Routine Practices and Additional Precautions for Preventing the Transmission of Infection in Healthcare Settings

Consider these guidances from 2013, in relation to the following:

• Notice: Updated infection prevention and control recommendations for Measles in healthcare settings
• Notice: Interim recommendations for infection prevention and control of avian influenza in healthcare settings

Organization:
Public Health Agency of Canada

Type: Report

Date published: September 2017

Cat.: HP40-83/2013E-PDF

ISBN: 978-1-100-22038-3

Table of contents

• Introduction
• Introductory statement
• Target users
• Guideline working group
• Overview
• Part A: Introduction to routine practices and additional precautions
• I. Introduction
• II. Principles of transmission of microorganisms
• III. Control measures to reduce healthcare worker exposure to and transmission of microorganisms
• Part B: Recommendations for routine practices and additional precautions
• I. Role of organization
• II. Role of healthcare workers
• III. Recommendations for routine practices in all healthcare settings
• IV. Recommendations for additional precautions in all healthcare settings and modifications for precautions in specific healthcare settings
• Subsection i: Contact precautions for all care settings and modifications for specific healthcare settings
• Subsection ii: Droplet precautions in all care settings and modifications for specific healthcare settings
• Subsection iii: Airborne precautions in all care settings and modifications for specific healthcare settings
• Part C: Transmission characteristics and precautions
• Part D: Appendices
• Appendix I: PHAC infection prevention and control guideline development process
• Appendix II: Definition of terms used to evaluate evidence
• Appendix III: PHAC criteria for rating evidence on which recommendations are based
• Appendix IV: List of abbreviations and acronyms
• Appendix V: Glossary of terms
• Appendix VI: Epidemiologically significant organisms requiring additional precautions
• Appendix VII: Terminal cleaning
• Appendix VIII: Air changes per hour and time in minutes required for removal efficiencies of 90%, 99% and 99.9% of airborne contaminants
• Appendix IX: Advantages and disadvantages of barrier equipment
• Appendix X: Technique for putting on and taking off personal protective equipment
• Reference list

List of tables

• Table 1: Ventilation Recommendations for Selected Areas in Healthcare Facilities
• Table 2: Factors influencing transmission risk using C. difficile as an example of contact spread
• Table 3: Factors influencing transmission risk using seasonal influenza as an example of droplet spread
• Table 4: Transmission characteristics and precautions by condition/clinical presentation
• Table 5: Transmission characteristics and precautions by specific etiology

Inventory of lists

• List 1: Examples of environmental sources of contamination
• List 2: Examples of control measures according to hierarchy of controls
• List 3: Conditions and/or clinical presentations and specific etiologies requiring contact precautions
• List 4: Conditions/clinical presentations and specific etiologies requiring droplet precautions
• List 5: Conditions and/or clinical presentations and specific etiologies requiring airborne precautions

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