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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
IC.05.02 TABLE OF RECOMMENDED PRECAUTIONS SELECTED INFECTIOUS DISEASES, CONDITIONS &/OR MICROORGANISMS REV. Mar 2020
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Abscess Minor
Major (drainage not contained by dressing)
Routine
Contact Duration of drainage
MI contact and RI permitted if drainage adequately controlled.
Mother:- Breast abscess-consult
physician prior to breast feeding
Acquired Immune Deficiency Syndrome
Routine MI contact and RI permitted Assess mothers individually for possibility of other infections.
Reportable disease
Adenovirus Respiratory Droplet and Contact
Adult: Until symptom free
Pediatric: Minimum of eleven days from onset and child is symptom free
Mother ill:- Droplet and contact
precautions for mother- Routine practices for infant
Healthy term infant:- MI contact, BF and RI
permitted- Mother to wear mask when
within 2 metres of infant
Infant in NICU:- Mother should be
Strict attention to hand hygiene.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 1 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Adenovirus (cont)
encouraged not to visit until symptom free*- BF permitted as expressed
milk
Infant ill:- Droplet and contact
precautions for infant- Routine practices for mother- MI contact and BF permitted
*If Mother must visit:o Place infant in private roomo Mother to limit visits and go
directly in and out of NICUo Mother to wear mask for
duration of visit in NICU
Diarrhea Contact* Until stool is formed or back to baseline for the patient for 48 hours
Consult IPACS if immune compromised
Mother ill:- Contact precautions for mother- Routine practices for infant
Healthy Term Infant:- MI contact, BF and RI
permitted.
Infant in NICU:- Mother should be encouraged
not to visit until stool is formed or back to baseline for the mother for 48 hours*
Infant ill:- Contact precautions for infant**- Routine practices for Mother- MI contact, BF and RI
o Strict attention to hand hygiene
*Prolonged fecal shedding may occur in immunocompromised patients after recovery. Contact precautions for duration of hospitalization may be justified.
If Mother must visit:o Place infant in private roomo Mother to limit visits and go
directly in and out of NICU
**Ensure immediate disposal of diapers into leak proof bag.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 2 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Adenovirus (cont)
permittedConjunctivitis Contact Until symptom
freeMother ill:- Contact precautions for mother- Routine practices for infantHealthy Term infant:- MI contact, BF and RI
permitted
Baby in NICU:- Mother should be encouraged
not to visit until symptom free*- BF permitted as expressed
breast milkInfant ill:- Contact precautions for infant- Routine precautions for Mother
No sharing of towels, linens, etc.
Strict attention to hand hygiene.
*If Mother must visit:o Place infant in private roomo Mother to limit visits and go
directly in and out of NICU
Aeromonas Diarrhea, dysentery
Contact Until stool is formed or back to baseline for the patient
Strict attention to hand hygiene.
Reportable disease
Amoebiasis(Dysentery)(Entamoeba histolytica)
Asymptomatic, to severe diarrhea to grossly bloody dysentery
Contact Until stool is formed or back to baseline for the patient
Strict attention to hand hygiene.
Reportable disease
Anthrax Skin lesions, Routine Notify IPACS immediately.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 3 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
pneumonia
Contact precautions for patients with draining wounds
Duration of drainage
Notify Public Health immediately.
Notify Microbiology laboratory before sending specimens.
Does not spread from person to person.Acquired from infected animals or animal products.
Reportable diseaseAntibiotic Resistant Organisms (ARO)
Refer to: Extended-
Spectrum Beta-Lactamases (ESBL)
Carbapenemase-Producing
Infection or colonization of any body site
Contact* For duration of hospital stay
- Refer to the infection control manual for specific information on ARO’s.
*Refer to specific organism in table for further guidance on precautions required
Strict attention to hand hygiene
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 4 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Organisms (CPO)
Methicillin-Resistant Staphylococcus aureus (MRSA)
Multi-drug Resistant Organism (MDRO)
Vancomycin-Resistant Enterococci (VRE)
Arthropod-Borne Viral Infections(Arboviruses)
(West Nile virus, Dengue, Japanese Encephalitis, Yellow Fever, Zika virus etc.)
Encephalitis, fever, rash
Most infections are subclinical (asymptomatic)
Routine No person-to-person spread except by transfusion, organ transplantation, intrauterine transmission and possibly human milk.
Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 5 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
*Several hundred different viruses, most limited to geographic areas.AscariasisAscaris lumbricoides, (roundworm)
Usually asymptomatic
Routine No person-to-person spread.
AspergillosisAspergillus species
Skin, lung, wound or central nervous system infection
Routine
Atypical Mycobacteria (Mycobacterium other than tuberculosis “MOTT”) e.g. Mycobacterium avium complex “MAC”
Lymphadenitis; pneumonia; disseminated disease in immune compromised host.
Mycobacterium abscessus in CF patients
Routine
Contact For duration of hospital stay
No person-to-person transmission, except for Mycobacterium abscessus in CF patients. Please refer to CF standard in section 6.
Acquired from soil, water, animal, reservoirs.
Babesiosis Often asymptomatic
Routine Tick-borne.No person-to-person spread except by transfusion, and
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 6 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
congenital/perinatal routeBedbugsblood-sucking ectoparasites (external parasites)
Mild to severe allergic reaction to the bites
Routine Practices
Consider wearing a gown to protect clothing when providing direct bedside care to a heavily infested patient.
Contact Housekeeping Services who will arrange for Pest Control Services as required.For more information see BC Health File # 95 at http://www.healthlinkbc.ca/healthtopics/content.asp?hwid=za1160
BlastomycosisBlastomyces dermatitdis
Asymptomatic, pulmonary, cutaneous or disseminated
Routine No person-to-person spread.
Notify Microbiology laboratory before sending specimens
BK Virus (BKV)Polyomavirus
Asymptomatic or cystitis in healthy people
Causes lower and upper renal tract disease in
Routine * Disease can include hemorrhagic cystitis, interstitial nephritis, renal allograph loss, nephropathy
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 7 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
immunocompromised patients*-painful hematuria most common symptom
Bocavirus
See “Respiratory Viral Infections”
Droplet and Contact
Adult: Until symptom free
Pediatric: Minimum of eleven days from onset and child is symptom free
Bornholms DiseasePleurodynia
See Enteroviral infection
Contact
NICU: Droplet and Contact
Until symptom free
Until discontinued by IPACS
BotulismClostridium botulinum
Descending flaccid Paralysis, cranial nerve palsies
Routine No person-to-person spread
Reportable disease
BronchiolitisSee “ Respiratory Viral
Droplet and Contact
Minimum of eleven days from onset
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 8 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Infections” and child is symptom free
Brucellosis(Undulant fever)
Manifestations are non-specific & include:fever, night sweats, weakness, malaise, and arthralgia
Routine
Contact precautions for patients with draining wounds
Duration of drainage
Person-to-person spread is rare. Congenital brucellosis has been reported.Infected mothers can transmit brucella species to their infants through breast feeding.
Notify Microbiology laboratory before sending specimens
Reportable diseaseBurkholderia cepacia complex
Associated with severe pulmonary infections in patients with cystic fibrosis and Chronic Granulomatous Diseases (CGD)
Routine
For CF patientsContact*
*Refer to section 6 for specific information on Cystic Fibrosis
Campylobacter
See “Diarrhea”
Diarrhea Contact Until stool is formed or back to baseline for the patient.
Reportable disease
Candida auris Blood stream Contact Plus For duration Mother ill: Strict attention to hand hygiene
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 9 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Candida auris (cont)
infections, wound infections, otitis
Can be multi-drug resistant
of hospital stay
- Contact plus precautions for mother
- Contact plus precautions for all newborns of positive mothers.
Healthy Term Infant:- MI contact, BF and RI
permitted- Mother uses routine practices
for infant (Mother may choose to use contact plus precautions)
Baby in NICU:- Baby to be placed in single
room- MI contact and BF permitted- Mother uses routine practices
for infant (Mother may choose to use contact plus precautions)
- Mother to limit visits to her child only and go directly in and out of NICU.
Infant ill:- Contact plus precautions for
infant
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 10 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
- Routine practices for Mother- MI Contact, BF and RI
permittedCandidiasis(Moniliasis)
Mucocutaneous infection in oropharynx (thrush) or vaginal candidiasis.
Can be disseminated or invasive
Routine MI contact, BF, and RI permitted
Carbapenemase-Producing Organisms (CPO)
Infection or colonization of any body site
Contact Plus
Add Droplet Precautions for any coughing or ventilated patient with CPO
For duration of hospital stay
Mother has CPO:- Contact plus precautions for
mother- Contact plus precautions for
newborns of positive mothers.
Healthy Term Infant:- MI contact, BF and RI
permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)
Baby in NICU:
Refer to the infection control manual for specific information on CPO.
Notify IPACS immediately
Reportable Disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 11 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
- Baby to be placed in single room- MI contact and BF permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)- Mother to limit visits to her
child only and go directly in and out of NICU.
Infant has CPO:- Contact plus precautions for
infant- Contact plus precautions for
Mother- MI Contact, BF and RI
permittedCat Scratch FeverBartonella henselae
Lymphadenopathy (regional)
Routine No person-to-person spread
Cellulitis, with drainage
See “Abscess”
Minor
Major (drainage not contained by
Routine
Contact* Duration of drainage
*Implement Droplet precautions if H. influenzae type b is suspected in non-immune children < 5years old.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 12 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
dressing)
Cervical lymphadenitis
No drainage, intact skin
For draining, see abscess or specific organism
Routine
ChancroidHaemophilus ducreyi
Genital Ulcers Routine Sexually transmitted.
Reportable disease
ChickenpoxVaricella
Vesicular rash, mild fever and systemic symptoms.
Airborne and Contact
For a minimum of 5 days after onset of rash and until all lesions are crusted which can be a week or longer in immuno-compromised patients.
