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Guideline for Isolation Precautions in Hospitals

Published online by Cambridge University Press:  02 January 2015

Julia S. Garner  and
the Hospital Infection Control Practices Advisory Committee
Julia S. Garner*
Affiliation:
Public Health Service, US Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Mailstop E-69, Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333
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Abstract

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Type
Special Report
Information
Infection Control & Hospital Epidemiology , Volume 17 , Issue 1 , January 1996 , pp. 54 - 80
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1996

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References

1.Garner, JS. The CDC Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1993;21:160–162.Google Scholar
2.National Communicable Disease Center. Isolation Techniques for Use in Hospitals. 1st ed. Washington, DC: US Government Printing Office; 1970. PHS publication no. 2054.Google Scholar
3.Centers for Disease Control. Isolation Techniques for Use in Hospitals. 2nd ed. Washington, DC: US Government Printing Office; 1975. HHS publication no. (CDC) 80-8314.Google Scholar
4.Garner, JS, Simmons, BPCDC Guideline for Isolation Precautions in Hospitals. Atlanta, GA US Department of Health and Human Services, Public Health Service, Centers for Disease Control; 1983. HHS publication no. (CDC) 83-8314; Infect Control 1983;4:245–325, and Am J Infect Control 1984;12:103-163.Google Scholar
5.Lynch, T. Communicable Disease Nursing. St. Louis, MO: Mosby; 1949.Google Scholar
6.Gage, ND, Landon, JF, Sider, MTCommunicable Disease. Philadelphia, PAFA Davis; 1959.Google Scholar
7.Haley, RW, Shachtman, RH. The emergence of infection surveillance and control programs in US hospitals: an assessment, 1976. Am J Epidemiol 1980;111:574–591.Google Scholar
8.Schaffner, W. Infection control: old myths and new realities. Infect Control 1980;1:330–334.Google Scholar
9.Garner, JS. Comments on CDC guideline for isolation precautions in hospitals, 1984. Am J Infect Control 1984;12:163–164.Google Scholar
10.Haley, RW, Garner, JS, Simmons, BPA new approach to the isolation of patients with infectious diseases: alternative systems. J Hosp Infect 1985;6:128–139.Google Scholar
11.Nauseef, WM, Maki, DG. A study of the value of simple protective isolation in patients with granulocytopenia. N Engl J Med 1981;304:448–453.Google Scholar
12.Pizzo, PAThe value of protective isolation in preventing nosocomial infections in high risk patients. Am J Med 1981:70:631–637.Google Scholar
13.Jacobson, JT, Johnson, DS, Ross, CA, Conti, MT, Evans, RS, Burke, JP. Adapting disease-specific isolation guidelines to a hospital information system. Infect Control 1986;7:411–418.Google Scholar
14.Goldmann, DA. The role of barrier precautions in infection control. J Hosp Infect 1991;18:515–523.Google Scholar
15.Goldmann, DAPlatt, RHonkins, C. Control of hospital-acquired infections. In:' Gorbach, SL, Bartlett, JG, Blacklow, NR, eds. Infectious Diseases. Philadelphia, PAWB Saunders; 1992:378–390.Google Scholar
16.Centers for Disease Control. Management of patients with suspected viral hemorrhagic fever. MMWR 1988;37(3S):1–16.Google Scholar
17.Centers for Disease Control. Risks associated with human parvovirus B19 infection. MMWR 1989;38:81-88, 93–97.Google Scholar
18.Centers for Disease Control. Guidelines for preventing the transmission of tuberculosis in health-care settings, with special focus on HIV-related issues. MMWR 1990;39(RR–17):1–29.Google Scholar
