Spectrum: Local Antimicrobial Stewardship, for CHEO-OCTC

N to Z

N to Z

Parvovirus B-19 (Firth's disease)

Precautions

  • Routine practices

  • Droplet/contact if aplastic crisis

Duration

  • If rash, no longer infectious

  • Maintain precautions for 7 days if aplastic crisis

Pertussis (whooping cough)

Precautions

  • Droplet/contact

Duration

  • Maintain precautions for 3 weeks after onset of paroxysms if not treated or until 5 days of appropriate antibiotic therapy

Pneumocystis carinii (Pneumocystis jirovecii)

Precautions

  • Routine practices

Poliomyelitis

Precautions

  • Contact

Duration

  • Maintain precautions until 6 weeks from onset of illness

Rabies

Precautions

  • Routine practices

Comment

  • Post exposure prophylaxis if contact with saliva

Respiratory syncytial virus (RSV)

Precautions

  • Droplet/contact

Duration

  • Maintain precautions for duration of illness

Ringworm

Precautions

  • Routine practices

Comment

  • Clean bath or shower after use

Roseola (HHV 6,7)

Precautions

  • Routine practices

Rotavirus

Precautions

  • Contact

Duration

  • Maintain precautions for duration of illness, minimum 7 days

Rubella (not congenital)

Precautions

  • Droplet/contact

Duration

  • Maintain precautions until 7 days after onset of rash

Salmonella (including typhoid fever)

Precautions

  • Contact

Duration

  • Maintain precautions until normal stools

Scabies

Precautions

  • Contact

Duration

  • Maintain precautions until treated

Shigella

Precautions

  • Contact

Duration

  • Maintain precautions until normal stools

Staphylococcus aureus

Wound or skin infection

  • Routine practices

  • Maintain precautions until drainage contained in dressings or resolved

Toxic shock syndrome

  • Routine practices

Pneumonia

  • Droplet/Contact

  • Maintain precautions until after 24 hours of appropriate antimicrobials

Streptococcus Group A

Cellulitis, fasciitis

  • Routine practices (if area is covered)

Pharyngitis, pneumonia, fasciitis

  • Droplet/Contact

  • Maintain precautions until 24 hours of antibiotics

Streptococcus Group B

Precautions

  • Routine practices

Streptococcus pneumoniae

Precautions

  • Routine practices

Tinea (ringworm)
  • Routine practices

Tuberculosis
  • See Mycobacterium

Vancomycin Resistant Enterococcus (VRE)

Precautions

  • Contact

Duration

  • Maintain precautions as directed by IPAC

Varicella
  • See Chicken pox

Whooping cough
  • See Pertussis