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Isolation Precautions for Visitors (SHEA)

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106 Commerce Street, Suite 105 Lake Mary, FL 32746 TEL: 407.878.7606 • FAX: 407.878.7611 For additional copies, order at GuidelineCentral.com Copyright © 2015 All rights reserved Source Munoz-Price LS, Banach DB, Bearman G et al. SHEA Expert Guidance: Isolation Precautions for Visitors. Disclaimer is Guideline attempts to define principles of practice that should produce high-quality patient care. It focuses on the needs of primary care practice, but also is applicable to providers at all levels. is Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. Abbreviations CRE, carbapenem resistant Enterobacteriaceae; HCP, health care personnel; KPC, Klebsiella pneumoniae carbapenemase; MRSA, methicillin resistant Staphylococcus aureus; SHEA, Society for Healthcare Epidemiolog y of America; VRE, vancomycin resistant enterococci SHEAISO15042a Airborne Precautions Î For visitors to patients on airborne precautions we recommend the use of surgical masks. An alternative is an N-95 respirator; however, this equipment is best used with training and fit testing. Notes: ▶ Visitors with extensive documented exposure to the symptomatic patient prior to hospitalization, such as household contacts, may be excluded from these precautions since they may be either immune to the infectious agent or already in the incubation period. ▶ When prior extensive exposure is not documented and N-95 or higher respiratory protection is recommended for the patient, consideration should be given to limiting visitation for those who have not been fit-tested. In these instances, education of visitors is important, and facilities should clearly document these communications. ▶ As previously noted in the recommendations for droplet precautions, further considerations should include interference with bonding. ▶ Hospitals should consider restricting entry of visitors that are symptomatic (e.g. active cough, fever). Recommendations

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