person
|
Clostridium perfringens
|
Routine
|
|
|
Clostridium perfringens
|
Contact
|
|
Not transmitted person-to-person
|
Staphylococcus aureus
|
Contact
|
|
Not transmitted person-to-person
|
Furunculosis
|
Staphylococcus aureus
|
Routine
|
|
Consider Contact precautions if uncontrolled drainage
|
Furunculosis (infants and young children)
|
Staphylococcus aureus
|
Contact
|
Until no longer draining
|
|
Gangrene
|
various
|
Routine
|
|
|
Gas gangrene
|
Clostridium perfringens
|
Routine
|
|
Rarely transmitted person-to-person
|
Gastroenteritis
|
Adenovirus
|
Refer to Gastroenteritis
|
Campylobacter
|
Refer to Gastroenteritis
|
Coxsackievirus
|
Refer to Enterovirus
|
Echovirus
|
Refer to Enterovirus
|
Enterovirus (adult)
|
Routine
|
|
|
Enterovirus (paediatric)
|
Contact
|
Duration of illness
|
|
Escherichia coli
|
Refer to Gastroenteritis
|
Giardia lamblia
|
Refer to Gastroenteritis
|
Norovirus
|
Contact
|
48 hours after resolution of symptoms
|
|
Rotavirus
|
Contact
|
Duration of illness
|
|
Shigella
|
Refer to Gastroenteritis
|
Vibrio cholerae
|
Refer to Gastroenteritis
|
Vibrio parahaemolyticus
|
Refer to Gastroenteritis
|
Vibrio vulnificus
|
Refer to Gastroenteritis
|
Yersinia enterocolitica
|
Refer to Gastroenteritis
|
Gastroenteritis (continent)
|
not otherwise specified
|
Routine
|
|
|
Gastroenteritis (diapered or incontinent)
|
Enterovirus
|
Contact
|
Duration of illness
|
|
not otherwise specified
|
Contact
|
Duration of illness
|
|
Gastritis
|
Helicobacter pylori
|
Routine
|
|
|
Gonococcal ophthalmia neonatorum
|
Neisseria gonorrhoeae
|
Routine
|
|
|
Gonorrhea
|
Neisseria gonorrhoeae
|
Routine
|
|
|
Granuloma inguinale
|
Klebsiella granulomatis
|
Routine
|
|
|
Guillain-Barré syndrome
|
—
|
Routine
|
|
Not an infectious disease
|
Hantavirus pulmonary syndrome
|
Hantavirus
|
Routine
|
|
Not transmitted person-to-person
|
Herpes (disseminated, primary, or severe)
|
Herpes simplex virus
|
Contact
|
Until lesions dry and crusted
|
|
Herpes (mucocutaneous recurrent)
|
Herpes simplex virus
|
Routine
|
|
|
Herpes (neonatal)
|
Herpes simplex virus
|
Contact
|
Until lesions dry and crsted
|
|
Hookworm
|
various
|
Routine
|
|
|
Histoplasmosis
|
Histoplasma capsulatum
|
Routine
|
|
Not transmitted person-to-person
|
HIV
|
HIV
|
Routine
|
|
Sexually transmitted
|
Impetigo
|
Staphylococcus aureus
|
Contact
|
24 hours of effective therapy
|
|
Infectious mononucleosis and other syndromes
|
Epstein-Barr virus
|
Routine
|
|
|
Infectious mononucleosis
|
Cytomegalovirus
|
Routine
|
|
|
Influenza (seasonal)
|
Influenza virus
|
Droplet
|
7 days after onset or 24 hours asymptomatic (whichever longer)
|
|
Influenza (avian)
|
Influenza virus
|
|
|
|
Influenza (pandemic)
|
Influenza virus
|
Droplet
|
|
|
Invasive Group A streptococcal disease
|
Streptococcus pyogenes
|
Droplet
|
24 hours of effective therapy
|
|
Kawasaki syndrome
|
—
|
Routine
|
|
Not infectious
|
Legionellosis
|
Legionella
|
Routine
|
|
Not transmitted person-to-person
|
Leprosy
|
Mycobacterium leprae
|
Routine
|
|
|
Leptospirosis
|
Leptospira
|
Routine
|
|
Not transmitted person-to-person
|
Lice (head)
|
Pediculus humanus humanus
|
Contact
|
Until 24 hours of effective therapy
|
|
Lice (body)
|
Pediculus humanus capitis
|
Routine
|
|
Transmitted through clothing, so consider Contact precautions when undressing patient
|
Lice (pubic)
|
Pthirus pubis
|
Routine
|
|
Sexually transmitted
|
Listeriosis
|
Listeria
|
Routine
|
|
|
Lyme disease
|
Borrelia burgdorferi
|
Routine
|
|
