ISOLATION POLICY FOR INFECTIOUS DISEASES
Author
Policy Ratified by
Committee
Classification
OSHEU
Date Issued
Area
Applicable
University Wide
Review Date
Ref No:
Version No:
Date
15/02/05
1
Disclaimer
When using this document please ensure that the version you are using is the most
up-to-date.
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IPCD Policy Number 5
CARDIFF AND VALE NHS TRUST
YMDDIRIEDOLAETH GIG
CAERDYDD A’R FRO
ISOLATION POLICY FOR INFECTIOUS DISEASES
INFECTION PREVENTION AND CONTROL
COMMITTEE
APRIL 2002
This policy was approved by
Cardiff and Vale NHS Trust Board April 2002
Date of review – April 2004
Central Registration Number –
If the date at the time of reference to this Policy document is after the stated date
for review you must contact the author, or if absent, the Corporate Affairs
Director, to check that the content is current.
OUT OF DATE POLICIES MUST NOT BE RELIED ON
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CONTENTS
Page
1.
Summary
5
2.
Guidance notes for using this document
6
3.
Introduction
7
4.
Isolation facilities
8
4.1
4.2
4.3
Single room of a general ward
Main ward areas
Infectious Diseases Unit – Ward A7 UHW
7
8
8
5.
Notifiable diseases
9
6.
Categories of precautions and isolation
11
6.1
6.2
6.3
Contact Precautions/Isolation
Respiratory Isolation
Strict Isolation
11
12
13
7.
Materials required for isolation
15
7.1
7.2
7.3
7.4
7.5
7.6
7.7
7.8
Inside patient’s room
Outside patient’s room
Isolation cards
Hand washing
Laundry
Waste
Patient charts
Cutlery and crockery
16
16
16
16
17
17
17
17
8.
Cleaning of rooms
17
8.1
8.2
Daily
Terminal
18
18
9.
Transfer of infected patients
19
9.1
Within the hospital
19
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9.2
9.3
9.4
9.5
Visits to other departments (including theatres)
Ambulance transportation
Transfer to other hospitals
Discharge of patient
19
19
19
19
10.
Isolation key
19
APPENDIX 1 – Abbreviations
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5
1. SUMMARY

Isolation systems are designed to contain the spread of infection

The principal objective is to contain the harmful organism and not the infected
person.

Isolation precautions can be applied to a patient on a multi - bedded ward, a cohort of patients suspected to have the same pathogen, or to a patient in a single
room.

Single rooms on a ward are the mainstay of isolation in the Trust.

Open ward areas can be effective in controlling the spread of infections
transferred by contact as long as appropriate precautions are still implemented,

The University Hospital has an Infectious Diseases Unit situated on ward A7 that
will accept adult patients requiring isolation.

Negative pressure rooms are not required for most organisms but find particular
value when dealing with highly infectious airborne agents.

Certain diseases (or suspicion of) are notifiable by law to the Public Health
Department (Bro Taf) - Consultant in Communicable Disease Control (CCDC).
The clinician who considers or diagnoses the infection is responsible for the
notification. The Trust IPCD should also be informed of these diseases.

Three levels of precautions/ isolation observed in the Trust are:
i. Contact Precautions/Isolation used in situations where the mode of transfer of
the infecting organism is via blood-to-blood contact (e.g. hepatitis), the faecal oral
route (e.g. viral gastroenteritis and other enteric pathogens) or by contact.
ii. Respiratory Isolation used to prevent the transmission of infectious diseases
over short distances through the air. Serious infections spread by the respiratory
route should preferably be placed in negative pressure rooms.
iii. Strict Isolation used for the isolation of highly communicable diseases.

Appropriate isolation cards should be displayed on the outside of the door of the
isolation room.

