Isolation Guidelines


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  • Vaccinia

    Vaccinia (vaccination site, adverse events following vaccination) 

    • Vaccination site care ( including auto-inoculated areas): Only vaccinated health-care workers should have contact with active vaccination sites and care for persons with adverse vaccinia events.If unvaccinated, only health care workers without contraindications to vaccine may provide care. Vaccination is recommended for those giving the vaccine. For newly vaccinated health care workers, dress vaccination site with a semi-permeable dressing over gauze util scab at vaccine site seperates. Prior to that time, dressing should be changed as fluid accumulates, usually around every three to five days. Wear gloves and pay attention to appropriate hand hygiene when changing dressings. Only vaccinated health care workers or those with no contraindication to vaccination should participate in dressing changes.
    • Isolation precautions
      • Eczema vaccinatum: Contact Precautions until lesions are dry and crusted and scabs seperated
      • Fetal vaccinia: Contact Precautions until lesions are dry and crusted and scabs seperated
      • Generalized/Progressive vaccinia: Contact Precautions until lesions are dry and scabs seperated
      • Postvaccinia encephalitis: Standard Precautions
      • Blepharitis or conjunctivitis: Standard Precautions; use Contact Precautions if there is copious drainage
      • Iritis or keratitis: Standard Precautions
      • Vaccinia-associated erythema multiforme (Stevens Johnson Syndrome): Standard Precautions (not an infectious condition)
      • Secondary bacterial infection (e.g., S.aureus, group A beta-hemolytic streptococcus): Follow organism specific recommendations and consider magnitude of drainage.
      • Click here for link to CDC website regarding¬†smallpox vaccine.¬†