Page 32 - policy and procedure infection control
P. 32

Policies and Procedures on Infection Control



                                             Isolation
                         Diseases                                    Duration of Isolation
                                            Precautions
                  •Adenovirus/RSV/Influenza  Droplet & Contact  Duration of  illness
                  •Chlamydia                  Standard
                  •Other Bacterial            Standard
                  Poliomyelitis               Standard
                  Rabies                      Standard
                  Rheumatic fever             Standard
                  Rubella (German measles)    Droplet      Until 7 days after the onset of rash
                  Scabies                     Contact

                  Streptococcal disease
                  (Group A streptococcus)
                  Skin, wound, burns
                  •No dressing or dressing
                   does    not   contain
                   discharge adequately       Contact      Until 24 hours after starting effective therapy
                  •Dressing covers and
                   contains    discharge
                   adequately

                  Syphilis                    Standard
                  Tetanus                     Standard
                  Toxic shock syndrome        Standard
                  (Staph)
                  Toxoplasmosis               Standard
                  Typhoid (Salmonella         Standard
                  Typhi)                      Contact
                  •If incontinent or diapered
                  Typhus                      Standard
                  Urinary tract infection     Standard
                  including pyelonephritis
                  Varicella (chicken pox)    Airborne &    Maintain precautions until all lesions are
                                              Contact      crusted.  The average incubation period for
                                                           varicella is 10 to 21 days.
                                                           Discharge exposed but susceptible patients
                                                           if possible.
                                                           Place exposed susceptible patients on Airborne
                                                           Precautions beginning 10 days after exposure
                                                           and continuing until 21 days after last exposure
                                                           (up to 28 days if VZIG has been given).
                                                           Susceptible persons should not enter the
                                                           room of patients on precautions if other
                                                           immune caregivers are available.



                                                                          Ministry of Health Malaysia  21
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