Handwashing before and after contact with any patient is the single most
important measure in preventing the spread of infection.
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2. GUIDANCE NOTES FOR THIS DOCUMENT
 Do not hesitate to contact the Infection Prevention and Control Department (IPCD) if
any advice or clarification is needed with regard to isolation procedures or any other
infection prevention and control issues.
 It is essential that patients isolated in a single room or in a co-hort on wards do not
feel ostracized in any way. The reasons for isolation should be clearly explained to
the patient and close family members. An information leaflet explaining issues
regarding isolation is available.
 It is the responsibility of the Ward Manager (or Nurse-in-Charge of the ward) to
ensure that all members of staff adhere to this policy, and that the patient and their
relatives are properly advised about isolation procedures. Members of the Infection
Prevention and Control Team (IPCT) are available to talk to patients and relatives if
required.
 Some diseases are notifiable by law (see section 5); it is the responsibility of the
clinician who considers the diagnosis of any of these infections to notify the
Consultant in Communicable Disease Control (CCDC).
 It is essential that all notes are appropriately flagged, if necessary, and that General
Practitioners, other Health Care and relevant social agencies are informed of the
patient's status on discharge. If additional advice is required they can contact the
IPCD or the CCDC’s office.
 In the event of a patient being suspected of having a Viral Haemorrhagic Fever in
either the Emergency Unit (UHW), Emergency Assessment (Llandough) or at ward
level, do not move the patient, limit the number of staff that come into contact with
the patient and then immediately contact one of the following:
Trust Consultant in Infectious Diseases or deputy - via UHW switchboard
Trust Consultant in Infection Prevention and Control/Department
Health Authority Consultant in Communicable Disease Control - 20 402478
Out-of-hours On-call Microbiologist or Virologist - via UHW/Llandough
switchboard.
Immediate advice will be available from one of the above at any time of day or night.
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3. INTRODUCTION
The Infection Prevention and Control Department produces guidelines, which aim to:a. decrease the occurrence of infection
b. contain spread if infection should occur
Isolation systems are designed to address item (b), the principal objective being to
contain the harmful organism and not the person. Isolation precautions can be applied
to a patient on a multi - bedded ward, a co-hort of patients suspected to have the same
pathogen, or to a patient in a single room. Which system is ultimately employed
depends on the patient, the pathogen and resources for isolation.
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4. ISOLATION FACILITIES
4.1
SINGLE ROOM OF A GENERAL WARD
These facilities are the mainstay of isolation in the Trust. Their value depends on strict
compliance with the code of practice for the type of isolation under consideration and
the extent to which the room is self-contained.
4.2
MAIN WARD AREAS
Open ward areas can be effective in controlling the spread of infections transferred by
contact as long as appropriate precautions are still implemented, i.e. the same
techniques that would be used if the patient was in a single room e.g. strict
handwashing, gloves, aprons as required. If an open ward area has to be used then the
quietest area, or one near a handwashing basin, should be chosen. The co-horting of
infected patients may be used in some circumstances under the direction of the IPCD.
4.3
INFECTIOUS DISEASES UNIT - UHW
The University Hospital has an Infectious Diseases Unit situated on ward A7 that will
accept patients that require isolation. There are four negative pressure isolation rooms,
which are completely self-contained, and two single cubicles as found on other wards.
Negative pressure rooms are not required for most organisms but find particular value
when dealing with highly infectious airborne agents e.g. patients with open pulmonary
tuberculosis or chicken pox.
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5. NOTIFIABLE DISEASES
The following diseases (or suspicion of) are notifiable by law to the Public Health
Department (Bro Taf) - Consultant in Communicable Disease Control (CCDC); the
clinician who considers or diagnoses the infection is responsible for the
notification. Persistent carriers of typhoid bacilli and other Salmonellae should also be
reported. For optimal in-hospital infection prevention and control the on site IPCD staff
should also be notified.
LIST OF NOTIFIABLE DISEASES (July 1998)
Acute encephalitis - bacterial and viral
Acute poliomyelitis
Anthrax
Cholera
Diphtheria
Dysentery - amoebic or bacillary
Food Poisoning (or suspected food poisoning)
Leprosy
Leptospirosis
Malaria
Measles
Meningitis - bacterial and viral
Meningococcal septicaemia
Mumps
Ophthalmia neonatorum
Paratyphoid Fever
Plague
Poliomyelitis: acute
Rabies
Relapsing Fever
Rubella
Scarlet Fever
Smallpox
Tetanus
Tuberculosis - pulmonary and non-pulmonary
Typhoid fever
Typhus
Viral Haemorrhagic Fevers
Viral Hepatitis
Whooping Cough
Yellow Fever
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Notification should be made by telephone in the first instance followed by notification on
the official form to:
The Consultant in Communicable Disease Control
Temple of Peace and Health
Cathays Park
Cardiff
Tel: 029 20 402478
Notification by phone only should also be made to the IPCD. The IPCD should also be
informed of any diseases/pathogens not listed here which present a risk of hospital
acquired infection e.g. M.R.S.A., Group A Streptococcus in a wound.
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6. CATEGORIES OF PRECAUTIONS AND ISOLATION
The different levels of precautions and isolation required to prevent the spread of
infective organisms are detailed below. It is essential that all members of staff
observe these guidelines.
The levels of precautions/ isolation observed in the Trust are:
 Contact Precautions/Isolation
 Respiratory Isolation
 Strict Isolation
6.1
CONTACT PRECAUTIONS/ISOLATION
Contact precautions/isolation are used in situations where the mode of transfer of the
infecting organism is via blood-to-blood contact (e.g. hepatitis), the faecal-oral route
(e.g. viral gastroenteritis and other enteric pathogens) or by contact, usually via the
hands, skin, mucous membranes or wounds (e.g. MRSA, VRE).
A single room is preferred, but not always required for this level of precautions. For
example,

