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
  • Hand washing with soap and clean water should be done before and after each patient contact
    • If no water and soap are available, use an alcohol-based hand cleaner (with at least 60% alcohol)
  • Several chlorine solutions can be used for 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
      • Used for disinfecting vomit, feces, and corpses
    • 0.2% chlorine
      • Made by mixing 9 parts water and 1 part bleach
      • Used for foot baths, cleaning floors, bedding, latrines
    • 0.05% chlorine
      • Made by mixing 9 parts water and 1 part 0.5% chlorine solution
      • Used for bathing soiled patients, handwashing, rinsing dishes, laundry