Mother with active lesions-Mother-airborne and contact precautions-Infant-needs to be assessed for VZIG and treated as a susceptible contact.
Healthy term infant:-Once infant has received VZIG, RI, BF and MI contact is allowed.-Will require isolation from day 8-21 (28 if VZIG given)
Notify IPACS of all cases of suspected or confirmed chickenpox.
Patients with active chickenpox should be placed in an airborne isolation room away from severely immuno-compromised patients (e.g., they should not be cared for on the oncology ward).
HCW should have their immune status validated with PHSA Workplace Health
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 13 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Chickenpox (cont)Varicella
Susceptible contacts of patients with chickenpox should be placed on airborne and contact isolation on day 8 from the first known contact and up to and including day 21 if they have not received VZIG, 28 days if they have received VZIG
Infant in NICU:-Mother may not go to NICU for a minimum of 5 days or until all lesions have crusted over.-MI contact not permitted-BF by expressed breast milk only
Infant has chickenpox:-Airborne and contact precautions-Only immune visitors/siblings may visit*-MI contact permitted if mother is immune-BF permitted
Infant is Chickenpox contact:Assess need for VZIGWill require isolation from day 8-21 (28 if VZIG given)
Non-immune HCW should not care for patients with active chickenpox *
*Immunity is defined as any of the following: Documentation of age
appropriate varicella vaccine. Laboratory evidence of
immunity or laboratory confirmation of disease.
Varicella diagnosed or a verification of history from family members by the physician or delegate.
History of herpes zoster diagnosed by physician or delegate
Visitors who have active chickenpox or shingles must not visit.
HCW with suspected chickenpox should not be at work and must report toPHSA Workplace Health.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 14 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
ChlamydiaChlamydia trachomatis(CT)
Chlamydophila pneumoniae(CPn)Chlamydophila psittaci(CPs)
Neonatal conjunctivitisPneumoniaTrachomaGenital tract infection and lymphogranuloma venereum (LGV),
Respiratory tract infectionPneumonia
Routine MI contact, BF, and RI permitted Chlamydia disease including Psittacosis is reportable.
Reportable disease
CholeraVibrio cholera
Voluminous watery diarrhea, dehydration and other serious complications
Contact Until stool is formed or back to baseline for the patient.
Consult IPACS Notify IPACS
Reportable disease
Clostridium botulinum
See “Botulism”
Routine
Reportable diseaseClostridium difficile
DiarrheaPseudo membranous colitis
Contact Plus Until diarrhea has subsided for 72 hours and stools are formed or
Mother ill and Healthy Term Infant:-MI contact, RI, and BF permitted-Mother: Contact precautions
Strict attention to hand hygiene
Bacterial spores may persist in the environment; therefore, special attention must be paid to
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 15 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Clostridium difficile(cont)
back to baseline for the patient. Contact IPACS prior to discontinuation of precautions.
-Infant: Routine practices
Mother ill and Baby in NICU:-Baby to be placed in single room-Mother to limit visits and go directly in and out of NICU-MI contact and BF permitted; mother uses routine practices for infant
cleaning of the environment.
Note: Asymptomatic colonization is common in newborns and infants.
Clostridium perfringens
Gas Gangrene Routine No person-to-person spread
Coccidioido-mycosis(Valley Fever)
Pneumonia, cutaneous or soft tissue infection,
Routine No person-to-person spread
Notify Microbiology laboratory before sending specimens
Cold, common
See “Respiratory Viral Infections”Cold, common(cont)
Droplet and Contact
Adult: Until symptom freePediatric: Minimum of eleven days from onset and child is symptom free
Congenital Rubella
Droplet and Contact for congenital
Continue precautions for at least 1
Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 16 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
See “Rubella” rubella year, unless 2 urine and nasopharyngeal culture results after 3 months of age are negative
Conjunctivitis Eye discharge Contact Until viral etiology ruled out or for duration of symptoms*.
Mother ill:-Contact precautions for mother-Routine practices for infantHealthy Term infant:MI contact, RI, and BF permittedBaby in NICU:-Mother should be encouraged not to visit until symptom free**-BF permitted as expressed breast milk.Infant ill:-Contact precautions for infant-Routine practices for mother
Strict attention to hand hygiene
*If viral etiology established, see specific organism.
**If Mother must visit Baby inNICU:o Place infant in private roomo Mother to limit visits and go
directly in and out of NICU
Coronavirus 229E/OC43/NL63/HKU1
See “Respiratory Viral infections”
Droplet and Contact
Adult: Until symptom free
Pediatric: Minimum of eleven days
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 17 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
from onset and child is symptom free
COVID-19(SARS-CoV-2, novel coronavirus 2019, nCoV2019)
Fever, new onset of (or exacerbation of chronic) cough, pneumonia, diarrhea, nausea.
Droplet and ContactAdd Airborne precautions if Aerosol-Generating Medical Procedures (AGMP) are likely to be required (e.g. nebulized therapy, CPR, CPAP, Endotracheal intubation & extubation, High frequency oscillatory ventilation, Bronchoscopy and bronchoalveolar lavage,
Consult IPAC Mother/Caregiver ill:Droplet and contact precautions for mother and infantMother/Caregiver to wear mask when within 2 metres of infant if contact occurs.
Risk of transmission via breast milk is unlikely but evidence is limited. No evidence of virus in breast milk in small studies; EBM likely safe. If BF occurs mask must be worn by mother and diligent hand hygiene practiced.
Healthy infant:Assess MI contact and RI on acase by case basis inconsultation with the clinicalteam(s).*
Infant in NICU:Caregivers with COVID-19 may
Family members and visitors with an acute respiratory infection or those under quarantine should not participate in care or enter the hospital with the exception of child's parent/primary caregiver. The parent/primary caregiver should continue to follow BCCDC recommendations for self-isolation while in hospital.
Strict attention to hand hygiene
If Mother/caregiver mustparticipate in care:
- Place infant in private room- Mother/caregiver to limit
visits and go directly in and out of NICU.
- Mother/caregiver to wear mask for duration of time in NICU
Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 18 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Laryngoscopy, Positive pressure ventilation (BiPAP & CPAP), sputum induction).
not enter the NICU until at least symptom free.* Consult IPAC as required
Family members and visitors must be approved by NICU staff on a case by case basis prior to entering NICU
CoxsackievirusSee “ Enterovirus infections”
Contact
NICU: Droplet and Contact
Until symptom free for 48 hours
Until discontinued by IPACS
Creutzfeldt-Jakob Disease(CJD)
Encephalopathy Routine* Notify IPACS immediately if CJD is suspected.
Tissues associated with high levels of infectivity include brain, eyes, spinal cord
*Please follow Public Health Agency of Canada guidelines for CJD
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 19 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Reportable diseaseCroup
See “Respiratory Viral Infections”
Droplet and Contact
Minimum of eleven days from onset and child is symptom free
CryptococcosisCryptococcus neoformans, Cryptococcus gatti
Pneumonia, dissemination, meningitis.
Routine No person-to-person spread
Reportable disease
Cryptosporidiosis
Diarrhea Contact Until stool is formed or back to baseline for the patient.
Reportable disease
Cysticercosis Cysts in various organs including brain (neurocysticercosis
Routine No person-to-person spread
Cytomegalovirus(CMV)
Usually asymptomatic; Infectious Mononucleosis, Congenital infection,
RoutineCongenital CMV disease is reportable
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 20 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Retinitis, colitis, disseminated infection in immunocompromised host
Decubitus Ulcer Minor
Major (drainage not contained by dressing)
Routine
Contact Duration of drainage
MI contact, RI permitted if drainage adequately controlled
Dengue FeverSee “Arthopod-borne viral infections”
Routine
Dermatitis
Many causes (bacteria, virus, fungus).
Minor
Major (drainage not contained by dressing)
Routine
Contact
If compatible with scabies, see scabies.
Dermatophyte infectionSee “Tinea” Ringworm
Routine
DiarrheaSeveral bacteria, viruses, parasites which
Acute diarrhea, sometimes accompanied by vomiting,
Contact
Add Droplet if vomiting
Until infectious cause ruled out or until
Mother ill:-Contact precautions for Mother-Routine practices for infantHealthy Term Infant:
Emphasize hand hygiene with mother as shedding may be prolonged.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 21 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
may include: norovirus, rotavirus, enteric adenovirus, Salmonella, Shigella, Campylobacter, E. coli, Yersinia
See specific organism for more details
abdominal cramps specific etiology established and then refer to specific organism for appropriate precautions.
If no organism identified, continue precautions until stool is formed or back to baseline for the patient.
-MI contact, RI, and BF permittedInfant in NICU:-Mother should be encouraged not to visit until stool is formed or back to baseline for the mother *Infant ill:-Contact precautions for infant**-Routine practices for Mother-MI contact, RI and breastfeeding permitted
*If Mother must visit:o Place infant in private roomo Mother to limit visits and go
directly in and out of NICUo Strict attention to hand
hygiene**Ensure immediate disposal of diapers into leak proof bagReinforce hand hygiene
Consult IPACS if you suspect an outbreak.
Reportable disease-depending on etiology
DiphtheriaCorynebacterium diphtheria
Cutaneous (characteristic ulcerative lesion)
Contact Until 2 cultures of skin lesions taken 24 hours apart and 24 hours after completing antimicrobial treatment are
Contact IPACS Close contacts should be given antibiotic prophylaxis:-carriers-cases
Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 22 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Diphtheria (cont)Corynebacterium diphtheriae
negative for C. diphtheriae
Pharyngeal (adherent grayish membrane)
Droplet Until 2 cultures from both the nose and throat taken 24 hours apart and 24 hours after completing antimicrobial treatment are negative for C. diphtheria
Ebola virus
See “Hemorrhagic fevers”
Airborne + goggles and Contact
Until hemorrhagic fever virus ruled out or until discontinued by IPACS
Notify IPACS immediately.