patients with infections that are spread by blood to blood contact a single room is
preferred, but not essential, unless they are bleeding,

if a patient has diarrhoea, a single room is preferred,

if a patient is colonised with MRSA on the skin, a single room is preferred but not
essential. If MRSA is found in discharging wounds or patient has respiratory tract
colonisation then the risk assessment would require that a single room is used
whenever possible.
Open ward areas can be effective in controlling the spread of infection as long as the
same precautions are used if the patients were in a single room. A single room with its
own toilet is preferable but if this is not feasible then a dedicated commode should be
used. Cohorting may be considered for patients who have the same pathogen.
If a single room is used:

Visitors and members of staff from other departments must report to the Nursein-Charge before entering the room.
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
The door of the room should be kept closed at all times unless the clinical need
of the patient dictates otherwise.

A contact isolation sign (orange) should be displayed on the door.

Patients should not leave the room/ward area to attend other departments
without prior arrangement/notification of the receiving department.

Gloves should be worn if there is any risk from contamination with blood and
body fluids.

Plastic aprons must be worn when soiling is likely.

Masks are not required unless there is the additional risk of airborne spread e.g.
vomiting during episodes of viral gastroenteritis.

Full face protection e.g. visor or goggles, must be worn if there is a risk of
splashing from blood or body fluids and secretions

Hands must be washed with soap and water and then disinfected with an
approved hand disinfectant (e.g. alcohol gel) before entering the room, after
patient contact, after contact with potentially infected materials, and after removal
of disposable gloves.
6.2
RESPIRATORY ISOLATION e.g. tuberculosis, chickenpox
Respiratory isolation is used to prevent the transmission of infectious diseases over
short distances through the air. Serious infections spread by the respiratory route should
preferably be placed in negative pressure rooms. Transfer/admission to the Infectious
Diseases Unit (A7, UHW) should be considered in these cases.

A single room should be used; if one is not available contact the IPCD.

Visitors and members of staff from other departments must report to the Nursein-Charge before entering the room.

Patients should not leave the room to attend other departments without prior
arrangements.

A respiratory isolation sign (pink) should be displayed on the door.

The door of the room should be kept closed at all times unless the clinical need
of the patient dictates otherwise.
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
Gloves should be worn if there is any risk from contamination with blood or body
fluids.

Plastic aprons must be worn when soiling is likely.

Masks should be worn by those who come into close contact with the patient.
Specialist masks for tuberculosis should be used for contact with cases with open
pulmonary TB.

Full face protection e.g. visor or goggles should be worn if there is a risk of
splashing from blood or body fluids and secretions

Hands must be washed with soap and water and then disinfected with an
approved hand disinfectant (e.g. alcohol gel) before entering the room, after
patient contact, after contact with potentially infected materials, and after removal
of disposable gloves.
6.3
STRICT ISOLATION e.g. suspected diphtheria, suspected viral haemorrhagic
fever.
IMMEDIATELY NOTIFY THE CCDC ON FIRST SUSPICION OF A DIAGNOSIS (Tel:
029 20 402478) AND THE INFECTION PREVENTION AND CONTROL
DEPARTMENT.
The hospitals in the Trust are not equipped for the admission of some diseases
e.g. viral haemorrhagic fevers. If admission is agreed the patient must be admitted
to one of the negative pressure rooms on the Infectious Diseases Unit
immediately.