Not transmitted person-to-person
|
Lymphocytic choriomeningitis
|
Lymphocytic choriomeningitis virus
|
Routine
|
|
Not transmitted person-to-person
|
Lymphogranuloma venereum
|
Chlamydia trachomatis
|
Routine
|
|
|
Malaria
|
Plasmodium
|
Routine
|
|
Not transmitted person-to-person
|
Measles
|
Measles virus
|
Airborne
|
4 days after onset of rash
|
|
Measles (immunocompromised)
|
Measles virus
|
Airborne
|
Duration of illness
|
|
Melioidosis
|
Burkholderia pseudomallei
|
Routine
|
|
Not transmitted person-to-person
|
Meningitis
|
Gram-negative bacterium
|
Routine
|
|
|
fungus
|
Routine
|
|
|
Haemophilus influenzae type b
|
Droplet
|
24 hours of effective therapy
|
|
Listeria monocytogenes
|
Routine
|
|
|
Neisseria meningitidis
|
Droplet
|
24 hours of effective therapy
|
|
Streptococcus pneumoniae
|
Routine
|
|
|
Tuberculosis
|
Routine
|
|
Rule out pulmonary disease and draining adenitis
|
bacterium, not otherwise specified
|
Routine
|
|
|
Meningitis (aseptic)
|
various
|
Routine
|
|
Contact for infants and young children
|
Molluscum contagiosum
|
Molluscum contagiosum virus
|
Routine
|
|
|
Monkeypox
|
Monkeypox virus
|
Airborne + Contact
|
Airborne until smallpox ruled out; contact until lesions crusted
|
|
Mucormycosis
|
Mucorales
|
Routine
|
|
|
Multidrug-resistant organisms (MDROs)
|
various (e.g. MRSA, VRE, ESBL)
|
Contact
|
|
Based on local guidelines
|
Mumps
|
Mumps virus
|
Droplet
|
5 days after onset of swelling
|
|
Necrotizing enterocolitis
|
various
|
Routine
|
|
|
Nocardiosis
|
Nocardia
|
Routine
|
|
Not transmitted human-to-human
|
Orf
|
Orf virus
|
Routine
|
|
|
Parvovirus B19 (immunocompromised)
|
Parvovirus B19
|
Droplet
|
Duration of hospitalization
|
|
Parvovirus B19 (transient aplastic crisis)
|
Parvovirus B19
|
Droplet
|
7 days
|
|
Pertussis
|
Bordetella pertussis
|
Droplet
|
5 days of effective therapy
|
Single-patient room preferred; contacts may need post-exposure prophylaxis
|
Pharyngitis (infants and young children)
|
Streptococcus pyogenes
|
Droplet
|
24 hours of effective therapy
|
|
Pinworm
|
Enterobius vermicularis
|
Routine
|
|
|
Plague (bubonic)
|
Yersinia pestis
|
Routine
|
|
|
Plague (pneumonic)
|
Yersinia pestis
|
Droplet
|
48 hours of effective therapy
|
Consider prophylaxis in healthcare workers
|
Pneumonia
|
Adenovirus
|
Droplet + Contact
|
Duration of illness
|
|
Chlamydia pneumoniae
|
Routine
|
|
|
fungus
|
Routine
|
|
|
Legionella
|
Routine
|
|
Not transmitted person-to-person
|
Mycoplasma pneumoniae
|
Droplet
|
Duration of illness
|
|
Neisseria meningitidis
|
Droplet
|
24 hours of effective therapy
|
|
Pneumocystis jiroveci
|
Routine
|
|
|
Staphylococcus aureus
|
Routine
|
|
|
Streptococcus pneumoniae
|
Routine
|
|
Droplet precautions if nosocomial outbreak
|
Streptococcus pyogenes
|
Droplet
|
24 hours of effective therapy
|
|
bacterium, not otherwise specified
|
Routine
|
|
|
Pneumonia (adults)
|
Haemophilus influenzae type b
|
Routine
|
|
|
virus, not otherwise specified
|
Routine
|
|
|
Pneumonia (children)
|
Haemophilus influenzae type b
|
Droplet
|
24 hours of effective therapy
|
|
Pneumonia (infants)
|
Chlamydia trachomatis
|
Routine
|
|
|
Pneumonia (infants and children)
|
virus, not otherwise specified
|
Contact
|
Duration of illness
|
|
Poliomyelitis
|
Poliovirus
|
Contact
|
Duration of illness
|
|
Pressure ulcer
|
various
|
Routine
|
|
Contact precautions if draining
|
Prion disease
|
Prions
|
Routine
|
|
|
Psittacosis
|
Chlamydia psittaci
|
Routine
|
|
Not transmitted person-to-person
|
