Table 5

General Infection-Prevention Measures

  • Standard precautions apply to the care of all patients.
  • Contact precautions apply to patients with a known or suspected infection with pathogens that can be transmitted by direct or indirect contact.
  • Droplet precautions apply to patients with a known or suspected infection with pathogens that can be transmitted by infectious droplets.
  • Airborne precautions apply to patients known or suspected to be infected with epidemiologically important pathogens that can be transmitted by the airborne route.
Categories of Infection-Prevention Measures
  • Hand washing: after touching blood, body fluids, secretions, excretions, and contaminated items, whether or not gloves are worn; after gloves are removed, between patient contacts, between tasks and procedures
  • Gloves: when touching blood, body fluids, secretions, excretions, and contaminated items; before touching mucous membranes and nonintact skin; between tasks and procedures; after contact with potentially contaminated material
  • Mask, eye protection, face shield: to protect mucous membranes of the eyes, nose, and mouth during procedures and patient-care activities with the potential to generate splashes or sprays of blood, body fluids, secretions, and excretions
  • Gown: to protect skin and prevent soiling of clothing during procedures and patient-care activities with the potential to generate splashes or sprays of blood, body fluids, secretions, or excretions
  • Patient care equipment: appropriate handling of used patient-care equipment soiled with blood, body fluids, secretions, and excretions to prevent skin and mucous membrane exposures, contamination of clothing, and transfer of microorganisms to other patients and environments; to ensure that reusable equipment is not used until it has been cleaned and reprocessed appropriately; to ensure that single-use items are discarded properly
  • Environmental control: to ensure adherence with procedures for the routine care, cleaning, and disinfection of environmental surfaces, beds, bedrails, bedside equipment, and other frequently touched surfaces
  • Linen: procedures for handling, transporting, and processing used linen soiled with blood, body fluids, secretions, and excretions to prevent skin and mucous membrane exposures and contamination of clothing; to avoid spread of microorganisms to other patients and environments
  • Patient placement: placement of patients with the potential to contaminate the environment in a private room

Source: Adapted from CDC, Standard Precautions. http://www​.cdc.gov/ncidod​/dhqp/gl_isolation_standard.html. Accessed February 21, 2006

From: Chapter 42, Targeting Health Care–Associated Infections: Evidence-Based Strategies

Cover of Patient Safety and Quality
Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
Hughes RG, editor.

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