Visitors and members of staff must report to the Nurse-in-Charge before entering
the room.

Patients must not leave the room without permission from a consultant in either
Infection Prevention and Control or Infectious Diseases.

A strict isolation sign (red) must be displayed on the door.

The door of the room must be kept closed at all times.

Gloves must be worn by all persons entering the room.

Impervious gowns and impervious aprons must be worn by all persons
entering the room.

Masks must be worn by all persons entering the room.
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
Hands must be washed with soap and water and then disinfected with an
approved hand disinfectant (e.g. alcohol gel) before entering the room, after
patient contact, after contact with potentially infected materials, and after
removal of disposable gloves.

Flag all specimens to the laboratories as "high risk".
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7. MATERIALS REQUIRED FOR ISOLATION
7.1
INSIDE PATIENT'S ROOM
In addition to the standard equipment in an isolation room the following dedicated
equipment should be provided
 Stethoscope
 Sphygmomanometer
 Thermometer
7.2






OUTSIDE PATIENT'S ROOM (or entrance to isolation ward area)
Isolation card
Disposable gloves
Alcohol gel
Disposable plastic aprons
Masks (if required)
Patients notes
7.3
ISOLATION CARDS
An appropriate isolation card should be displayed on the outside of the door of the
isolation room.
The following isolation cards should be used:
Contact precautions/isolation
Respiratory isolation
Strict isolation
7.4
Orange
Pink
Red (available on IDU and IPCD only)
HAND-WASHING
Handwashing before and after contact with the patient is the single most
important measure in preventing the spread of infection. It should be noted that the
hands should be wet before the application of soap to prevent dermatitis. Alcohol gel for
hand decontamination should be available both in the room and outside the isolation
room. Hands should be dried thoroughly. Hands must also be washed after the removal
of gloves.
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7.5
LAUNDRY
Linen should be disposed of at the point of use. Used linen should be put into an
alginate bag (water soluble), which should then be placed into a red laundry bag (linen
skip) and taken to the appropriate pick up point.
7.6
WASTE
Clinical waste should be placed into a yellow clinical waste bag. A bin should be
provided both inside and outside the room. The bag should be sealed and labelled in
the room in accordance with the Trust Waste Management Policy, before removal to the
pick up point.
7.7
PATIENT CHARTS
Patient’s charts/notes should be kept outside of the isolation room/area.
7.8
CUTLERY AND CROCKERY
The use of disposable cutlery or crockery is not required.
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8. CLEANING OF ROOMS
8.1
DAILY
Wash all horizontal surfaces with warm water and detergent, and when dry, clean with
an appropriate disinfectant and then allow to dry. (see Decontamination Policy, 2002).
8.2
TERMINAL
Wash surfaces including the bed, bed frame and floor with warm water and detergent,
and when dry, clean with an appropriate disinfectant and then allow to dry thoroughly
before admission of another patient.
Details of the disinfection of individual pieces of equipment, and the choice of
appropriate disinfectant can be found in the Cardiff and Vale NHS Trust
Decontamination Policy (2002).
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9. TRANSFER OF INFECTED PATIENTS
As with other Infection Prevention and Control matters, the designated Nurse-in-Charge
of the ward has the responsibility to ensure that the necessary information regarding an
infected/colonised patient is passed on to a senior member of staff of the receiving
ward/department/hospital, prior to transfer.
9.1
WITHIN THE HOSPITAL