Q fever
|
Coxiella burnetii
|
Routine
|
|
|
Rabies
|
Rabies virus
|
Routine
|
|
Very rare person-to-person transmission
|
Rat-bite fever
|
Streptobacillus moniliformis
|
Routine
|
|
Not transmitted person-to-person
|
Rat-bite fever
|
Spirillum minus
|
Contact
|
|
Not transmitted person-to-person
|
Relapsing fever
|
various
|
Routine
|
|
Not transmitted person-to-person
|
Respiratory infection
|
Human metapneumovirus
|
Contact
|
Duration of illness
|
|
Respiratory infections (adults)
|
not otherwise specified
|
Routine
|
|
|
Respiratory infection (infants and young children)
|
Parainfluenza virus
|
Contact
|
Duration of illness
|
Prolonged shedding in immunocompromised
|
Respiratory infection (infants and children)
|
not otherwise specified
|
Contact
|
Duration of illness
|
|
Respiratory infection (infants, young children, and immunocompromised)
|
Respiratory syncytial virus
|
Contact
|
Duration of illness
|
Immunocompromised patients may have prolonged shedding
|
Reye syndrome
|
—
|
Routine
|
|
Not an infectious disease
|
Rheumatic fever
|
Streptococcus pyogenes
|
Routine
|
|
|
Rhinovirus
|
Rhinovirus
|
Droplet
|
Duration of illness
|
|
Rickettsioses
|
Rickettsia
|
Routine
|
|
Not transmitted human-to-human
|
Rickettsialpox (vesicular)
|
Rickettsia akari
|
Routine
|
|
Not transmitted person-to-person
|
Ringworm
|
various
|
Routine
|
|
|
Rocky Mountain spotted fever
|
Rickettsia rickettsii
|
Routine
|
|
Not transmitted person-to-person
|
Roseola infantum
|
Roseolavirus
|
Routine
|
|
|
Rubella
|
Rubella virus
|
Droplet
|
7 days after rash onset
|
|
Salmonellosis
|
Salmonella
|
Refer to Gastroenteritis
|
Scabies
|
Sarcoptes scabiei
|
Contact
|
24 hours of effective therapy
|
|
SARS coronavirus
|
SARS-CoV
|
Airborne + Droplet + Contact
|
10 days after symptoms resolve
|
|
Scalded skin syndrome
|
Staphylococcus aureus
|
Contact
|
Duration of illness
|
|
Scarlet fever
|
Streptococcus pyogenes
|
Droplet
|
24 hours of appropriate therapy
|
|
Schistosomiasis
|
Schistosoma
|
Routine
|
|
|
Sepsis
|
Neisseria meningitidis
|
Droplet
|
24 hours of effective therapy
|
Contacts may need post-exposure prophylaxis
|
Sepsis (neonatal)
|
Group B streptococcus
|
Routine
|
|
|
Shingles (disseminated or immunocompromised)
|
Varicella-zoster virus
|
Airborne + Contact
|
Duration of illness
|
|
Shingles (localized in immunocompetent)
|
Varicella-zoster virus
|
Routine
|
|
|
Smallpox
|
Smallpox virus
|
Airborne + Contact
|
Until all scabs have crusted and separated
|
|
Soft tissue infection (major)
|
Staphylococcus aureus
|
Contact
|
Until drainage stops or is controlled
|
|
Soft tissue infection (severe)
|
Streptococcus pyogenes
|
Droplet + Contact
|
24 hours of effective therapy and drainage contained
|
|
Soft tissue infection (mild)
|
Streptococcus pyogenes
|
Routine
|
|
If drainage controlled
|
Sporotrichosis
|
Sporothrix schenckii
|
Routine
|
|
|
Strongyloidiasis
|
Strongyloides stercoralis
|
Routine
|
|
|
Syphilis
|
Treponema pallidum pallidum
|
Routine
|
|
|
Syphilis (congenital)
|
Treponema pallidum pallidum
|
Contact
|
24 hours of effective therapy
|
|
Tapeworm
|
Hymenolepis nana
|
Routine
|
|
Not transmitted person-to-person
|
Taenia solium
|
Routine
|
|
|
not otherwise specified
|
Routine
|
|
|
Tetanus
|
Botulinum tetani
|
Routine
|
|
Not transmitted person-to-person
|
Tinea
|
fungus
|
Routine
|
|
Rarely transmitted person-to-person
|
Toxic shock syndrome
|
Staphylococcus aureus
|
Routine
|
|
|
Streptococcus pyogenes
|
Droplet
|
24 hours of effective therapy
