Organism Specific Infection Control Policies| MRSA
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VRE
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RSV
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Tuberculosis
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Criteria for Using Airborne Precautions
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Criteria for Discontinuing Airborne Precautions:
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MDR-TB, not suspected
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MDR-TB
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Pediatric TB IC Policy:
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Introduction
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Isolation Procedures
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| Yale
New Haven Hospital QISS GB 325 New Haven, CT 06504 USA Dr. Jeff Topal 688-4634 |
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Pediatric Tuberculosis Infection Control Policy , pg 2 |
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Isolation Precautions
The following are clinical situations in which infectivity must be considered and appropriate controls initiated.
- Adolescents with reactivation forms of tuberculosis such as cavities
or extensive infiltrates, and those with positive sputum acid-fast bacteria
smears should be considered potentially infectious to others and isolated
in the same manner as adults with pulmonary tuberculosis. The patient should be placed on Airborne Precautions.
- Children who are HIV positive are at risk for developing overwhelming disease, and have been known to transmit tuberculosis. They should therefore be placed on Airborne Precautions until they reach the same therapeutic endpoints as adults with pulmonary tuberculosis.
- Adult visitors of children with suspected or proven tuberculosis should be masked and referred to the Winchester Chest Clinic (or their personal physician) for evaluation to rule out active tuberculosis. The parents should be given N-95 masks. They should be instructed in their use and told to wear the masks at all times after entering the hospital. They should refrain from visiting common areas in the facility (e.g., the cafeteria or lounge areas. Once they show documentation that active tuberculosis has been ruled out (ordinarily by a negative PPD and CXR) they no longer are required to wear the masks (adult visitors who do not comply with this policy will be denied visitation privileges).
- Hospital staff may elect to place all children with suspected or proven tuberculosis on Airborne Precautions to reduce the anxiety in parents of other children (potential roomates) and to allow time for screening of the patients, parents, grand parents, or other close family members.
- Children who are HIV positive are at risk for developing overwhelming disease, and have been known to transmit tuberculosis. They should therefore be placed on Airborne Precautions until they reach the same therapeutic endpoints as adults with pulmonary tuberculosis.
Last modified: March 2, 2001.
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