contact precautions
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Introduction
Avoids spread of infection via direct or indirect contact.
Includes drainage & secretion precautions & enteric precautions.
Examples:
- Clostridium difficile
- respiratory syncytial virus (RSV)
- impetigo & other forms of
- Staphylococcus aureus including MRSA
- duration for patients not receiving an antibiotic active against MRSA, 1-3 negative cultures before discontinuing[3]
- Streptococcus pyogenes
- Staphylococcus aureus including MRSA
- scabies
- vancomycin-resistant enterococci
- extended-spectrum beta-lactamase resistant gram negative bacteria & multidrug-resistant Enterobacteriaceae*:
- throughout hospitalization after 1st detected[3]
- rotavirus
- varicella-zoster (also airborne precautions)
* includes carbapenem-resistant Enterobacteriaceae
Methods
- private room
- use of gloves & gowns
- eye protection & masks if potential for splash
- hand washing (single most important measure)
- alcohol-based hand-rubs if hands not visibly soiled
- dedicated medical items
Notes
- overall compliance with contact precautions is low & decreases as the proportion of patients in contact precautions increases
More general terms
Additional terms
References
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 11, 16, 17, 18. American College of Physicians, Philadelphia 1998, 2012, 2015, 2018.
Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022 - ↑ Dhar S et al. Contact precautions: More is not necessarily better. Infect Control Hosp Epidemiol 2014 Mar; 35:213. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24521583
Anderson DJ et al. On contact precautions: The good, the bad, and the ugly. Infect Control Hosp Epidemiol 2014 Mar; 35:222 PMID: https://www.ncbi.nlm.nih.gov/pubmed/24521584 - ↑ 3.0 3.1 3.2 3.3 3.4 Banach DB, Bearman G, Barnden M et al Duration of Contact Precautions for Acute-Care Settings. Infection Control & Hospital Epidemiology. Jan 11, 2018 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29321078 https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/duration-of-contact-precautions-for-acutecare-settings/94E38FDCE6E1823BD613ABE4E8CB5E56