Isolation precautions are used to isolate the infections NOT patients. Isolation is selected based on the mode of transmission and pathogenesis of infection. Some question on NCLEX-CGFNS deal with isolation precautions.

STRICT ISOLATION

  • It is practiced for highly transmissible diseases by direct contact and airborne routes.
  • It requires: private room, gown, mask, glove, hand washing, and double bagged for soiled articles.
  • Diseases: Diptheria-pharyngeal, herpes zoster, pneumonia, varicella.

RESPIRATORY ISOLATION
  • It is practiced for droplet transmission.
  • It requires: private room, mask, hand washing, and labeled plastic bags for soiled articles.
  • Patient with same organism may share room.
  • Diseases: H. influenza, measles, mumps, N. meningitis.

TUBERCULOSIS / AFB ISOLATION

  • It is practiced for suspected or active tuberculosis.
  • It requires: mask, hand washing, and private room with negative pressure (room air vented to outside).
  • Disease: Tuberculosis

CONTACT ISOLATION
  • It is practiced for infectious diseases or multiple resistant micro organism that are spread by close or direct contact.
  • It requires: private room, mask, gown, and glove.
  • Diseases: Diptheria-cutaneous, herpes simplex, MRSA, pediculosis, scabies, syphilis.

ENTERIC PRECAUTION
  • It is practiced for infectious diseases that transmitted through direct or indirect contact with infected feces.
  • It requires: private room, hand washing, gloves, and gowns.
  • Gowns are worn only when contact any object contaminated with feces.
  • Diseases: Aseptic meningitis, diarrhea, gastroenteritis, hepatitis A, typhoid fever.

DRAINAGE / SECRETION PRECAUTION
  • It is practiced for patient with wound drainage (infected wound).
  • It requires: gloves and gowns.
  • Disease: Burns

UNIVERSAL BLOOD AND BODY FLUID PRECAUTION
  • It is practiced when possibly contact with blood-borne and body fluids pathogens (blood, semen, vaginal secretion, synovial fluid, pleural fluid, peritoneal fluid, pericardial fluid, amniotic fluid, CSF, and tissue.
  • It requires: gloves, masks, protective eye gears, and gowns.
  • Used / contaminated needle should never recapped.
  • Used needles and other sharp items are kept in a puncture resistant container (sharp box container).
  • Diseases: AIDS, hepatitis B, hepatitis C.

1 comments

  1. Unknown  

    18 May 2020 at 06:43

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