19.Centers for Disease Control. Nosocomial transmission of multidrug-resistant tuberculosis to healthcare workers and HIV-infected patients in an urban hospital-Florida. MMWR 1990;39:718–722.Google Scholar
20.Centers for Disease Control. Nosocomial transmission of multidrug-resistant tuberculosis among HIV-infected persons—Florida and New York, 1988-1991. MMWR 1991;40:585–591.Google Scholar
21.Centers for Disease Control and Prevention. Initial therapy for tuberculosis in the era of multidrug resistance: recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR 1993;42(RR–7):1–8.Google Scholar
22.Centers for Disease Control and Prevention. Draft guidelines for preventing the transmission of tuberculosis in health-care facilities, second edition. Federal Register 1993;58(195):52810–52850.Google Scholar
23.Centers for Disease Control and Prevention. Guidelines for preventing the transmission of tuberculosis in healthcare facilities, 1994. MMWR 1994;43(RR–13):1–132, and Federal Register 1994;59(208):54242-54303.Google Scholar
24.Centers for Disease Control. Recommendations for preventing transmission of infection with human T-lymphotropic virus type III/lymphadenopathy-associated virus in the workplace. MMWR 1985;34:681-686, 691–695.Google Scholar
25.Centers for Disease Control. Recommendations for preventing transmission of infection with human T-lymphotropic virus type III/lymphadenopathy-associated virus during invasive procedures. MMWR 1986;35:221–223.Google Scholar
26.Centers for Disease Control. Update: human immunodeficiency virus infections in health-care workers exposed to blood of infected patients. MMWR 1987;36:285–289.Google Scholar
27.Centers for Disease Control. Recommendations for prevention of HIV transmission in health-care settings. MMWR 1987;36(2S):1S–18S.Google Scholar
28.Centers for Disease Control. Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in healthcare settings. MMWR 1988;37:377-382, 387–388.Google Scholar
29.Lynch, P, Jackson, MM, Cummings, MJ, Stamm, WE. Rethinking the role of isolation practices in the prevention of nosocomial infections. Ann Intern Med 1987;107:243–246.Google Scholar
30.Lynch, P, Cummings, MI. Roberts, PL. Herriott, MJ, Yates, B, Stamm, WE. Implementing and evaluating a system of generic infection precautions: body substance isolation. Am J Infect Control 1990;18:1–12.Google Scholar
31.McPherson, DC, Jackson, MM, Rogers, JC. Evaluating the cost of the body substance isolation system. J Heathcare Material Mgmt 1988;6:20–28.Google Scholar
32.Patterson, JE, Vecchio, J, Pantelick, EL, et al. Association of contaminated gloves with transmission of Acinetobacter calcoaceticus val: anitratus in an intensive care unit. Am J Med 1991;91:479–483.Google Scholar
33.Klein, BS, Perloff, WH, Maki, DG. Reduction of nosocomial infection during pediatric intensive care by protective isolation. N Engl J Med 1989;320:1714–1721.Google Scholar
34.Leclair, JM, Freeman, J, Sullivan, BF, Crowley, CM, Goldmann, DA. Prevention of nosocomial respiratory syncytial virus infections through compliance with gown and glove isolation precautions. N Engl J Med 1987;317:329–334.Google Scholar
35.Weinstein, RA, Kabins, SA. Strategies for prevention and control of multiple drug-resistant nosocomial infection. Am J Med 1981;70:449–454.Google Scholar
36.Garner, JS, Hierholzer, WJ. Controversies in isolation policies and practices. In: Wenzel, W, ed. Prevention and Control of Nosocomial Infections. 2nd ed. Baltimore, MD: Williams & Wilkins, 1993:70–181.Google Scholar
37.Garner, JS, Hughes, JM. Options for isolation precautions. Ann Intern Med 1987;107:248–250.Google Scholar
