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Transmission of Infectious Agents in Healthcare Settings

Draft Guideline for Isolation Precautions Recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) 2004 (www.cdc.gov). HICPAC Guidelines. Objectives Provide recommendations for all components of healthcare delivery system; primarily inpatient can be adapted to outp

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Transmission of Infectious Agents in Healthcare Settings

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    1. Transmission of Infectious Agents in Healthcare Settings Chris Cahill MS, BS, RN Infection Control Consultant Department of Health Services Licensing and Certification Program

    2. Draft Guideline for Isolation Precautions Recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) 2004 (www.cdc.gov)

    3. HICPAC Guidelines Objectives Provide recommendations for all components of healthcare delivery system; primarily inpatient can be adapted to outpatient, EMT, nursing home, care in the home settings Reaffirm Standard Precautions as basis for transmission prevention Based on epidemiology of disease Reaffirm “Respiratory/Cough Etiquette” (SARS-CoV, influenza) as a primary infection control measure to prevent transmission of diseases transmitted by respiratory secretions

    4. Terminology Standard Precautions - basic precautions Expanded Precautions - In addition to Standard Precautions and includes: Contact Precautions Droplet Precautions Airborne Infection Isolation Basic and Expanded Precautions explained later in lecture Special SARS precautions addressed by Jon Rosenberg

    5. HICPAC/CDC Guidelines Guideline for Hand Hygiene Guideline for Disinfection and Sterilization (In preparation) Guideline for Environmental Infection Control Guideline for Prevention of Healthcare- Associated Pneumonia Guideline for Infection Control in Healthcare Personnel

    6. Rationale for Isolation Precautions Transmission of infectious agent in all healthcare and community settings requires 3 interlinked elements Source (reservoir) of microorganism Susceptible host Mode of transmission

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