Infection control precautions by disease
From IDWiki
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 |