Transfers to other wards should be avoided if at all possible, with the exception of the
Infectious Diseases Unit if required. If transfer has to be effected then the receiving
ward should be informed of the current status of the patient.
9.2
VISITS TO OTHER DEPARTMENTS (INCLUDING THEATRES)
Visits to other departments should be kept to a minimum. When this is needed, prior
arrangements should be made with the senior staff of the department concerned.
Infected patients should in general be treated at the end of the working session and
should spend the minimum time in the department. They should only be sent for when
the receiving department is ready and not left in a waiting area with other patients.
These guidelines should never jeopardise clinical need.
9.3
AMBULANCE TRANSPORTATION
The ambulance service should be notified prior to transfer. Further information for the
ambulance service should be obtained from the Consultant in Communicable Disease
Control of the Health Authority (029 20 402478).
9.4
TRANSFER TO OTHER HOSPITALS
Inter-hospital movements should be kept to a minimum. It is the responsibility of the
transferring ward to inform the receiving hospital of the current status of the patient. If an
infection control problem exists or has recently existed on a given ward it is worthwhile
informing a receiving hospital of this even if the patient being transferred is not affected.
9.5
DISCHARGE OF PATIENTS
The General Practitioner, other Health Care and relevant social agencies involved in the
patient's care should be informed and advised of any decontamination procedures being
undertaken as necessary e.g. MRSA decolonisation.
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10. ISOLATION KEY
Key:CI
RI
STR
Contact precautions/isolation
Respiratory Isolation
Strict isolation
ALL NOTIFIABLE DISEASES MUST BE REPORTED TO THE CONSULTANT FOR COMMUNICABLE DISEASE CONTROL (029
20 402478) AND THE IPCD IMMEDIATELY
INFECTION
ADENOVIRUS
respiratory (infants)
conjunctivitis
AIDS
AMOEBIASIS (dysentery)
CATEGORY
RI
CI/RI
none
CI
INCUBATION
PERIOD
LENGTH OF ISOLATION
Variable
Variable
Duration of illness
Duration of illness
5 days - 3/4
weeks
until 48 hrs symptom free
COMMENTS
NOTIFIABLE CCDC,
IPCD
ANTHRAX
pulmonary
systemic
cutaneous
STR
STR
CI
1 - 7 days
Duration of illness
1 - 7 days
Duration of illness
1 - 7 days (usually Until lesions free from anthrax
2)
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
If pulmonary ruled out use
CI not STR isolation
BRUCELLOSIS
CI
Variable
Duration of illness
Applies for draining lesions
CAMPYLOBACTER ENTERITIS
CI
1 - 10 days
48 hrs symptom free
NOTIFIABLE CCDC,
IPCD
CANDIDIASIS (in neonatal wards)
CI
Variable
Until treated
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INFECTION
CATEGORY
INCUBATION
PERIOD
LENGTH OF ISOLATION
CHICKENPOX
RI
14 - 21 days
CHOLERA
CI
Up to 5 days after onset of rash
in immunocompetent patients.
Until all lesions are crusted in
immunocompromised patients
few hours - 5 days Duration of illness
CHLAMYDIA TRACHOMATIS
CI
Variable
Until treated
CLOSTRIDIUM DIFFICILE
CONJUNCTIVITIS
CREUTZFELT JAKOB DISEASE
CYTOMEGALOVIRUS
CI
CI
Variable
Variable
48 hrs symptom free
Variable
COMMENTS
Keep away from
immunocompromised
patients
NOTIFIABLE CCDC,
IPCD
Wear gloves for infected
material
See C difficile policy
See TSE policy
Caution with
immuncompromised patients
CI
DIARRHOEA
unknown origin
viral eg SRSV, rotavirus
CI
CI
Variable
Variable
48 hrs symptom free
48 hrs symptom free
DIPHTHERIA
STR
2 - 7 days
Duration of illness or 14 days
treatment
DYSENTERY
Bacterial
Amoebic
CI
CI
1 - 6 days
5 days - 3/4
weeks
until 3 negative stools
until 48hours symptom free
ESCHERICHIA COLI 0157
CI
FOOD POISONING
CI
NOTIFIABLE IPCD and
CCDC if suspected food
poisoning
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
Contact IPCD
1 -12 hours
Depends on pathogen