Notify Public Health immediately.
Echinococcosis “Hydatid Disease”Echinococcus
Cysts in various organs, including liver
Routine No person to person spread
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 23 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
granulosus and Echinococcus multilocularisEchovirus DiseaseSee Enterovirus infection
Contact
NICU: Droplet and Contact
Until symptom free
Until discontinued by IPACS
Empyema (draining)
Common organisms include Staph aureus (including MRSA), GAS
Contact Duration of Drainage.
Consult IPACS as needed
Encephalitis or encephalomyelitis
Adult: Routine
Pediatric: Contact
NICU: Droplet and Contact
Until specific etiology established and then refer to specific diseases for appropriate precautions
May be associated with HSV, Enterovirus, arbovirus. measles, mumps, varicella, Mycoplasma pneumonie, Epstein-Barr virus (EBV).
Reportable Disease
Endometritis Routine MI contact, RI and BF permitted. If infection is due to Group A Streptococcus, see “Streptococcal Disease– Group A”.
Enterobiasis Routine
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 24 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
See “Pinworms”Enterovirus Enterovirus (nonpolio):Coxsackieviruses- Echoviruses- Enteroviruses
Enterovirus (cont)
Acute febrile respiratory illness, e.g., cough, fever
Acute febrile illness, aseptic meningitis, encephalitis, pharyngitis, herpangina, rash, pleurodynia, hand foot and mouth disease
Gastroenteritis may occur but is not common.
Droplet and Contact
Contact
NICU: Droplet and Contact
Until symptom free
Until symptom free
Until
Mother ill:-Additional precautions as indicated for mother-Routine practices for infant
Healthy term infant:- MI contact, RI and BF permitted
Infant in NICU:-MI contact NOT permitted in the NICU until mother asymptomatic*-BF as expressed milkInfant ill:-Additional precautions as indicated for infant.-Routine practices for mother-MI contact, RI and BF permittedInfant ill and in NICU:-Droplet and contact precautions for infant.-Mother uses routine practices for infant (Mother may choose to use droplet and contact precautions)
Strict attention to hand hygiene
Shedding of Enterovirus can occur in stool.
*If Mother must visit infant in NICU, consult IPACS.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 25 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
discontinued by IPACS
-Mother to limit visits to her child only and go directly in and out of NICU.
Epiglottitis Haemophilus influenzae type b;Streptococcus group A, Staphylococcus aureus
Adult: Routine
Pediatric: Droplet until H. influenzae is ruled out
If H. influenzae:Until 24 hours of appropriate antimicrobial therapy received
Epstein-Barr virus
Epstein-Barr virus(cont)
Infectious Mononucleosis,X-linked lymphoproliferative syndrome, post-transplantation lymphoproliferative disorder, Burkitts lymphoma, nasopharyngeal carcinoma
Routine Spread via intimate contact with oral secretions or from articles contaminated with oral secretions.
Erysipelas
See “Streptococcus group A”
Acute, cutaneous inflammatory disease
Droplet and Contact
Until 24 hours of appropriate antimicrobial therapy received
Erythema Rash, anemia, Routine
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 26 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
InfectiosumFifth DiseaseParvovirus B19”
aplastic crisis. In pregnancy: hydrops foetalis
Droplet for the following patients:-Aplastic crisis-Immuno-compromised-Papulopurpuric gloves-socks (PGS) syndromeTransient aplastic or erthyrocyte crisis
For duration of hospitalization (aplastic crisis, immuno-compromised, PGS)
For 7 days for patients with transient aplastic crisis (TAC)
Escherichia coli(E coli O157 and other shiga-toxin producing strains)
See “Diarrhea” and “HUS”
Diarrhea, abdominal cramps, hemolytic-uremic syndrome (HUS), thrombotic thrombocytopenic purpura
Contact Until stool is formed or back to baseline for the patient and the results of two stool cultures are negative for E. coli 0157
Reportable disease
Extended Infection or Contact* For duration Mother has an ESBL: *Patients who are only colonized
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 27 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Spectrum Beta-Lactamases (ESBL)
See also “Multi-drug Resistant Organism”
colonization of any body site
of hospital stay
- Contact precautions for mother- Contact precautions for
newborns of positive mothers.
Healthy Term Infant:- MI contact, BF and RI
permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)
Baby in NICU:- Baby to be placed in single
room- MI contact and BF permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)- Mother to limit visits to her
child only and go directly in and out of NICU.
Infant has an ESBL:- Contact precautions for infant- Contact precautions for Mother- MI Contact, BF and RI
may only require routine practices. Consult IPACS.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 28 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
permittedFifth Disease
See “Erythema Infectiosum”
Routine
Droplet for the following patients:-Aplastic crisis-Immuno-compromised-Papulopurpuric gloves-socks (PGS) syndrome
Transient aplastic or erthyrocyte crisis
For duration of hospitalization (aplastic crisis, immunocompromised, PGS)
For 7 days for patients with transient aplastic crisis (TAC)
Food Poisoning/Food-Borne Illness
E.g. Bacillus cereus, Clostridium
Diarrhea, vomiting and abdominal cramps
Contact
Add Droplet if vomiting
Until specific etiology established and then refer to specific organism for
Mother ill:-Contact precautions for mother-Routine practices for infant
Healthy Term Infant:-MI contact, RI, and BF permitted
Emphasize hand hygiene with mother as shedding may be prolonged.
*If Mother must visit:o Place infant in private roomo Mother to limit visits and go
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 29 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
perfringens, Staphylococcus aureus, Salmonella, vibrio parahaemolyticus, Escherichia coli 0157 and others
See specific organism for more details
appropriate precautions.
If no organism identified, continue precautions until stool is formed or back to baseline for the patient.
Infant in NICU:-Mother should be encouraged not to visit until stool is formed or back to baseline for the mother *
Infant ill:-Contact precautions for infant**-Routine practices for mother-MI contact, RI and BF permitted
directly in and out of NICUo Strict attention to hand
hygiene
**Ensure immediate disposal of diapers into leak proof bagReinforce hand hygiene
Consult IPACS if you suspect an outbreak.
Reportable disease
FurunculosisStaphylococcus aureus, including MRSA
See “Abscess”
Minor
Major (drainage not contained by dressing)
Routine
Contact Duration of drainage
GastroenteritisSeveral bacteria, viruses, parasites which may include: norovirus, rotavirus, enteric adenovirus,
Acute diarrhea, vomiting, abdominal cramps
Contact
Add Droplet if vomiting
Until infectious cause ruled out or until specific etiology established and then refer
Mother ill:-Contact precautions for mother-Routine practices for infant
Healthy Term Infant:- MI contact, BF and RI
permitted
Emphasize hand hygiene with mother as shedding may be prolonged.
*If Mother must visit:o Place infant in private roomo Mother to limit visits and go
directly in and out of NICUC-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 30 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Salmonella, Shigella, Campylobacter, E. coli, Yersinia
See specific organism for more details
to specific organism for appropriate precautions.
If no organism identified, continue precautions until stool is formed or back to baseline for the patient.
Infant in NICU:-Mother should be encouraged not to visit until stool is formed or back to baseline for the mother *
Infant ill:-Contact precautions for infant**-Routine practices for mother-MI contact, RI and breastfeeding permitted
o Strict attention to hand hygiene
**Ensure immediate disposal of diapers into leak proof bagReinforce hand hygiene
Consult IPACS if you suspect an outbreak.
Reportable disease-depending on etiology
German Measles
See “Rubella”
Droplet
Droplet and Contact for congenital rubella
Until 7 days after onset of rash
Continue precautions for at least 1 year, unless 2 urine and nasopharyngeal culture results after 3 months of age
Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 31 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
are negativeGiardiasisGiardia lamblia
Diarrhea Contact Until stool is formed or back to baseline for the patient.
Reportable disease
GonococcalInfectionsNeisseria gonorrhoeae
Ophthalmia neonatorum, gonorrhea, arthritis, pelvic inflammatory disease
Routine Mother ill:-routine practices for Mother and infant-MI contact, BF and RI permitted.
Infant ill (conjunctivitis, scalp abscess, sepsis):-MI contact, BF and RI permitted.
Reportable disease
Granuloma inguinale/Donovanosis
Klebsiella granulomatis
Painless genital ulcers, inguinal ulcers, nodules
Routine Sexual transmission
Haemophilus influenzae type b
Invasive disease:Pneumonia, meningitis, epiglottis, septic arthritis, cellulitis, otitis media,
Adult: Droplet
Pediatric: Droplet
Until 24 hours of appropriate antimicrobial therapy
Invasive Haemophilus influenzae type b is a reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 32 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
endocarditis, periorbital cellulitis in non-immune child < 5 years old, etc.
Haemophilus influenzae non b
Routine All invasive Haemophilus influenza are a reportable disease by type
Hand, Foot & Mouth Disease
See “Enterovirus infection”
Contact
NICU: Droplet and Contact
Until symptom free
Until discontinued by IPACS
Hansen’s Disease
See “Leprosy”
RoutineReportable disease
Hantavirus Hemorrhagic fever, pulmonary syndrome, renal syndrome
Routine Infection acquired from rodents.
Reportable disease
Helicobacter pylori
Gastritis, ulcer Routine
Hemolytic A prodromal illness Contact Until E.coli C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 33 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Uremic Syndrome(HUS)
Shiga toxin-producing Enterohemorrhagic E. coli (EHEC) or Shigella
with abdominal pain, vomiting, and diarrhea that immediately precedes the development of HUS: (Hemolytic anemia, Thrombocytopenia, Acute renal injury)
Add Droplet if vomiting
0157 or other infectious cause ruled out and then refer to specific organism for appropriate precautions.
