Infection control precautions by disease

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Disease or syndrome Type of precautions Duration Notes
Abscess (with significant drainage) Contact Until drainage controlled
Abscess (no significant drainage) Routine
Actinomycosis Routine
Adenovirus Refer to specific syndrome (e.g. gastroenteritis, conjunctivitis, or pneumonia)
Amoebiasis Routine
Anthrax Routine
Anthrax (cutaneous) Routine
Anthrax (pulmonary) Routine
Arthropod-borne viral encephalitis (e.g. (eastern equine encephlitis, western equine encephalitis, Venezuelan equine encephalitis, St. Louis encephalitis, California encephalitis, West Nile virus) Routine
Arthropod-borne viral fever (e.g. dengue, yellow fever, Colorado tick fever) Routine
Ascariasis Routine
Aspergillosis Routine Can consider contact or airborne if large draining infection requiring repeat irrigations
Babesiosis Routine
Blastomycosis Routine
Botulism Routine
Botulism (food poisoning) Routine
Bronchiolitis Contact Duration of illness
Brucellosis Routine
Campylobacter species (gastroenteritis) Refer to Gastroenteritis
Candidiasis Routine
Cat-scratch fever Routine
Cellulitis Routine
Chancroid Routine Sexually-transmitted
Chickenpox Refer to Varicella
Chlamydia trachomatis (conjunctivitis) Routine
Chlamydia trachomatis (lymphogranuloma venereum) Routine
Chlamydia trachomatic (infant pneumonia) Routine
Chlamydia pneumoniae Routine
Cholera Refer to Gastroenteritis
Clostridium botulinum Routine
Clostridium difficile Contact Duration of illness
Clostridium perfringens (food poisoning) Routine
Clostridium perfringens (gas gangrene) Routine
Coccidioidomycosis Routine
Colorado tick fever Routine
Congenital rubella Contact Until 1 year of age Routine precautions if nasopharyngeal and urine cultures are repeatedly negative after 3 months of age
Conjunctivitis (bacterial) Routine
Conjuctivitis (viral) Contact Duration of illness Highly contageous
Coxsackie virus Refer to Enteroviral infection
Creutzfeldt-Jakob disease Routine
Croup Refer to Respiratory infections in infants and young children
Crimean-Congo hemorrhagic fever Refer to Viral hemorrhagic fever
Cryptococcosis Routine
Cryptosporidiosis Refer to Gastroenteritis
Routine
Cytomegalovirus Routine
Dengue Routine
Diphtheria (cutaneous) Contact Until completed treatment and cultures negative Two cultures 24 hours apart
Diphtheria (pharyngeal) Droplet Until completed treatment and cultures negative Two cultures 24 hours apart
Ebola Refer to Viral hemorrhagic fever
Echinococcosis Routine
Echovirus Refer to Enteroviral infection
Encephalitis or encephalomyelitis Refer to specific organism
Endometritis Routine
Enterobiasis (pinworm) Routine
Enterovirus (continent) Routine
Enterovirus (diapered or incontinent) Contact Duration of illness
Epiglottitis from Haemophilus influenzae type b Droplet 24 hours of effective therapy
Epstein-Barr virus, including infectious mononucleosis Routine
Escherichia coli (gastroenteritis) Refer to Gastroenteritis
Gangrene Routine
Gastroenteritis (continent) Routine
Gastroenteritis (incontinent or diapered) Contact Duration of illness
Gastroenteritis (norovirus) Contact 48 hours after resolution of symptoms
Gastroenteritis (rotavirus) Contact Duration of illness
Giardia lamblia (gastroenteritis) Refer to Gastroenteritis
Gonococcal ophthalmia neonatorum Routine
Gonorrhea Routine
Granuloma inguinale Routine
Guillain-Barré syndrome Routine
Haemophilus influenzae Refer to disease-specific recommendations
Hantavirus pulmonary syndrome Routine Not transmitted person-to-person
Helicobacter pylori Routine
Hepatitis A virus Routine Consider vaccination as post-exposure prophylaxis
Hepatitis A virus (incontinent or diapered) Contact <3 years: duration of hospitalization; 3-14 years: 2 weeks after onset; >14 years: 1 week after onset
Hepatitis B virus Routine
Hepatitis C virus Routine
Hepatitis D virus Routine
Hepatitis E virus Routine
[[Hepatitis E virus (incontinent or diapered) Contact Duration of illness
Hepatitis G virus Routine
Hookworm Routine
Herpes simplex virus (encephalitis) Routine
Herpes simplex virus (disseminated, primary, or severe) Contact Until lesions dry and crusted
Herpes simplex virus (mucocutaneous recurrent) Routine
Herpes simplex virus (neonatal) Contact Until lesions dry and crsted
Herpes zoster virus (disseminated or immunocompromised) Airborne + contact Duration of illness
Herpes zoster virus (localized in immunocompetent) Routine
Histoplasmosis Routine Not transmitted person-to-person
HIV Routine Sexually transmitted
Human metapneumovirus Contact Duration of illness
Impetigo Contact 24 hours of effective therapy
[[Infectious mononucleosis Routine
Influenza (seasonal) Droplet 7 days after onset or 24 hours asymptomatic (whichever longer)
