New York Physician 10-Hour Ebook Continuing Education

Infection Control for New York Health Care Professional ‒ 2024 Update ________________________________

DISEASES, SYNDROMES, POTENTIAL PATHOGENS AND RECOMMENDED PRECAUTIONS Disease Clinical Syndrome or Condition† Potential Pathogen‡ Empiric Precautions (Always Include Standard Precautions)

Diarrhea

Acute diarrhea with a likely infectious cause in an incontinent or diapered patient

Enteric pathogens§

Contact Precautions (pediatrics and adult)

Neisseria meningitidis

Meningitis

Droplet Precautions for first 24 hours of antimicrobial therapy; mask and face protection for intubation Contact Precautions for infants and children Airborne Precautions if pulmonary infiltrate; Airborne Precautions plus Contact Precautions if potentially infectious draining body fluid is present Droplet Precautions for first 24 hours of antimicrobial therapy Droplet Precautions plus Contact Precautions, with face/eye protection, emphasizing safety sharps and barrier precautions when blood exposure likely Use N95 or higher respiratory protection when aerosol-generating procedure performed Ebola virus disease for healthcare workers update: Recommendations for healthcare workers can be found at Ebola for Clinicians Airborne plus Contact Precautions; Contact Precautions only if Herpes simplex, localized zoster in an immunocompetent host or vaccinia viruses most likely

Meningitis

Enteroviruses

M. tuberculosis

Meningitis

N. meningitides

Rash or exanthems, generalized, etiology unknown Rash or exanthems, generalized, etiology unknown

Petechial/ecchymotic fever (general)

Petechial/ecchymotic with fever (general) if positive history of travel to an area with an ongoing outbreak of viral hemorrhagic fever

Ebola, Lassa, Marburg viruses

(VHF) in the 10 days before onset of fever

Rash or exanthems, generalized, etiology unknown

Vesicular

Varicella-zoster, herpes simplex, variola (smallpox), vaccinia viruses

Rash or exanthems, generalized, etiology unknown Respiratory infections

Maculopapular with cough, coryza, and fever

Rubeola (measles) virus

Airborne Precautions.

Cough/fever/upper lobe pulmonary infiltrate in an HIV-negative patient or a patient at low risk for human immunodeficiency virus (HIV) infection

M. tuberculosis , respiratory viruses, S. pneumoniae , S. aureus (MSSA or MRSA)

Airborne Precautions plus Contact Precautions

Table 2 continues on next page.

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