Infection Control for Cholera in Health Care Settings
Healthcare providers should take precautions to prevent the spread of cholera in clinical settings:
- Chemoprophylaxis with antibiotics is not indicated for healthcare providers
- All staff should be trained on cholera prevention and infection control measures, such as handwashing and safe disposal of human waste
- Handwashing with soap and clean water or 0.05% chlorine should be done before and after each patient contact
- If soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol, or if neither are available, 0.05% chlorine solution
- Several chlorine solutions can be used for surface disinfection (solution calculations are based on using unscented household bleach with 5–6 % active chlorine):
- 2% chlorine
- Made by mixing 3 parts water and 2 parts bleach (or 400 ml of bleach in 1 litre of water)
- Used for disinfecting vomit, feces, and corpses
- 0.2% chlorine
- Made by mixing 9 parts water and 1 part bleach (or 40 ml of bleach in 1 litre of water)
- Used for cleaning floors, boots, personal protective equipment (gloves, aprons, goggles), bedding, latrines, dishes
- 0.05% chlorine
- Made by mixing 9 parts water and 1 part 0.5% chlorine solution (or 10 ml of bleach in 1 litre of water)
- Used for bathing soiled patients, handwashing, laundry
- 2% chlorine