38.Weinstein, RA, Kabins, SA. Isolation practices in hospitals. Ann Intern Med 1987;107:781–782. Letter.Google Scholar
39.Doebbeling, BN, Pfaller, MA, Houston, AK, Wenzel, RP. Removal of nosocomial pathogens from the contaminated glove: implications for glove reuse and handwashing. Ann Intern Med 1988;109:394–398.Google Scholar
40.Sussman, GL, Tarlo, S, Dolovich, J. The spectrum of IgE-mediated response to latex. JAMA 1991;255:2844–2847.Google Scholar
41.Bubak, ME, Reed, CE, Fransway, AF, et al. Allergic reactions to latex among health-care workers. Mayo Clin Proc 1992;67:1075–1079.Google Scholar
42.Albert, RK, Condie, F. Hand-washing patterns in medical intensive care units. N Engl J Med 1981;304:1465–1466.Google Scholar
43.Preston, GA, Larson, EL, Stamm, WE. The effect of private isolation rooms on patient care practices, colonization, and infection in an intensive care unit. Am J Med 1981;70:641–645.Google Scholar
44.Larson, E, Leyden, JJ, McGinley, KJ, Grove, GL, Talbot, GH. Physiologic and microbiologic changes in skin related to frequent handwashing. Infect Control 1986:7:59–63.Google Scholar
45.Department of Labor, Occupational Safety and Health Administration. Occupational exposure to bloodborne pathogens; proposed rule and notice of hearings. Federal Register 1989:54(102):23042–23139.Google Scholar
46.Diebbeling, BN, Wenzel, RP. The direct costs of universal precautions in a teaching hospital. JAMA 1990:264:2083–2087.Google Scholar
47.Eickhoff, TC. The cost of prevention. J Infect Dis News 1991;4:6.Google Scholar
48.Fahey, BJ, Koziol, DE, Banks, SM. Henderson, DK. Frequency of nonparenteral occupational exposures to blood and body fluids before and after universal precautions training. Am J Med 1991;90:145–153.Google Scholar
49.Klein, RS. Universal precautions for preventing occupational exoosures to human immunodeficiency virus type 1. Am J Med 1991;90:141–153.Google Scholar
50.Wong, ES, Stotka, JL, Chinchilli, VM, Williams, DS, Stuart, CG, Markowitz, SM. Are universal precautions effective in reducing the number of occupational-exposures among health care workers? JAMA 1991;265:1123–1128.Google Scholar
51.Department of Labor, Occupational Safety and Health Administration. Occupational exposure to bloodborne pathogens; final rule. Federal Register 1991;56(235):64175–64182.Google Scholar
52.American Hospital Association. OSHAS Final Bloodborne Pathogens Standard: A Special Briefing. 1992; item no. 155904.Google Scholar
53.Bruning, LM. The bloodborne pathogens final rule. AORN J 1993;57:439–461.Google Scholar
54.Jackson, MM, Lynch, P. An attempt to make an issue less murky: a comparison of four systems for infection precautions. Infect Control Hosp Epidemiol 1991;12:448–450.Google Scholar
55.Pugliese, G, Lynch, P, Jackson, MM. Universal Precautions: Policies, Procedures, and Resources. Chicago, IL: American Hospital Association; 1991:7–87.Google Scholar
56.Birnbaum, D, Schulzer, M, Mathias, RG, Kelly, M, Chow, AW. Adoption of guidelines for universal precautions and body sub stance isolation in Canadian acute-care hospitals. Infect Control Hasp Epidemiol 1990;11:465–472.Google Scholar
57.Lynch, P, Cummings, MJ, Stamm, WE, Jackson, MM. Handwashing versus gloving. Infect Control Hosp Epidemiol 1991:12:139. Letter.Google Scholar
58.Birnbaum, D, Schulzer, M, Mathias, RG, Kelly, M, Chow, AW. Handwashing versus gloving. Infect Control Hosp Epidemiol 1991;12:140. Letter.Google Scholar
59.Gurevich, I. Body substance isolation. Infect Control Hosp Epidemiol 1992;13:191. Letter.Google Scholar
60.Jackson, MM, Lynch, P. Body substance isolation. Infect Control Hosp Epidemiol 1992;13:191–192. Letter.Google Scholar
