Description

All patients should be handled using standard precautions. Additional precautions may be warranted for patients presenting with certain clinical syndromes, pending identification of the causative organism.


 

Syndrome

Clinical Features

Empiric Precautions

diarrhea

infectious diarrhea in an incontinent or diapered patient

contact

 

diarrhea in adult with a history of recent antibiotic use

contact

meningitis

 

droplet

generalized rash or exanthem

petechiae or ecchymoses with fever

droplet

 

vesicular

airborne and contact

 

maculopapular with coryza and fever

airborne

respiratory infection

cough, fever and upper lobe pulmonary infiltrate in HIV negative patient

airborne

 

cough, fever and pulmonary infiltrate in any lung location in HIV positive patient

airborne

 

paroxysmal or severe persistent cough during period of pertussis activity

droplet

 

bronchiolitis or croup in infant or young child

contact

possible drug resistant organism

 

contact

skin or wound infection

abscess or draining wound that cannot be covered

contact

after Table 2, page 944, Abrutyn 1998

 


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