Influenza (avian)
Influenza (pandemic) Droplet
Kawasaki syndrome Routine Not infectious
Lassa fever Refer to Viral hemorrhagic fever
Lesionellosis Routine Not transmitted person-to-person
Leprosy Routine
Leptospirosis Routine Not transmitted person-to-person
Lice (head) Contact Until 24 hours of effective therapy
Lice (body) Routine Transmitted through clothing, so consider Contact precautions when undressing patient
Lice (pubic) Routine Sexually transmitted
Listeriosis Routine
Lyme disease Routine Not transmitted person-to-person
Lymphocytic choriomeningitis Routine Not transmitted person-to-person
Lymphogranuloma venereum Routine
Malaria Routine Not transmitted person-to-person
Marburg virus Refer to Viral hemorrhagic fever
Measles Airborne 4 days after onset of rash
Measles (immunocompromised) Airborne Duration of illness
Melioidosis Routine Not transmitted person-to-person
Meningitis (aseptic) Routine Contact for infants and young children
Meningitis (Gram-negative bacterial) Routine
Meningitis (fungal) Routine
Meningitis (Haemophilus influenzae type b) Droplet 24 hours of effective therapy
Meningitis (Listeria monocytogenes) Routine
Meningitis (Neisseria meningitidis) Droplet 24 hours of effective therapy
Meningitis (Streptococcus pneumoniae) Routine
Meningitis (Tuberculosis) Routine Rule out pulmonary disease and draining adenitis
Meningitis (other bacteria) Routine
Molluscum contagiosum Routine
Monkeypox Airborne + Contact Airborne until smallpox ruled out; contact until lesions crusted
Mucormycosis Routine
Multidrug-resistant organisms (MDROs) (e.g. MRSA, VRE, ESBL) Contact Based on local guidelines
Mumps Droplet 5 days after onset of swelling
Mycoplasma (pneumonia) Droplet Duration of illness
Necrotizing enterocolitis Routine
Neisseria meningitis (sepsis, pneumonia, or meningitis) Droplet 24 hours of effective therapy Contacts may need post-exposure prophylaxis
Nocardiosis Routine Not transmitted human-to-human
Non-tuberculous mycobacteria Routine
Norovirus (gastroenteritis) Refer to Gastroenteritis
Orf Routine
Parainfluenza (respiratory in infants and young children) Contact Duration of illness Prolonged shedding in immunocompromised
Parvovirus B19 (immunocompromised) Droplet Duration of hospitalization
Parvovirus B19 (transient aplastic crisis) Droplet 7 days
Pertussis Droplet 5 days of effective therapy Single-patient room preferred; contacts may need post-exposure prophylaxis
Pinworm Routine
Pneumonia (adenovirus Droplet + Contact Duration of illness
Pneumonia (bacterial, not otherwise specified) Routine
Pneumonia (Chlamydia) Routine
Pneumonia (fungal) Routine
Pneumonia (H. influenzae type b in adults) Routine
Pneumonia (H. influenzae type b in infants and children) Droplet 24 hours of effective therapy
Pneumonia (Legionella) Routine Not transmitted person-to-person
Pneumonia (Neisseria meningitidis) Droplet 24 hours of effective therapy
Pneumonia (Mycoplasma) Droplet Duration of illness
Pneumonia (Streptococcus pneumoniae) Routine Droplet precautions if nosocomial outbreak
Pneumonia (Pneumocystis jiroveci) Routine
Pneumonia (Staphylococcus aureus) Routine
Pneumonia (Group A Streptococcus in infants and young children) Droplet 24 hours of effective therapy
Pneumonia (viral in adults) Routine
Pneumonia (viral in infants and children) Contact Duration of illness
Poliomyelitis Contact Duration of illness
Pressure ulcer Routine Contact precautions if draining
Prion disease Routine
Psittacosis Routine Not transmitted person-to-person
Q fever Routine
Rabies Routine Very rare person-to-person transmission
Rat-bite fever (Streptobacillus moniliformis or Spirillum minus) Routine Not transmitted person-to-person
Relapsing fever Routine Not transmitted person-to-person
Respiratory infections (adults, not otherwise specified) Routine
Respiratory infections (infants and children, not otherwise specified) Contact Duration of illness
Rotavirus (gastroenteritis) Refer to Gastroenteritis (rotavirus)
Salmonella species (gastroenteritis) Refer to Gastroenteritis
SARS-CoV
Shigella species (gastroenteritis) Refer to Gastroenteritis
Staphylococcus aureus (food poisoning) Routine
Staphylococcus aureus (furunculosis) Routine Consider Contact precautions if uncontrolled drainage
Staphylococcus aureus (furunculosis in infants and young children) Contact Until no longer draining
Virbio cholerae (gastroenteritis) Refer to Gastroenteritis
Vibrio vulnificans (gastroenteritis) Refer to Gastroenteritis
Yersinia enterocolitica (gastroenteritis) Refer to Gastroenteritis
Yersinia pestis (bubonic plague) Routine
Yersinia pestis (pneumonic plague) Droplet 48 hours of effective therapy Consider prophylaxis in healthcare workers

Further Reading