Reportable disease
Hemorrhagic Fevers
Lassa, Ebola, Marburg, and others
Severe Febrile diseases with bleeding, shock and multisystem involvement
Airborne + goggles and Contact
Until hemorrhagic fever virus ruled out or until discontinued by IPACS
Notify IPACS immediately.
Notify Public Health immediately.
Hepatitis of unknown etiology
Hepatitis, jaundice Contact For 7 days after onset of jaundice or until hepatitis A and E ruled out
Hepatitis A and E
Hepatitis, jaundice, acute febrile illness.
Contact Duration of symptoms or at least one
MI contact, BF and RI are permitted
If mother has Hepatitis A or E infection, notify the infant’s physician.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 34 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
week from onset of symptoms, whichever is longer
Asymptomatic HAV infection in infants can occur: Excretion of virus in stool can be prolonged.
Reportable diseaseHepatitis B Hepatitis, jaundice,
acute and chronic oftenasymptomatic
Routine -MI contact and RI permitted-BF permitted if infant of an HBsAg positive Mother has received HBIG and Hepatitis B vaccine-consult physician
Reportable diseaseHerpangina
See “Enterovirus”
Contact
NICU: Droplet and Contact
Until symptom free
Until discontinued by IPACS
Herpes Simplex
Genital,Mucocutaneous, oral,Herpetic Whitlow, Eczema Herpeticum,encephalitis and meningitis
Routine practices for:o Patients
with localized recurrent lesions
o Patients with CNS
Mother has lesions:-MI contact permitted*-Total rooming in preferred-Observe strict hand hygiene-Mother may choose to wear a gown when caring for infant-Mothers with herpes labialis should wear a disposable surgical mask when touching
* For mothers with mucotaneous HSV lesions: instruct the Mother on hand hygiene, to wear a mask or cover lesion when around her infant, not kiss the infant while lesion is present and to avoid touching affected areas.
HCW with active herpes lesions
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 35 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Herpes Simplex (cont)
Neonatal HSV infections can be severe, can involve multiple organs.
Children, Adolescents and Adults are often asymptomatic.
Symptoms may include: gingivostomatitis,vesicular lesions, genital herpes, conjunctivitis, keratitis,encephalitis.
After primary infection HSV persists for life.
infection infant until lesions are crusted over and dried.-BF permitted if no herpetic lesions on the breast-For mothers with herpetic whitlow-gloves should be worn
(cold sores, herpetic whitlow) should consult PHSA Workplace Health for direction.
Herpes genitalis and congenital Herpes Simplex infection are reportable diseases
Contact precautions for:
Neonates with Until lesions are crusted
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 36 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
mucacutaneous lesions
Neonates exposed to active HSV lesions during birth
Women in labor and postpartum women with active HSV lesions
Patients with severe mucocutaneous disease
over and dried
Birth to 6 weeks of age or until neonatal HSV infection has been ruled out.
Until lesions are crusted over and dried
Until lesions are crusted over and dried
Herpes zoster(Shingles, Zoster, Varicella Zoster)
See “Shingles”
Immunocompetent patient:- Localized and
can be covered
o Extensive or localized that
Contact
Airborne and Contact
Until lesions have crusted over and dried.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 37 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
cannot be covered
Immunocompromised host or disseminated disease
Airborne and Contact
HistoplasmosisHistoplasma capsulatumHistoplasmosis (cont)
Asymptomatic, pulmonary or disseminated
Routine No person-to-person spread.Notify Microbiology laboratory before sending specimens
HIVHuman Immunodeficiency Virus
A wide range of clinical manifestations
Routine - MI contact and RI permitted Assess mothers individually for possibility of other infections.
Reportable disease
Human Astrovirus
Acute gastroenteritis
Contact* Until stool is formed or back tobaseline for thepatient for 48hoursConsult IPACS ifimmune
Mother ill:- Contact precautions formother- Routine practices forinfantHealthy Term Infant:- MI contact, BF and RI permitted.Infant in NICU:- Mother should be
o Strict attention to hygiene*Prolonged fecal sheddingmay occur in immunocompromised patients after recovery.Contact precautions for duration of hospitalization may be justified.If Mother must visit:o Place infant in privateroom
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 38 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
compromised encouraged not to visituntil stool is formed orback to baseline for themother for 48 hours*Infant ill:- Contact precautions forinfant**- Routine practices for Mother- MI contact, BF and RI permitted
o Mother to limit visitsand go directly in andout of NICU**Ensure immediatedisposal of diapers into leakproof bag.
Reportable Disease
HumanHerpesvirus 6
See “Roseola
Fever followed by rash
Routine
Human Metapneumovirus
See “Respiratory Viral Infections”
Droplet and Contact
Adult: Until symptom free
Pediatric: Minimum of eleven days from onset and child is symptom free
Human Papillomaviruses
Skin warts, anogenital warts (condylomata acuminate)
Routine
Human T-Cell Asymptomatic Routine -MI contact and RI permitted
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 39 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Lymphotropic Virus I/II (HTLV I/II)Impetigoe.g. Staphylococcus aureus, and Group A Streptococcus
Variants of impetigo include: bullous, non-bullous or ecthyma
Minor
Major (drainage not contained by dressing)
Routine
Contact Duration of drainage or can be contained by a dressing
MI contact, RI permitted if drainage adequately controlled.
Mother: If impetigo on breast-consult physician prior to breast feeding.
Instruct the Mother on hand hygiene, to cover lesion when around her infant, not kiss the infant while peri-oral lesion is present and to avoid touching affected areas.
Influenza Acute febrile respiratory illness, e.g., cough, fever, muscle and joint pain, headache, etc
Droplet and Contact
Continue precautions for 5 days after onset of illness or until symptoms resolve, whichever is longer.
Mother ill:-Contact and droplet precautions for mother-Routine practices for infant
Healthy term infant:- MI contact, BF and RI
permitted-Mother to wear mask when within 2 metres of infant.
Infant in NICU:-Mother should be encouraged
Family members and visitors with an acute respiratory infection should not visit or enter the hospital.
Pregnant women and infants are at high risk of complications of influenza.
Women who are or will be pregnant or who will deliver during influenza season are a high priority group for receiving
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 40 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Influenza (cont)
not to visit until symptom free.*-BF permitted as expressed milk.-Consult IPACS as required
Infant ill:-Droplet and contact precautions for infant-Routine practices for mother- MI contact, BF and RI permitted
influenza vaccine.
Strict attention to hand hygiene
*If ill Mother must visit infant in NICU:o Place infant in private roomo Mother to limit visits and go
directly in and out of NICU.o Mother to wear mask for
duration of visit in NICU
All HCW should receive annual influenza vaccine.Consult IPACS if you suspect an outbreak.Refer to Section 6 for specific information on Influenza
Reportable diseaseInfluenza Vaccine (Live Attenuated Influenza Vaccine – LAIV) intranasal spray
e.g FluMist®
Patients, staff and visitors who have received LAIV
Routine(see comments)
Patients, staff, visitors and family members who have received LAIV should not have direct contact with severely immunocompromised patients for 14 days post immunization.
Severely immunocompromised C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 41 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
patients include those in the Bone Marrow Transplant Unit and other patients on Protective Isolation.
NICU:Children visiting, who have received FluMist, must wear a mask before entering NICU for 7 days following the vaccine.
Consult IPACS as needed
Kawasaki Acute febrile, self-limited, systemic vasculitis of early childhood
Routine
Lassa Fever
See “Hemorrhagic Fevers”
Airborne + goggles and Contact
Until hemorrhagic fever virus ruled out or until discontinued by IPACS
Legionella pneumophila Infections
Legionnaires disease: Varies in severity from mild
Routine No person-to-person spread
Notify IPACSC-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 42 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
to severe pneumonia, fever, cough and progressive respiratory distress
Pontiac Fever:Mild febrile illness without pneumonia
Reportable disease
Leprosy(Hansen’s disease)Mycobacterium leprae
Infection involving skin, peripheral nerves, mucosa of the upper respiratory tract, and testes
Routine Transmission between persons only with very prolonged extensive close personal contact.Household contacts should be given prophylaxis
Reportable diseaseLeptospirosisLeptospira species
Acute febrile disease with varied manifestations characterized by vasculitis
Routine Reportable disease
Lice (Pediculosis)
Pediculus capitis: Head lice-lice and eggs in hair,
ItchingSome children with head lice may be asymptomatic
Secondary
Contact Until 24 hours after treatment is complete
Mother symptomaticContact for motherHealthy term Infant:-MI contact, RI, BF permitted
Infant in NICU:
Treatment should be applied as soon as possible.Repeat the treatment in 7-10 days to ensure that head lice which hatch after the first treatment will be killed. No approved
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 43 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
behind ears and nape of neck
Pediculus corporis: Body lice
Pthirius pubis: Pubic lice/Crab Lice
bacterial infection -MI contact and BF permitted once mother has been treated
pediculicide is completely ovicidal.After each treatment, checking the hair and combing with a nit comb to remove nits and lice every 2-3 days may decrease the chance of self-re-infestation. Continue to check for 2-3 weeks to be sure all lice and nits are gone.
Refer to Section 6 for more specific information on lice.
Listeriosis
Listeria monocytogenes
Primarily food borne
Influenza like illness, malaise, headache, and gastrointestinal symptoms. More severe in neonates (early and late onset disease). Central nervous system infections.
Routine - MI contact , RI and BF permitted Reportable disease
Lyme diseaseBorrelia
3 stages:Early localized,
RoutineReportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 44 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
burgdorferi early disseminated, and late disease.