|
|
Toxoplasmosis
|
Toxoplasma gondii
|
Routine
|
|
Generally not transmitted person-to-person
|
Trachoma
|
Chlamydia trachomatis
|
Routine
|
|
|
Trench mouth
|
various
|
Routine
|
|
|
Trichinosis
|
Trichinella spiralis
|
Routine
|
|
|
Trichomoniasis
|
Trichomonas vaginalis
|
Routine
|
|
|
Tuberculosis (draining lesion)
|
Mycobacterium tuberculosis
|
Airborne + Contact
|
Until clinically improving and 3 negative cultures
|
Rule out pulmonary disease
|
Tuberculosis (meningitis)
|
Mycobacterium tuberculosis
|
Routine
|
|
Rule out pulmonary disease and draining lesions
|
Tuberculosis (pulmonary or laryngeal)
|
Mycobacterium tuberculosis
|
Airborne
|
|
|
Tuberculosis (latent)
|
Mycobacterium tuberculosis
|
Routine
|
|
|
Tularemia (draining lesion)
|
Mycobacterium tuberculosis
|
Routine
|
|
Not transmitted person-to-person
|
Tularemia (pulmonary)
|
Mycobacterium tuberculosis
|
Routine
|
|
Not transmitted person-to-person
|
Typhoid fever
|
Salmonella enterica
|
Refer to Gastroenteritis
|
Typhus (epidemic/louse-borne)
|
Rickettsia prowazekii
|
Routine
|
|
|
Typhus (murine/flea-borne)
|
Rickettsia typhi
|
Routine
|
|
Not transmitted person-to-person
|
Urinary tract infection including pyelonephritis
|
various
|
Routine
|
|
|
Vaccinia (vaccination site care)
|
Vaccinia virus
|
Routine
|
|
Vaccinate healthcare workers
|
Vaccinia (eczema vaccinatum)
|
Vaccinia virus
|
Contact
|
Until lesions are dry and crusted, and scabs separated
|
|
Vaccinia (fetal vaccinia)
|
Vaccinia virus
|
Contact
|
Until lesions are dry and crusted, and scabs separated
|
|
Vaccinia (generalized vaccinia)
|
Vaccinia virus
|
Contact
|
Until lesions are dry and crusted, and scabs separated
|
|
Vaccinia (progressive vaccinia)
|
Vaccinia virus
|
Contact
|
Until lesions are dry and crusted, and scabs separated
|
|
Vaccinia (postvaccinia encephalitis)
|
Vaccinia virus
|
Routine
|
|
|
Vaccinia (blepharitis or conjunctivitis)
|
Vaccinia virus
|
Contact
|
Until drainage stops
|
|
Vaccinia (iritis or keratitis)
|
Vaccinia virus
|
Routine
|
|
|
Vaccinia (erythema multiforme or SJS)
|
Vaccinia virus
|
Routine
|
|
Not infectious
|
Varicella
|
Varicella-zoster virus
|
Airborne + Contact
|
Until lesions dry and crusted
|
|
Varicella-zoster (pneumonia in immunocompromised)
|
Varicella-zoster virus
|
Airborne + Contact
|
Duration of illness
|
|
Vincent angina
|
various
|
Routine
|
|
|
Viral hemorrhagic fever
|
Crimean-Congo hemorrhagic fever virus
|
Refer to Viral hemorrhagic fever
|
Ebola virus
|
Refer to Viral hemorrhagic fever
|
Lassa fever virus
|
Refer to Viral hemorrhagic fever
|
Marburg virus
|
Refer to Viral hemorrhagic fever
|
various
|
Droplet + Contact
|
Duration of illness
|
|
Viral hepatitis
|
Hepatitis B virus
|
Routine
|
|
|
Hepatitis C virus
|
Routine
|
|
|
Hepatitis D virus
|
Routine
|
|
|
Viral hepatitis (continent)
|
Hepatitis A virus
|
Routine
|
|
Consider vaccination as post-exposure prophylaxis
|
Hepatitis E virus
|
Routine
|
|
|
Viral hepatitis (diapered or incontinent)
|
Hepatitis A virus
|
Contact
|
<3 years: duration of hospitalization; 3-14 years: 2 weeks after onset; >14 years: 1 week after onset
|
|
Hepatitis E virus
|
Contact
|
Duration of illness
|
|
Viral hepatitis
|
Hepatitis G virus
|
Routine
|
|
|
Whipworm
|
Trichuris trichiura
|
Routine
|
|
|
Zygomycosis
|
|
Routine
|
|
Not transmitted person-to-person
|
various
|
Haemophilus influenzae
|
Refer to disease-specific recommendations
|
various
|
Non-tuberculous mycobacteria
|
Routine
|
|
|