61.Rudnick, JR, Kroc, K, Manangan, L, Banerjee, S, Pugliese, G, Jarvis, W. Are US hospitals prepared to control nosocomial transmission of tuberculosis?Epidemic Intelligence Service Annual Conference, 1993;60. Abstract.Google Scholar
62.Institute of Medicine. Emerging Infections: Microbial Threats to Health in the United States. 1st ed. Washington, DC: National Academy Press, 1992.Google Scholar
63.Centers for Disease Control and Prevention. Nosocomial enterococci resistant to vancomycin-United States, 1989-1983. MMWR 1993:42:597–599.Google Scholar
64.Lowbury, EJL, Lilly, HA, Bull, JP. Disinfection of hands: removal of transient organisms. BY Med J 1964;2:230–233.Google Scholar
65.Sprunt, K, Redmon, W, Leidy, G. Antibacterial effectiveness of routine handwashing. Pediatrics 1973;52:264–271.Google Scholar
66.Steere, AC, Mallison, GEHandwashing practices for the prevention of nosocomial infections. Ann Intern Med 1975;83:683–690.Google Scholar
67.Food and Drug Administration. The tentative final monograph for over-the-counter topical antimicrobial products. Federal Resister 1978:43:1210–1249.Google Scholar
68.Garner, JS, Favero, MS. Guideline for Handwashing and Hospital Environmental Control. Atlanta, GA: US Department of Health and Human Services, Public Health Service, Centers for Disease Control; 1985.Google Scholar
69.Larson, E. APIC guideline for use of topical antimicrobial products. Am J Infect Control 1988;16:255–266.Google Scholar
70.Ehrenkranz, NJ. Bland soap handwash or hand antisepsis? The pressing need for clarity. Infect Control Hosp Epidemiol 1992;13:299–301.Google Scholar
71.Larson, E. Skin cleansing. In: Wenzel, RP, ed. Prevention and Control of Nosocomial Infections. 2nd ed. Baltimore, MD: Williams & Wilkins, 1993:450–459.Google Scholar
72.Larson, EL, 1992, 1993, and 1994 Association for Professionals in Infection Control and Epidemiology Guidelines Committee. APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control 1995;23:251–269.Google Scholar
73.Paulssen, J, Eidem, T, Kristiansen, RPerforations in surgeons' gloves. J Hosp Infect 1988;11:82–85.Google Scholar
74.DeGroot-Kosolcharoen, J, Jones, JM. Permeability of latex and vinyl gloves to water and blood. Am J Infect Control 1989;17:196–201.Google Scholar
75.Kotilainen, HR, Brinker, JP, Avato, JL, Gantz, NM. Latex and vinyl examination gloves: quality control procedures and implications for health care workers. Arch Intern Med 1989;149:2749–2753.Google Scholar
76.Olsen, RJ, Lynch, P, Coyle, MB, Cummings, MJ, Bokete, T, Stamm, WE. Examination gloves as barriers to hand contamination and clinical practice. JAMA 1993:270:350–353.Google Scholar
77.Health Resources and Services Administration. Guidelines for Construction and Equipment of Hospital and Medical Facilities. Rockville, Maryland: US Department of Health and Human Services, Public Health Service, 1984. PHS publication no. (HRSA) 84-14500.Google Scholar
78.American Institute of Architects, Committee on Architecture for Health. General hospital. In: Guidelines for Construction and Equipment of Hospital and Medical Facilities. Washington, DC: The American Institute of Architects Press; 1993.Google Scholar
79.American Society of Heating, Refrigerating, and Air Conditioning Engineers. Health facilities. In: 1991 Application Handbook. Atlanta, GA: American Society of Heating, Refrigerating, and Air Conditioning Engineers, Inc; 1991.Google Scholar
80.Jarvis, WR, Bolyard, EA, Bozzi, CJ, et al. Respirators, recommendations, and regulations: the controversy surrounding protection of health care workers from tuberculosis. Ann Intern Med 1995;122:142–146.Google Scholar