Lymphadenitis No drainage, intact skin
For draining, see abscess or specific organism
Routine
Lymphogranuloma Venereum (LGV)
See “Chlamydia trachomatis”
Routine
MalariaPlasmodium species
Febrile illness with a history of travel
Routine Malaria in pregnancy carries significant risks of morbidity and mortality for both the mother and fetus
Reportable diseaseMastitisSee “Staphylococcus aureus”
Minor
Major (drainage not contained by dressing
Routine
Contact
Duration of drainage
Measles Fever, cough, Airborne Until 4 days Mother has measles: Refer to Section 6 for specific
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 45 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
“Red Measles”(Rubeola)
Measles
coryza, conjunctivitis, an erythematous maculopapular rash, and a pathognomonic enanthema (Koplik’s spots)
after start of rash.For duration of illness if illness in immune compromised patients.
Susceptible contacts of known measles cases should be placed on airborne precautions from 5 days after their first exposure to 21 days after their last exposure, or 28 days if they have received Immune
-Mother: airborne-Infant: should receive Immune Globulin (IG) and remain on airborne precautions until 28 days from last exposureHealthy term infant:-MI contact, RI permitted-BF permitted if RIInfant in NICU: -Mother not permitted in NICU until 4 days after appearance of the rash, or if immune compromised for duration of illness -BF permitted as expressed breast milkInfant has measles-Mother immune – permitted to see infant and BF permitted-Mother susceptible – consult IPACS-Infant on Airborne Precautions until 4 days after start of rash
Infant is measles contact: Airborne precautions 5 days after first exposure to 21 days after last exposure, or 28 days if
information on measlesNotify IPACS as soon as you suspect measles
HCW:- HCW should have their immune status validated with PHSA Workplace Health - - Non-immune HCW should not care for patients with measles.- HCW with suspected measles should not be at work and report to PHSA Workplace Health
Only immune family and visitors to visit
Immunity is defined as a previous history of measles or having received 2 doses of measles vaccine or born before 1957
Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 46 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
“Red Measles”(Rubeola) (cont)
Globulin. they have received IG.
Meningitis Symptoms include headache, neck stiffness, fever, petechiae, etc. Severity of symptoms depends on causative organism.
Etiology unknown:Droplet and contact
Until etiology determined or infectious cause ruled out.
Notify IPACS of all cases of meningitis
Meningitis is a reportable disease – all causes.
Fungal MenigitisRoutine
Haemophilius influenzae type bDroplet
Until 24 hours of appropriate antimicrobial therapy
Lysteria monocytogenesRoutineMeningococcal(Neisseria meningitidis)Droplet
Until 24 hours of appropriate antimicrobial therapy
Streptococcus C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 47 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Meningitis (cont)
pneumoniaeRoutineOther bacterial: Routine PracticesTuberculosis:Airborne
If TB is causative organism the patient should be placed on airborne precautions until pulmonary TB is ruled out in patient and family members.If TB confirmed: See “Tuberculosis”
Viral:Adult - Routine
Pediatric - Continue for 7
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 48 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Contact
NICU – Droplet and Contact
See specific organism for more details
days after onset of illness unless a non-enteroviral diagnosis is established
Meningococcal Disease(Neisseria meningitidis)
Meningococcemia meningitis, pneumonia, sepsis
Droplet Until 24 hours of appropriate antimicrobial therapy
Close contacts may require chemoprophylaxis.
Reportable disease
Methicillin-resistant Staphylococcus aureus (MRSA)
Infection or colonization of any body site
Contact
Add Droplet Precautions for any coughing patient with MRSA
For duration of hospital stay
Mother has MRSA:- Contact precautions for mother- Contact precautions for
newborns of positive mothers.
Healthy Term Infant:- MI contact, BF and RI
permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)
Baby in NICU:
Refer to the infection control manual for specific information on MRSA
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 49 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
- Baby to be placed in single room- MI contact and BF permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)- Mother to limit visits to her
child only and go directly in and out of NICU, if she has an infection.
Infant has MRSA:- Contact precautions for infant- Contact precautions for Mother- MI Contact, BF and RI
permittedMiddle East Respiratory Syndrome Coronavirus (MERS-CoV)
Severe acute respiratory illness and fever
Airborne, Droplet and Contact
Until MERS-CoV is ruled out or until discontinued by IPACS
Notify IPACS immediately.
Notify Public Health immediately.
Molluscum Contagiosum
Infection of the skin with no systemic manifestations; characterized by umbilicated
Routine Requires intimate direct personal contact for transmission.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 50 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
papulesMononucleosis,
See “Epstein-barr virus” and “Cytomegalovirus”
Routine
Mucormycosis (Zygomycosis-Rhizopus, Mucor, Rhizomucor, Absidia species)
Fungal Disease
Rhinocerebral, pulmonary, skin, or disseminated.Disease in Immunosuppression (e.g. malignancy, Diabetes, Renal Failure)
Routine
Multi-drug Resistant Organism
See also “Extended Spectrum Beta-Lactamases (ESBL)”
Infection or colonization of any body site
Contact* For duration of hospital stay
Mother has an MDRO:- Contact precautions for mother- Contact precautions for
newborns of positive mothers.
Healthy Term Infant:- MI contact, BF and RI
permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)
*Patients who are only colonized may only require routine precautions. Consult IPACS.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 51 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Baby in NICU:- Baby to be placed in single
room- MI contact and BF permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)- Mother to limit visits to her
child only and go directly in and out of NICU.
Infant has an MDRO:- Contact precautions for infant- Contact precautions for Mother- MI Contact, BF and RI
permittedMumpsParotitis
Swelling of one or more of the salivary glands (usually the parotid glands), orchitis, meningitis
Droplet Continue precautions for 5 days after onset of parotid swelling.
Susceptible contacts of
Mother has mumps:Mother – Droplet precautions
Term Infant:-MI contact, BF, and RI permitted
Infant in NICU:-Mother not to go to NICU until 5 days after the onset of the parotid swelling
Notify IPACS as soon as you suspect mumps.
HCW:- HCW should have their immune status validated with PHSA Workplace Health- Non-immune HCW should not care for patients with mumps.- HCW with suspected mumps should not be at work and report
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 52 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Mumps (cont)Parotitis
known mumps cases should be placed on droplet precautions from 10 days after their first exposure to 26 days after their last exposure.
-BF as expressed milk until 5 days after onset of parotid swelling
Infant has mumpsMother immune:permitted to see infantMother susceptible:Consult IPACS. BF as expressed breast milk
Infant is mumps contactDroplet precautions from 10 days to 26 days from last exposure
to PHSA Workplace Health.
Only immune family and visitors to visit
Immunity is defined as a previous history of mumps or having receivedmumps vaccine or born before 1957- One dose is recommended for individuals born between 1957 and 1969.- Two doses are recommended for all individuals born on or after 1970Reference: BCCDC Immunization manual.
Reportable diseaseMycobacteria, other than tuberculosis
See “Atypical mycobacteria”
Mycobacterium abscessus in CF patients
Routine
Contact For duration of hospital stay
No person-to-person transmission, except for Mycobacterium abscessus in CF patients. Please refer to CF standard in section 6.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 53 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Mycobacterium tuberculosis,See “Tuberculosis”
Airborne Reportable disease
Mycoplasma pneumoniae
Upper respiratory tract infections, acute bronchitis, pneumonia
Unusual manifestations: CNS disease, myocarditis, hemolytic anemia.
Droplet Until symptom free
Necrotizing Enterocolitis (NEC)
Routine Contact Precautions may be indicated for clusters/outbreaks-Consult IPACSUnknown if transmissible.
Neisseria Meningitidis
See “Meningococcal Disease”
Droplet Until 24 hours of appropriate antimicrobial therapy
Reportable disease
Nipah virus Encephalitis Droplet and Contact
Until symptoms resolve
Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 54 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
NocardiosisNocardia species
Fever, pulmonary or CNS infection
Routine No person-to-person transmission.
Norovirus Gastroenteritis Droplet and Contact
Until stool is formed or back to baseline for the patient for 48 hoursIf ongoing GI symptoms (e.g. immunocompromised, chronic GI disease):-Continue contact precautions until 2 PCR negative results are obtained or until stool is formed or back to baseline for
Mother ill:- Contact precautions for mother- Routine practices for infant
Healthy Term Infant:- MI contact, BF and RI
permitted.
Infant in NICU:- Mother should be encouraged
not to visit until stool is formed or back to baseline for the mother for 48 hours*
Infant ill:- Contact precautions for infant**- Routine practices for Mother- MI contact, BF and RI
permitted
o Strict attention to hand hygiene
*Prolonged fecal shedding may occur in immunocompromised patients after recovery. Contact precautions for duration of hospitalization may be justified.
If Mother must visit:o Place infant in private roomo Mother to limit visits and go
directly in and out of NICU
**Ensure immediate disposal of diapers into leak proof bag.
Reportable Disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 55 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
the patient for 48 hours.-Test stool every 2 weeks if results continue to be positive- If previous result was negative, repeat stool test in 1 week. Discontinue precautions if a second negative result is obtained
Ophthalmia Neonatorum
See “Conjunctivitis”
Contact Until symptom free
Osteomyelitis May result from contiguous spread from adjacent soft
Routine
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 56 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Osteomyelitis (cont)
tissues and joints, hematogenous seeding, or direct inoculation into the bone as a result of trauma or surgery
Parainfluenza Virus
See “Respiratory Viral infections”
Droplet and Contact
Adult: Until symptom free
Pediatric: Minimum of eleven days from onset and child is symptom free
Paratyphoid FeverSalmonella paratyphi
See “Salmonellosis”
Contact Adults:Until stool is formed or back to baseline for the patient.
Pediatrics:Continue precautions until culture Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 57 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
results for 3 consecutive stool specimens obtained at least 48 hours after cessation of antimicrobial therapy are negative
Parechovirus Acute febrile respiratory illness, e.g., cough, fever
Acute febrile illness, meningitis, encephalitis
Gastroenteritis
Droplet and Contact
Contact
Until symptom free
Until symptom free
Mother ill:-Additional precautions as indicated for mother-Routine practices for infant
Healthy term infant:- MI contact, RI and BF permitted
Infant in NICU:-MI contact NOT permitted in the NICU until mother asymptomatic*-BF as expressed milkInfant ill:-Additional precautions as
Strict attention to hand hygiene
Shedding of Parechovirus can occur in stool.
