Spectrum: Local Antimicrobial Stewardship, for CHEO-OCTC

E to H

E to H

Ebola or other hemorrhagic fever

Precautions

  • Droplet/contact plus airborne

Enterobacteriacae

Precautions

  • Contact

Duration

  • Maintain precautions as directed by IPAC

  • For carbepenem resistant enterobacteriacea, see alphabetical section A-C

Enterobiasis (pinworm)

Precautions

  • Routine practices

Enterovirus (excludes Poliovirus)

Any of the following

  • Febrile illness

  • Meningitis

  • Pharyngitis

  • Rash

  • Pleurodynia

  • Conjunctivitis

Precautions

  • Contact

  • Routine practices if patient is continent and able to comply with hygiene

Duration

  • Maintain precautions for duration of illness

Epstein Barr Virus (EBV)

Precautions

  • Routine practices

Escherichia coli diarrhea, including HUS

Precautions

  • Contact

  • Routine practices if patient is continent and able to comply with hygiene

Duration

  • Maintain precautions until normal stools

  • If HUS: maintain precautions until two stools negative for E. coli 0157:H7 or 10 days from onset of diarrhea

ESBL– Extended spectrum beta-lactamase resistant gram negative infection

Precautions

  • Contact

Duration

  • Maintain precautions as directed by IPAC

Giardia

Precautions

  • Contact

  • Routine practices if patient is continent and able to comply with hygiene

Duration

  • Maintain precautions until normal stools

Gonococcus (Neisseria gonorrhoeae)

Precautions

  • Routine practices

Haemophilus influenza type b invasive disease

Precautions

  • Droplet/contact

Duration

  • Maintain precautions until 24 hours of appropriate antibiotic therapy has been received

  • Close contacts <48 months old who are not immune may require chemoprophylaxis

Hepatitis A, E

Precautions

  • Contact

  • Routine practices if patient is continent and able to comply with hygiene

Duration

  • Maintain precautions one week after onset of symptoms

Hepatitis B, C, D and other non-specified non-A, non-B

Precautions

  • Routine practises

Herpes simplex

CNS infections (no mucocutaneous involvement)

  • Routine practices

Neonates with probable or definitive mucocutaneous involvement

  • Contact precautions

  • Maintain precautions until lesions resolved

Neonates exposed to HSV at delivery

  • Contact precautions

  • Maintain precautions until infection can be ruled out by negative swabs or no lesions by 2 weeks

Disseminated or extensive mucocutaneous involvement

  • Contact precautions

  • Maintain precautions until lesions resolved

Recurrent localized lesions

  • Routine practices

Herpes zoster

Disseminated skin lesions

  • Airborne and contact

  • For susceptible contacts, Airborne precautions should begin 8 days after first exposure and continue for 21 days (28 days if VZIG)

  • Consider VZIG for contacts within 96 hours

  • Maintain precautions until all lesions have crusted and dried

Localized in immunocompromised host (zoster)

  • Airborne and contact

  • Maintain precautions until all lesions have crusted and dried

Localized zoster in normal host

  • Lesions covered

    • Routine practices

  • If lesions cannot be covered

    • Contact precautions
    • Maintain precautions until all lesions have crusted and dried

Histoplasmosis

Precautions

  • Routine practises

Human metapneumovirus

Precautions

  • Droplet/Contact

Duration

  • Maintain precautions for duration of illness.