II. Lessons Learned
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
The following lessons learned from the global experience with SARS-CoV have been considered in developing this Supplement:
- Transmission of SARS-CoV appears to occur predominantly through close interactions with infected persons.
- Persons with unrecognized SARS-CoV disease can contribute to the initiation or expansion of an outbreak, especially in healthcare settings.
- Transmission of SARS-CoV in a single healthcare facility can have far-reaching public health effects.
- Transmission to healthcare workers has occurred primarily after close, unprotected contact with symptomatic persons before implementation of infection control precautions.
- Certain high-risk procedures and events can increase the risk of SARS-CoV transmission.
- Infection control is a primary public health intervention for containing the spread of SARS-CoV.
- Patients with SARS-CoV disease need to be isolated to minimize the risk of transmission to others.
- Patients with mild SARS-CoV disease can be safely isolated in locations other than acute-care facilities, such as at home or in community facilities designated for isolation of SARS patients.
- I. Rationale and Goals
- II. Lessons Learned
- III. Infection Control in Healthcare Facilities
- IV. Infection Control for Prehospital Emergency Medical Services (EMS)
- V. Infection Control for Care of SARS Patients at Home
- VI. Infection Control for Care of SARS Patients in Community Isolation Facilities
- VII. Infection Control for Public Health and Outreach Workers
- VIII. Infection Control for Laboratory and Pathology Procedures
- IX. Occupational Health Issues
- Appendix I1: Recommendations for Application of Standard Precautions for the Care of All Patients in All Healthcare Settings
- Appendix I2: Summary of Recommendations for Expanded Precautions