*If Mother must visit infant in NICU, consult IPACS.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 58 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
may occur but is not common.
NICU: Droplet and Contact
Until discontinued by IPACS
indicated for infant.-Routine practices for mother-MI contact, RI and BF permittedInfant ill and in NICU:-Droplet and contact precautions for infant.-Mother uses routine practices for infant (Mother may choose to use droplet and contact precautions)-Mother to limit visits to her child only and go directly in and out of NICU.
Parvovirus B19Fifth Disease,
See “Erythema Infectiosum”
Routine
Droplet for the following patients:-Aplastic crisis-Immuno-compromised-Papulopurpuric gloves-socks (PGS) syndrome
For duration of hospitalization (aplastic crisis, immuno-compromised, PGS)
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 59 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Transient aplastic or erthyrocyte crisis
For 7 days for patients with transient aplastic crisis (TAC)
Pediculosis
See “Lice”
Contact Until 24 hours after treatment is complete
Refer to Section 6 for specific information on Lice.
Pertussis(Whooping cough)Bordetella pertussis
Whooping cough, non specific respiratory tract infection
Droplet Until 5 days of appropriate antimicrobial treatment has been completed.
If appropriate antimicrobial therapy is not given, until 3 weeks after the onset of cough
Mother ill:Mother - droplet
Healthy Term Infant:-MI contact not permitted until 5 days of effective therapy or infant is on chemoprophylaxis-BF permitted if infant on chemoprophylaxis or as expressed breast milk if not on prophylaxis
Infant in NICU:-MI contact not permitted in NICU until 5 days of appropriate antimicrobial treatment has
Notify IPACS of all confirmed or suspected cases of Pertussis.
Reportable disease as prompt use of chemoprophylaxis in household contacts is effective in limiting secondary transmission.
No HCW, family members or visitors are to enter hospital with an acute respiratory infection.
HCW should have their immune status validated with PHSA Workplace Health
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 60 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
been completed-BF permitted as expressed breast milk
Infant ill:-MI contact permitted-BF permitted
Reportable disease
PinwormsEnterobius vermicularis
Perianal itching Routine Close household contacts may need treatment.
Plague(Yersinia pestis)
BubonicFever, chills, headache, lymphadenitis,
Routine Notify IPACS immediately.
Notify Public Health immediately.
Notify Microbiology laboratory before sending specimens
If left untreated, plague often will progress to sepsis with renal failure, acute respiratory distress syndrome, and death.
Reportable disease
Pneumonic -cough, fever, dyspnea, hemoptysis
Droplet Until 48 hours after appropriate antimicrobial treatment
Plesiomonas Secretory or dysenteric diarrhea, vomiting
Contact
Add Droplet if vomiting
Until stool is formed or back to baseline for
Strict attention to hand hygiene.
Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 61 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
the patient
Pneumococcal DiseaseSee “Streptococcal Disease”
Droplet Until 24 hours after appropriate antimicrobial therapy
Reportable disease if invasive.
Pneumocystis jirovecii (carinii)
Pneumonia in immunocompromised host
Routine Ensure room mates not immunocompromised.
PneumoniaEtiology unknown
See “Respiratory Viral Infections”“ or specific organism
Fever, cough Droplet and contact
Continue precautions until etiology established or infectious cause ruled out
May be reportable depending on the organism.
Poliomyelitis Asymmetric acute flaccid paralysis
Contact For duration of hospitalization or in consultation with IPACS
Reportable disease
Pseudo-membranous Colitis
Contact Plus Until diarrhea has subsided for 72 hours and stools are
Mother ill and Healthy Term Infant:-MI contact, RI, and BF permitted
Strict attention to hand hygiene
Bacterial spores may persist in the environment; therefore,
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 62 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
See “Clostridium difficile”
Pseudo-membranous Colitis (cont)
formed or back to baseline for patient.
Contact IPACS prior to discontinuation of precautions.
-Mother: Contact precautions-Infant: Routine practices
Mother ill and Baby in NICU:-Baby to be placed in single room-Mother to limit visits and go directly in and out of NICU-MI contact and BF permitted; mother uses routine practices for infant
special attention must be paid to cleaning of the environment.
Note: Asymptomatic colonization is common in newborns and infants.
Psittacosis
See “Chlamydia”
Routine
Q feverCoxiella burnetii
Acute: fever, pneumonia, hepatitisChronic: endocarditis
Routine No person to person transmission.
Reportable disease
Rabies Acute illness with rapidly progressive central nervous system manifestations
RoutineNotify IPACS
Reportable disease
Rat-bite fever Fever, rash, Routine No person to person spreadC-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 63 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Streptobacillus moniliformis disease, Spirillum minus disease
arthralgia
Resistant organism
See “ARO”
Contact For duration of hospital stay
Respiratory Viral Infections,Parainfluenza, RSV, Human Metapneumovirus,Rhinovirus, Coronavirus 229E/OC43/NL63/HKU1
See influenza and adenovirus for specific information
Acute cough, fever, pneumonia. Symptoms may vary in infants and small children, e.g., lethargy, change in respirations, etc.
Droplet and Contact
Adult: Until symptom free
Pediatric: Minimum of eleven days from onset and child is symptom free
Mother ill:-Droplet and contact precautions for mother-Routine practices for infant
Healthy term infant:-MI contact, BF and RI permitted-Mother to wear mask when within 2 metres of infant
Infant in NICU:-Mother should be encouraged not to visit until symptom free.* BF permitted as expressed breast milk. Consult IPACS as required
Infant ill:
Family members and visitors with an acute respiratory infection should not visit or enter the hospital.
Strict attention to hand hygiene
*If Mother must visit:o Place infant in private roomo Mother to limit visits and go
directly in and out of NICU.o Mother to wear mask for
duration of visit in NICU
During outbreak situations, additional precautions may be required.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 64 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
-Infant - droplet and contact-Routine practices for mother-MI contact, RI and BF permitted
Consult IPACS if you suspect an outbreak.
Reye’s Syndrome
Not an infectious condition
Routine May be associated with viral infection, (influenza, varicella) and aspirin.
Reportable diseaseRheumatic Fever
May include arthritis, carditis, chorea, erythema marginatum, and subcutaneous nodules.
Routine
Rhinovirus
See Respiratory Viral Infections
Droplet and Contact
Adult: Until symptom free
Pediatric: Minimum of eleven days from onset and child is symptom free
RingwormSee tinea
Routine Rarely, have outbreaks occurred in healthcare settings. Use Contact Precautions for outbreak.
Roseola Infantum
Fever followed by rash
Routine
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 65 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
(Exanthem Subitum, Sixth disease, HHV-6)Rotavirus
See “Diarrhea”
Acute diarrhea, sometimes accompanied by vomiting, abdominal cramps
Contact*
Add Droplet if vomiting
Until stool is formed or back to baseline for the patient for 48 hours
Consult IPACS if immune compromised
Mother ill:- Contact precautions for mother- Routine practices for infant
Healthy Term Infant:- MI contact, BF and RI
permitted.
Infant in NICU:- Mother should be encouraged
not to visit until stool is formed or back to baseline for the mother for 48 hours*
Infant ill:- Contact precautions for infant**- Routine practices for Mother- MI contact, BF and RI
permitted
o Strict attention to hand hygiene
*Prolonged fecal shedding may occur in immunocompromised patients after recovery. Contact precautions for duration of hospitalization may be justified.
If Mother must visit:o Place infant in private roomo Mother to limit visits and go
directly in and out of NICU
**Ensure immediate disposal of diapers into leak proof bag.
Reportable Disease
Rotavirus Vaccinee.g.
Infants who receive rotavirus vaccine while in
Contact Until 14 days from date of immunization.
Mother infant contact, breast feeding and rooming in is permitted.
Parents are not required to use contact precautions but must be instructed on the need for strict
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 66 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
RotaTeq®Rotarix™
hospital. hand hygiene and the proper disposal of diapers. They should go directly in and out of NICU/PICU and visit their infant only.
Siblings who have received Rotavirus vaccine must wait 2 weeks post vaccine to visit. Visitation may be reviewed with IPACS on a case-by-case basis
Rubella(German Measles)
Most cases are subclinical
Clinical disease is usually mild, characterized by fever, rash, lymphadenopathy and polyarthralgia
Congenital (baby born with rubella)**
Droplet
Droplet and Contact for congenital rubella
Until 7 days after onset of rash
Congenital - continue precautions for at least 1 year, unless 2 urine and nasopharyngeal culture results after 3 months of age are negative
Mother has rubella:-Droplet precautions for mother.-Routine practices for infant
Healthy term infant:-MI contact, RI and BF permitted
Infant in NICU:-Mother cannot go to NICU until 7 days after onset of rash-Expressed breast milk allowed
Infant has congenital rubella:-MI contact, BF permitted-Total rooming in preferred
HCW:- HCW should have their immune status validated with PHSA Workplace Health - Only immune HCW can care for patients with rubella.
Only immune family and visitors to visit
Immunity is defined as:- Being born before 1957- Having received 1 dose of
rubella vaccine if born on or after Jan 1, 1957
- Laboratory evidence of
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 67 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Susceptible contacts of known rubella cases should be placed on droplet precautions from 7 days after their first exposure to 21 days after their last exposure.
disease. (BCCDC Immunization manual)
**Congenitally infected infants may shed virus for up to 3 years.
Reportable disease
Rubeola
See “Measles”
Airborne Until 4 days after start of rash.For duration of illness in immune compromised patients
Reportable disease
Salmonellosis(Salmonella species)
Diarrhea, enteric fever, typhoid fever
Contact Non-typhoid:Contact precautions until stool is formed or back to
Notify IPACS
Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 68 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
baseline for the patient.
