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Appendix I1: Recommendations for Application of Standard Precautions for the Care of All Patients in All Healthcare Settings

Supplement I: Infection Control in Healthcare, Home, and Community Settings

Public Health Guidance for Community-Level Preparedness and Response to Severe Acute Respiratory Syndrome (SARS) Version 2/3

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Supplement I: Infection Control in Healthcare, Home, and Community Settings

Component

Recommendations

Hand hygiene After touching blood, body fluids, secretions, excretions, contaminated items; immediately after removing gloves; between patient contacts
Personal protective equipment (PPE)
Gloves For touching blood, body fluids, secretions, excretions, contaminated items; for touching mucous membranes and nonintact skin
Mask, eye protection, face shield During procedures and patient-care activities likely to generate splashes or sprays of blood, body fluids, secretions
Gown During procedures and patient-care activities when contact of clothing/exposed skin with blood/body fluids, secretions, and excretions is anticipated
Soiled patient-care equipment Handle in a manner that prevents transfer of microorganisms to others and to the environment; wear gloves if visibly contaminated; perform hand hygiene
Environmental control Develop procedures for routine care, cleaning, and disinfection of environmental surfaces, especially frequently touched surfaces in patient-care areas
Textiles (linen and laundry) Handle in a manner that prevents transfer of microorganisms to others and to the environment
Needles and other sharps Do not recap, bend, break, or hand-manipulate used needles; use safety features when available; place used sharps in puncture-resistant container
Patient resuscitation Use mouthpiece, resuscitation bag, other ventilation devices to prevent mouth contact
Patient placement Prioritize for single patient room if patient is at increased risk of transmission, is likely to contaminate the environment or does not maintain appropriate hygiene, or is at increased risk of acquiring infection or developing adverse outcome following infection
Respiratory hygiene/cough etiquette

(source containment of infectious respiratory secretions in symptomatic patients, beginning at initial point of encounter)

Instruct symptomatic persons to cover mouth/nose when sneezing/coughing; use tissues and dispose in no-touch receptacle; observe hand hygiene after soiling of hands with respiratory secretions; wear surgical mask if tolerated or maintain spatial separation, > 3 feet if possible

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