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NOTIFIABLE CCDC,
IPCD
21
INFECTION
CATEGORY
INCUBATION
PERIOD
LENGTH OF ISOLATION
COMMENTS
GASTROENTERITIS (in babies)
GIARDIASIS
HERPES SIMPLEX
Paediatrics
Adults
CI
CI
Variable
5 - 25 days +
48 hrs symptom free
48 hrs symptom free
NOTIFIABLE IPCD
CI
CI
4 - 5 days
Variable
Duration of illness
Duration of illness
Caution with neonatal and
disseminated disease; keep
away from
immunocompromised
patients or those with
eczema and burns
HERPES ZOSTER
HEPATITIS
A
B
C
CI
Unknown
Duration of illness
CI
CI
CI
3 - 6 weeks
1 - 6 months
0.5 - 6 months
7 days after onset of jaundice
HIV
CI
Variable
INFLUENZA
RI
1 - 4 days
Duration of illness
LEPROSY
CI
Variable
Duration of illness
LEPTOSPIROSIS
CI
4 - 14 days
Duration of hospitalisation
MALARIA
MEASLES
CI
RI
Variable
6 - 12 days
5 days after onset of rash
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NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC
NOTIFIABLE CCDC,
IPCD
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INFECTION
MENINGITIS
meningococcal
other bacterial
viral
CATEGORY
RI
RI
RI
INCUBATION
PERIOD
LENGTH OF ISOLATION
2 - 10 days
48 hrs after start of treatment
3 - 10 days
Duration of illness
COMMENTS
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
See MRSA policy
NOTIFIABLE CCDC,
IPCD
M.R.S.A.
MUMPS
RI
12 - 28 days
Contact IPCD
9 days after onset of symptoms
OPHTHALMIA NEONATORUM
CI
3 - 9 days
Duration of illness
NOTIFIABLE CCDC,
IPCD
PARVOVIRUS B19
RI
Variable
Duration of illness
PLAGUE
STR
1 - 6 days
Until negative
POLIOMYELITIS
CI
3 - 35 days
Until stool negative for virus
Keep away from
immunocompromised
patients and pregnant staff
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
PSITTACOSIS
RI
4 - 15 days
7 days after onset
Q FEVER
RI
2 - 3 weeks
7 days after onset
RABIES
CI
1 - 8 + weeks
Length of illness
Variable
Contact IPCD
Duration of illness
RESISTANT ORGANISMS
RESPIRATORY SYNCYTIAL VIRUS
(RSV)
RI
isolation policy 2001/I:winword.policies.isolation.isolat00.doc/06.01/ipcd.dwh.lj.sc/adopted.06.01/review.06.03
NOTIFIABLE CCDC,
IPCD
Contact IPCD
23
INFECTION
CATEGORY
INCUBATION
PERIOD
LENGTH OF ISOLATION
COMMENTS
ROTAVIRUS
RUBELLA
CI
RI
Variable
14 - 21 days
48 hrs symptom free
5 days after onset of rash
NOTIFIABLE IPCD
NOTIFIABLE CCDC,
IPCD
SALMONELLA INFECTIONS
CI
12 hrs - 3 days
48 hrs symptom free
NOTIFIABLE CCDC,
IPCD
CI
2 - 6 weeks
12 hrs - 3 days
Until treated
Until 3 negative stools
SRSV
STAPHYLOCOCCUS (MRSA)
STREPTOCOCCAL INFECTIONS
TUBERCULOSIS
Pulmonary
Non-pulmonary
CI
Variable
CI
Variable
48 hrs symptom free
Contact IPCD
Until 24 IV antibiotic treatment
RI
Variable
Variable
2 weeks after start of treatment
TYPHOID AND PARATYPHOID
(including carriers and urine carriers)
CI
6 - 21 days
Until 6 negative stools
SCABIES
SHIGELLOSIS
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE IPCD
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
NOTIFIABLE CCDC,
IPCD
VIRAL HAEMORRHAGIC FEVERS - IMMEDIATELY CONTACT EITHER THE INFECTIOUS DISEASES UNIT, IPCD,
CCDC,ON-CALL MICROBIOLOGIST OR VIROLOGIST FOR ADVICE. DO NOT ADMIT SUSPECTED CASE UNTIL ADVICE
HAS BEEN SOUGHT AND MINIMISE CONTACT WITH PATIENT
VRE
CI
Variable
Contact IPCD
WHOOPING COUGH
RI
up to 21 days
WOUNDS (with resistant organisms)
CI
Variable
3 weeks after onset or 7 days
after start of treatment
Contact IPCD
isolation policy 2001/I:winword.policies.isolation.isolat00.doc/06.01/ipcd.dwh.lj.sc/adopted.06.01/review.06.03
NOTIFIABLE CCDC,
IPCD
24
APPENDIX 1
UHW
- University Hospital of Wales
IPCD
- Infection Prevention and Control Department
CCDC
- Consultant in Communicable Disease Control
IDU
- Infectious Diseases Unit
MRSA
- Methicillin Resistant Staphylococcus aureus
VRE
- Vancomycin Resistant Enterococcus
isolation policy 2001/I:winword.policies.isolation.isolat00.doc/06.01/ipcd.dwh.lj.sc/adopted.06.01/review.06.03