Typhoid:Contact precautions should be continued until culture results for 3 consecutive stool specimens obtained at least 48 hours after cessation of antimicrobial therapy are negative
Sapovirus Acute gastroenteritis
Contact* Until stool is formed or back to baseline for the patient for 48 hours
Consult
Mother ill:- Contact precautions formother- Routine practices forinfant
Healthy Term Infant:- MI contact, BF and RI
o Strict attention to hygiene*Prolonged fecal sheddingmay occur in immunocompromised patients after recovery.Contact precautions for duration of hospitalization may be justified.If Mother must visit:
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 69 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
IPACS ifImmune compromised
permitted.
Infant in NICU:- Mother should beencouraged not to visituntil stool is formed orback to baseline for themother for 48 hours*Infant ill:- Contact precautions forinfant**- Routine practices forMother- MI contact, BF and RIpermitted
o Place infant in privateroomo Mother to limit visitsand go directly in andout of NICU
**Ensure immediatedisposal of diapers into leakproof bag.
Reportable Disease
ScabiesSarcoptes scabiei
Limited or typical -papular rash, intense itching,
Crusted (Norwegian) or Atypical -severe and highly infectious due to large number of mites
Contact Until 24 hours after the treatment is complete
For crusted or atypical, please consult IPACS before discontinuing precautions
Mother symptomatic:-Contact precautions-Routine Practices for infant
Healthy Term Infant:-MI contact permitted 24 hours after treatment is complete-If MI contact necessary before treatment mother should use contact precautions when holding baby-BF permitted once mother has been appropriately treated or
*For optimum control, all contacts suspected of having substantial contact with a symptomatic patient should be treated at the same time. Eg: household contacts, playmates.
See Section 6 for further details on Scabies.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 70 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
may be provided as expressed breast milk
Infant in NICU:-MI contact permitted 24 hours after treatment is complete-BF permitted once Mother treatment complete or may be provided as expressed breast milk
Severe Acute Respiratory Syndrome (SARS)
Fever, pneumonia, acute respiratory distress syndrome
Airborne and Contact + goggles
Until discontinued by IPACS
Notify Public Health immediately
Notify IPACS
Reportable diseaseScalded Skin Syndrome
See “Abscess major” if drainage not contained by dressing
Contact Duration of drainage
Scarlet Fever
See Streptococcal
Occurs in association with pharyngitis
Droplet Until 24 hours after appropriate antimicrobial
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 71 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Disease, Group A Streptococcus
Characteristic confluent erythematous sandpaper like rash
therapy
ShigellosisShigella species
See “Diarrhea”
Contact Until stool is formed or back to baseline for the patient.
Reportable disease
ShinglesHerpes zoster, Zoster, Varicella Zoster
Vesicular skin lesions in dermatomal distribution
Immunocompetent patient:- Localized and
can be covered
- Extensive or localized that cannot be covered
Contact
Airborne and Contact
Until lesions have crusted over and dried.
Mother with localized shingles-MI contact and RI permitted-Total rooming in preferred-Mother may not go to nursery/NICU until lesions are crusted-BF allowed if lesions not on breast
Mother has extensive or localized lesions that cannot be covered-Mother on airborne and contact-Infant-rooming in on routine precautions
Notify IPCAS of all cases of suspected or confirmed shingles.
Visitors who have active chickenpox or shinglesmust not visit.
Note: Non-immune individuals who are a shingles contact may develop chickenpox.
Only chickenpox immune visitors/siblings to visit.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 72 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Shingles (cont)Herpes zoster, Zoster, Varicella Zoster
-Total rooming in preferred-Mother may not go to nursery until lesions are crusted-BF permitted if lesions not on breast
HCW should have their immune status validatedwith PHSA Workplace Health*.
Non-immune HCW should not care for patients with active chickenpox or shingles.
*Immunity is defined as any of the following: Documentation of age
appropriate varicella vaccine. Laboratory evidence of
immunity or laboratory confirmation of disease.
Varicella diagnosed or a verification of history from family members by the physician or delegate.
History of herpes zoster diagnosed by physician or delegate
HCW with suspected shingles should report to PHSA Workplace Health before commencing work.
Immunocompromised host or disseminated disease
Airborne and Contact
Continue until all lesions have crusted over
Chickenpox susceptible contacts of patients with shingles should be placed on airborne (and contact precautions if lesions develop) from day 8 from the first known contact and up to and including day
Mother is immunocompromised:-Mother on airborne and contact-Infant-rooming in -on routine precautions and contact precautions if lesions develop-Total rooming in preferred-Mother may not go to nursery until lesions are crusted-BF permitted if lesions not on breast
Infant in NICU:-Mother may not visit NICU until lesions are crusted
Infant who is a contact in NICU:-Airborne precautions from day 8 from first exposure up to and including day 21 of last exposure (if infant has been
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 73 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
21 if they have not received VZIG, 28 days if they have received VZIG
given VZIG up to day 28)-BF by expressed breast milk until lesions are crusted over
Smallpox“Variola”
Declared eradicated world-wide by WHO in 1979
Severe prodromal illness (high fever, malaise, severe headache), mucous lesions of the moth or pharynx, rash
Airborne and Contact
Until discontinued by IPACS
Notify Public Health immediately
Notify IPACS
Reportable disease
Staphylococcal DiseaseStaphylococcus aureus
See ARO for more information on MRSA
Food poisoningSee “Food poisoning”
Skin, wound or burn infection, impetigo
See “Abscess” or “Impetigo”
Contact
Minor-routine
Major: contact -drainage not contained by dressing
Until symptom free for 48 hours
Duration of drainage
-MI contact, RI and BF allowed
Mother has draining wound:-Mother-contact precautions-Infant-routine practices
Healthy Term Infant:-MI contact, RI allowed.-BF allowed if lesion not on breast*-Mother –change dressing, and gown and have mother perform hand hygiene prior to contact with infant
*It may be advisable to withhold milk from breast with mastitis until 24 hours of effective treatment.
During outbreak situations, additional precautions and cohorting of infants may be required.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 74 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Staphylococcal Disease (cont)Staphylococcus aureus
See ARO for
Infant in NICU:-MI contact permitted as long as drainage is contained-BF allowed or by expressed milk-mother-change dressing and gown, and have mother perform hand hygiene prior to leaving unit and prior to contact with infant.Infant has draining wound:Infant-contact precautionsMother- routine-MI contact, RI, and BF preferredInfant in NICU:- private room if drainage not contained
Pneumonia Droplet Until 24 hours after appropriate antimicrobial therapy
-MI contact, RI and BF allowedInfant in NICU has pneumonia:-Droplet precautions and private room-MI contact, BF permitted
Tracheitis with a tracheostomy tube in place
Droplet For the duration of illness
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 75 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
more information on MRSA Toxic Shock
SyndromeRoutine -MI contact, RI and BF allowed
as tolerated by Mother
Staphylococcus epidermidis and other coagulase negative staphylococcal infections
Health-care associated infections (related to catheters, shunts, grafts, prosthesis, etc.)Late-onset bacteremia among preterm infants
Routine -MI contact, RI and BF permitted
Streptococcal Disease
Group A Streptococcus
Necrotizing fasciitis
Droplet and Contact
Until 24 hours after appropriate antimicrobial therapy
Mother ill:-Mother contact and droplet until 24 hours after appropriate antimicrobial therapy-Infant -routine practices-MI contact, RI and BF permitted*
*It may be advisable to withhold milk frombreast with mastitis until 24 hours of effective treatment.
If mother has invasive GAS, notify infants’ physician.
Notify IPACS
Reportable disease if invasive
Skin, wound or burn infection
Contact
Toxic shock like syndrome (TSLS)
Droplet and Contact
Mother ill:-Mother- contact and droplet until 24 hours after appropriate antimicrobial therapy
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 76 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Streptococcal Disease (cont)
Group A Streptococcus
-Infant-routine practices-MI contact, RI, and BF permitted 24 hours after appropriate antimicrobial therapy
Pneumonia Droplet Mother ill:-Mother contact and droplet, until 24 hours after appropriate antimicrobial therapy-Infant-routine practices-MI contact, RI, and BF permitted 24 hours after appropriate antimicrobial therapy
Pharyngitis/scarlet fever
Droplet Mother ill:-Mother contact and droplet until 24 hours after appropriate antimicrobial therapy-Infant-routine practices-MI contact, RI, and BF permitted 24 hours after appropriate antimicrobial therapy
Endometritis(Puerperal Sepsis)
Routine Mother ill:-Mother -contact until 24 hours after appropriate antimicrobial therapy-Infant-routine practices
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 77 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
-MI contact, RI, and BF permitted 24 hours after appropriate antimicrobial therapy
Streptococcal disease
Group B Streptococcus
Colonization in Mother or infection in Mother and/or infant
Routine -MI contact, RI and BF permitted If mother has invasive disease, notify the infant’s physician.
Notify IPACS
Neonatal invasive GBS disease is reportable
Streptococcus pneumoniae
See “Meningitis”
Routine Invasive Streptococcus pneumoniae infection is reportable.
StrongyloidiasesStrongyloides stercoralis
AsymptomaticEosinophiliaSeveral manifestations due to larvae migration
Dissemination (hyper infection) in immunocompromised patients
Routine Infective larvae in soil
Syphilis Acquired : Mucocutaneou Until 24 hours Mother has lesions: As moist open lesions, secretions
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 78 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Treponema pallidum
Genital, skin or mucous lesions, systemic symptoms, gummatous changes of the skin, bone, or viscera, CVS or CNS involvement
s lesions: Contact
after appropriate antimicrobial therapy
-Mother contact-Infant routine precautions-MI contact, RI and BF permitted after 24 hours of appropriate antimicrobial treatment
and possiblyblood are contagious in all patients with syphilis,contact precautions should be used when caringfor patients with congenital, primary andsecondary syphilis with skin and mucousmembrane lesions until 24 hours after appropriate antimicrobial therapy
*If mother has syphilis, notify the infant’s physician.