81.Department of Health and Human Services, Department of Labor. Respiratory protective devices: final rules and notice. Federal Register 1995;60(110):30336–30402.Google Scholar
82.Rutula, WA, Mayhall, CG. The Society for Hospital Epidemiology of America position paper: medical waste. Infect Control Hosp Epidemiol 1992;13:38–48.Google Scholar
83.Rhame, FS. The inanimate environment. In: Bennett, JV, Brachman, PS, eds. Hospital Infections. 3rd ed. Boston, MA: Little, Brown and Co; 1992:299–333.Google Scholar
84.Rutula, WADisinfection, sterilization, and waste disposal. In: Wenzel, RP, ed. Prevention and Control of Nosocomial Infections. 2nd ed. Baltimore, MD: Williams & Wilkins, 1993:460–495.Google Scholar
85.Maki, DG, Alvarado, C, Hassemer, C. Double-bagging of items from isolation rooms is unnecessary as an infection control measure: a comparative study of surface contamination with single and double bagging. Infect Control 1986;7:535–537.Google Scholar
86.American Society for Healthcare Central Services. Recommended Practices for Central Service: Sterilization. Chicago, IL: American Hospital Association; 1988.Google Scholar
87.American Society for Healthcare Central Services. Recommended Practices for Central Service: Decontamination. Chicago, IL: American Hospital Association; 1990.Google Scholar
88.Rutula, WAAPIC guideline for selection and use of disinfectants. Am J Infect Control 1990;18:99–117.Google Scholar
89.Bond, WW, Ott, BJ, Franke, KA, McCracken, JE. Effective use of liquid chemical germicides on medical devices: instrument design problems. In: Block, SS, ed. Disinfection, Sterilization, and Preservation. 4th ed. Philadelphia, PALea and Febiger, 1991:1097–1106.Google Scholar
90.Favero, MS, Bond, WW. Sterilization, disinfection, and antisep sis. In: Ballows, A, Hausler, WJ, Herrmann, KL, Isenberg, HO, Shadomy, HJ, eds. Manual of Clinical Microbiology. 5th ed. Washington, DC: American Society for Microbiology; 1991:183–200.Google Scholar
91.Favero, MS, Bond, WW. Chemical disinfection of medical and surgical materials. In: Block, SS, ed. Disinfection, Sterilization, and Preservation. 4th ed. Philadelphia, PALea and Febiger, 1991:617–641.Google Scholar
92.Pugliese, G, Hunstiger, CACentral services, linens, and laundry. In: Bennett, JV, Brachman, PS, eds. Hospital Infections. 3rd ed. Boston, MA: Little, Brown and Co; 1992:335–344.Google Scholar
93.Joint Committee on Healthcare Laundry Guidelines. Guidelines for Healthcare Linen Service-1994. Hallandale, FL: Textile Rental Services Association of America; 1994.Google Scholar
94.Hospital Infection Control Practices Advisory Committee. Recommendations for preventing the spread of vancomycin resistance. Am J Infect Control 1995;23:87–94, Infect Control Hosp Epidemiol 1995;16:105-113, and MMWR 1995; 44(No. RR-12):1-13.Google Scholar
95.Tablan, OC, Anderson, LJ, Arden, NH, Breiman, RF, Butler, JC, McNeil, MM, Hospital Infection Control Practices Advisory Committee. Guideline for prevention of nosocomial pneumonia. Part I: issues on prevention of nosocomial pneumonia—1994. Am J Infect Control 1994;22:247–266, Infect Control Hosp Epidemiol 1994;15:587-604, and American Association of Respiratory Care 1994;12:1191-1209.Google Scholar
96.Hospital Infection Control Practices Advisory Committee. Guideline for prevention of nosocomial pneumonia. Part II: recommendations for prevention of nosocomial pneumonia. Am J Infect Control 1994;22:266–292, Infect Control Hosp Epidemiol 1994;15:604-627, and American Association of Respiratory Care 1994;12:1209-1236.Google Scholar
97.Centers for Disease Control and Prevention. Update: manage ment of patients with suspected viral hemorrhagic fever—United States. MMWR 1995;44:475–479.Google Scholar