• Vancomycin- intermediate/ resistant S aureus (VISA/VRSA)
• Extended-
spectrum beta- lactamase (ESBL)
• Multidrug- resistant organism • Diphtheria
• Haemophilus influenzae type b
• Seasonal influenza
• Pandemic influenza
Droplet
• Meningococcal disease
• Mumps
• Mycoplasma pneumonia
• Group A streptococcus
• Pertussis • Adenovirus • Rubella
• Mycobacterium tuberculosis
• Disseminated herpes zoster
Airborne
• Rubeola Monkeypox
• Smallpox • Varicella zoster • Chicken pox
• Instruct the patient to wear a mask and follow respiratory hygiene and cough etiquette.
• Cover and contain affected skin lesions.
• The transporter is not required to wear a mask.
• Use standard precautions.
• Wear a fit-tested N95 or higher level respirator that is approved by the National Institute for Occupational Safety and Health.
• Instruct the patient to wear a mask and follow respiratory hygiene and cough etiquette.
• The transporter is not required to wear a mask.
• Use standard precautions.
• Wear a mask upon entry into the room.
• Hold the patient in a single-patient room if possible; otherwise keep ≥ 3 ft separation between patients.
• Draw a privacy curtain between beds to minimize the opportunity for close contact.
Transport
Protection for Un- scrubbed Personnel*
• Cover or contain the infected or
colonized areas of the patient’s body.
• Remove and dispose of contaminated personal protective equipment (PPE) and
perform hand hygiene before transporting the patient.
• Don clean PPE to handle the patient at the transport destination.
• Use standard precautions.
• Wear gloves whenever touching the patient’s skin or items that are in close proximity to the patient.
• Wear a gown when it can be anticipated that clothing will come into contact with the patient or contaminated environmental surfaces.
• Don a gown upon entry into the room. Remove the gown and perform hand hygiene before exiting.
Preoperative Area Environmental Mea- sures
• Hold the patient in a single-patient room if possible; otherwise keep ≥ 3 ft separation between patients.
• Clean the room immediately after patient use. Focus on frequently touched surfaces.
• Routine
• Place the patient in an airborne infection
isolation room (AIIR), if possible.
• Provide at least 6 (existing facility) or 12 new construction/ renovation) air changes per hour.
• Consult an infection preventionist before patient placement to determine the safety of an alternative room that does not meet AIIR
requirements.
• If an AIIR is not available, the OR should remain vacant postoperatively for sufficient time to allow for a full exchange of air, generally 1 hour.
* “Unscrubbed personnel” include anesthesia professionals, the circulating RN, and preoperative and postanesthesthia care personnel. This table should be adapted according to local conditions and special patient considerations.
Reference
1. Siegel JD, Rhinehart E, Jackson M, Chiarello L; the Healthcare Infection Control Practices Advisory Committee. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings. Am J Infect Control. 2007;35(10 Suppl 2):S65-S164.