Reportable disease
Congenital :Range from stillbirth to being symptom free at birth.
Contact* Until 24 hours after appropriate antimicrobial therapy
Infant has congenital:Mother: routineInfant :contact until 24 hours after appropriate antimicrobial therapy
-MI contact, RI and BF permittedTapeworm DiseaseDiphyllobothrium latum (fish)Hymenolepis nana, Taenia saginata (beef)Taenia solium (pork)
See
Usually asymptomatic or mild GI symptoms
CNS involvement in Taenia solium “neurocysticercosis”
Routine
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 79 of 91 Review Date: 18-Mar-2023
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TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
”Echinococcosis”TetanusClostridium tetani
Trismus and severe muscular spasms
Routine No person-to-person spread
Reportable disease
ThrushSee “Candidiasis”
Routine
Tinea “Ringworm”
Dermatophytes:-Epidermophyton,-Trichophyton, and-Microsporum) or Malassezia furfur
Fungal infection of the skin or nails e.g. tinea capitis, athlete’s foot, pityriasis versicolor
Routine
ToxoplasmosisToxoplasma gondii
Asymptomatic or fever, lymphadenopathy, retinitis, encephalitis in immune compromised host.
Congenital
Routine Mother and/or Infant ill:-MI contact, BF and RI permitted
No person-to-person spread
Congenital toxoplasmosis is reportable
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 80 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
infectionTrench mouth
See ‘Vincent’s angina”
Routine
TrichinellosisTrichinella spiralis
Asymptomatic, GI upset, periorbital edema, rash, muscle calcification, myocarditis, neurologic involvement and pneumonitis
Routine No person-to-person spread
TrichomoniasisTrichomonas vaginalis
Asymptomatic, vaginal discharge, vulvovaginal pruritis and irritationMales: Urithritis, but most are asymptomatic
Routine Sexual transmission.
Trichuriasis “Whipworm”Trichuris trichiura
Asymptomatic, abdominal pain, diarrhea, rectal prolapse
Routine
Tuberculosis“TB”
Extrapulmonary, no draining
Routine MI contact, RI, and BF permitted *Assess for concurrent pulmonary tuberculosis.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 81 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Mycobacterium tuberculosis
Tuberculosis (cont)“TB” Mycobacterium tuberculosis
lesions*Notify IPACS of all suspected or confirmed TB patients
Tuberculosis in young children is rarely infectious; assess visiting family members forcough.
**Usually considered no longer infectious after 2 weeks of effective therapy, is improving and has three consecutive sputum smears negative forAFB, collected 24 hours apartIf multidrug-resistant TB, until culture negative
Refer to Section 6 for specific information onTuberculosis
Reportable disease
Extrapulmonary, draining lesions*
Airborne Continue precautions until drainage ceased or three consecutive negative AFB smears.
Consult IPACS
Pulmonary-confirmed or suspected or laryngeal disease
Airborne Continue precautions until TB ruled out.If confirmed, until no longer considered infectious by IPACS **
Mother has TB-MI contact is not permitted until mother is no longer infectious**-Mother may provide expressed breast milk
Infant has TB (mother source)-Infant on airborne precautions with mother-MI contact, RI and BF permitted
Skin test positive with no evidence of active disease
Routine MI contact, RI and BF permitted
TularemiaFrancisella tularensis
Fever, ulcerative lesion, lymphadenopathy,
Routine No person to person spread
Notify Microbiology laboratory C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 82 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
conjunctivitis, GI symptoms, pneumonia
before sending specimens
Reportable diseaseTyphoid Fever
See “Salmonellosis”
Typhoid Fever(cont)
Contact Adults:Until stool is formed or back to baseline for the patient.Pediatrics:Continue precautions until culture results for 3 consecutive stool specimens obtained at least 48 hours after cessation of antimicrobial therapy are negative
Reportable disease
Vancomycin-Resistant Enterococci (VRE)
Infection or colonization of any body site
Contact For duration of hospital stay
Mother has VRE:- Contact precautions for mother- Contact precautions for
newborns of positive mothers.
Refer to the infection control manual for specific information on VRE
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 83 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Healthy Term Infant:- MI contact, BF and RI
permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)
Baby in NICU:- Baby to be placed in single
room- MI contact and BF permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)- Mother to limit visits to her
child only and go directly in and out of NICU, if she has an infection.
Infant has VRE:- Contact precautions for infant- Contact precautions for Mother- MI Contact, BF and RI
permittedVancomycin-Intermediate
Infection or colonization of any
Contact For duration of hospital
Mother has VISA/VRSA:- Contact precautions for mother
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 84 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Staphlyococcus aureus (VISA) orVancomycin-Resistant Staphylococcus aureus(VRSA)
body site - Contact precautions for newborns of positive mothers.
Healthy Term Infant:- MI contact, BF and RI
permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)
Baby in NICU:- Baby to be placed in single
room- MI contact and BF permitted- Mother uses routine
practices for infant (Mother may choose to use contact precautions)- Mother to limit visits to her
child only and go directly in and out of NICU, if she has an infection.
Infant has VISA/VRSA:- Contact precautions for infant- Contact precautions for Mother- MI Contact, BF and RI
permitted
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 85 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Varicella(Chickenpox)
See “Chickenpox”
Airborne and contact
For a minimum of 5 days after onset of rash and until all lesions are crusted which can be a week or longer in immunocompromised patient
Notify IPACS of all confirmed or suspected cases of chickenpox
Varicella Zoster(Shingles, Herpes Zoster, Zoster)
See “Shingles”
Immunocompetent patient:- Localized and
can be covered- Extensive or
localized that can not be covered
- Immunocompromised host or disseminated disease
Contact
Airborne and Contact
Airborne and Contact
Until lesions have crusted over and dried.
Notify IPACS of all confirmed or suspected cases of Shingles and Herpes Zoster.
Variola Airborne and Contact
Until discontinued
Notify Public Health immediately
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 86 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
See “Smallpox” by IPACSNotify IPACS
Reportable diseaseVibrio cholerae
See “Cholera”
Contact Until discontinued by IPACS
Notify IPACS
Reportable disease
VibrioNon CholeraVibrio parahaemolyticus, Vibrio vulnificus
Gastroenteritis, wound infections and bacteriemia
Contact Until stool is formed or back to baseline for the patient.
Vincent’s angina(Trench mouth or acute necrotizing ulcerative gingivitis)
Acute onset of fetid breath, pain, blunting of the interdental papilla, and an ulcerative necrotic slough of the gingiva
Routine
Viral Hemorrhagic Fevers
See “Hemorrhagic Fevers” (Lassa,
Airborne + goggles and Contact
Until hemorrhagic fever virus ruled out or until discontinued by IPACS
Reportable disease
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 87 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Ebola, Marburg, Crimean-Congo fever viruses)
Viral warts
See “Human papilloma virus”
Routine
Whooping Cough
See “Pertussis”
Droplet and contact
Until 5 days of appropriate antimicrobial treatment has been completed.
If appropriate antimicrobial therapy is not given, until 3 weeks after the onset of cough
Reportable disease
Wound infections
See “Abscess”
Minor
Major (drainage not contained by dressing)
Routine
Contact Duration of drainage
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 88 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
Yellow fever
See “Arthropod-borne viral fevers”
Routine Reportable disease
Yersinia enterocolitia
See “Diarrhea”
Contact Until stool is formed or back to baseline for the patient.
Reportable disease
Yersinia pestis
See “Plague”
BubonicFever, chills, headache, lymphadenitis,
Routine Practices
Reportable disease
Pneumonic -cough, fever, dyspneia, hemoptysis
Droplet Until 48 hours after appropriate antimicrobial treatment
Zoster
See “Herpes Zoster”
Immunocompetent patient:- Localized and
can be covered
- Extensive or localized that cannot be
Contact
Airborne and Contact
Until lesions have crusted over and dried.
Refer to Section 6 for specific information onShingles, Herpes Zoster.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 89 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
Disease, Condition,
MicroorganismPresentation Type of
PrecautionsDuration of Precautions
Mother/Infant (MI) considerations
BF = breast feeding, RI = rooming-in
Comments
Reportable diseases reported by IPACS
covered
Immunocompromised host or disseminated disease
Airborne and Contact
Developed ByC&W Infection Control – Medical Microbiologist
Version HistoryDATE DOCUMENT NUMBER and TITLE ACTION TAKEN22-Aug-2019
C-0506-14-60344 Table Of Recommended Precautions: Selected Infectious Diseases, Conditions & Microorganisms
Approved at: CW Infection Control Committee
11-Mar-2020 “ Action: C&W Infection Control added information re: COVID-1918-Mar-2020 “ Updated by C&W IPAC; Approved by Professional Practice Director
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 90 of 91 Review Date: 18-Mar-2023
This is a controlled document for BCCH& BCW internal use. Refer to online version. Print copy may not be current. See Disclaimer at the end of the document.
TABLE OF RECOMMENDED PRECAUTIONS: SELECTED INFECTIOUS DISEASES, CONDITIONS & MICROORGANISMS
DOCUMENT TYPE: REFERENCE TOOL
DISCLAIMERThis document is intended for use within BC Children’s and BC Women’s Hospitals only. Any other use or reliance is at your sole risk. The content does not constitute and is not in substitution of professional medical advice. Provincial Health Services Authority (PHSA) assumes no liability arising from use or reliance on this document. This document is protected by copyright and may only be reprinted in whole or in part with the prior written approval of PHSA.
C-0506-14-60344 | IC05.02 Published Date: 18-Mar-2020Page 91 of 91 Review Date: 18-Mar-2023
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