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Apex Nursing

Isolation Precautions Lookup

Search a condition for its isolation category and required PPE.

Contact

Gown + gloves for all room entry

Droplet

Surgical mask within 3–6 ft; private room or cohort

Airborne

Fit-tested N95 or PAPR; negative-pressure (AIIR) room, door closed

26 conditions

Clostridioides difficile (C. diff)

Contact

PPE: Gown + gloves for all room entry

Soap and water hand hygiene — alcohol rub does not kill spores. Bleach-based room cleaning.

MRSA

Contact

PPE: Gown + gloves for all room entry

Applies to infection or colonization per facility policy.

VRE

Contact

PPE: Gown + gloves for all room entry

Dedicated equipment when possible.

ESBL / CRE organisms

Contact

PPE: Gown + gloves for all room entry

Multidrug-resistant gram-negatives; strict adherence — CRE has limited treatment options.

Norovirus

Contact

PPE: Gown + gloves for all room entry

Soap and water preferred; high environmental persistence. Cohort during outbreaks.

Rotavirus

Contact

PPE: Gown + gloves for all room entry

Diapered and incontinent patients — duration of illness.

Scabies / lice

Contact

PPE: Gown + gloves for all room entry

Until 24 hours after effective treatment.

RSV

ContactDroplet

PPE: Gown + gloves for all room entry · Surgical mask within 3–6 ft; private room or cohort

Many facilities add droplet to contact for infants and young children.

Wound infection with uncontained drainage

Contact

PPE: Gown + gloves for all room entry

When drainage cannot be contained by a dressing.

Hepatitis A (incontinent patient)

Contact

PPE: Gown + gloves for all room entry

Standard precautions otherwise; contact if diapered or incontinent.

Influenza

Droplet

PPE: Surgical mask within 3–6 ft; private room or cohort

Mask the patient during transport. Duration typically 7 days or per policy.

Pertussis (whooping cough)

Droplet

PPE: Surgical mask within 3–6 ft; private room or cohort

Until 5 days of effective antibiotics completed.

Neisseria meningitidis (meningococcal)

Droplet

PPE: Surgical mask within 3–6 ft; private room or cohort

Until 24 hours of effective antibiotics. Prophylaxis for close contacts per protocol.

Mumps

Droplet

PPE: Surgical mask within 3–6 ft; private room or cohort

5 days from onset of parotitis.

Rubella (German measles)

Droplet

PPE: Surgical mask within 3–6 ft; private room or cohort

7 days after rash onset. Pregnant staff should not enter.

Group A Streptococcus (severe)

Droplet

PPE: Surgical mask within 3–6 ft; private room or cohort

Until 24 hours of effective antibiotics for serious invasive disease.

Mycoplasma pneumonia

Droplet

PPE: Surgical mask within 3–6 ft; private room or cohort

Duration of illness.

Adenovirus pneumonia

ContactDroplet

PPE: Gown + gloves for all room entry · Surgical mask within 3–6 ft; private room or cohort

Combined contact + droplet for the duration of illness.

Tuberculosis (pulmonary/laryngeal)

Airborne

PPE: Fit-tested N95 or PAPR; negative-pressure (AIIR) room, door closed

AIIR room, fit-tested N95. Patient wears surgical mask during transport.

Measles (rubeola)

Airborne

PPE: Fit-tested N95 or PAPR; negative-pressure (AIIR) room, door closed

Highly contagious — airborne for 4 days after rash onset (entire illness if immunocompromised). Non-immune staff excluded.

Varicella (chickenpox)

AirborneContact

PPE: Fit-tested N95 or PAPR; negative-pressure (AIIR) room, door closed · Gown + gloves for all room entry

Airborne + contact until all lesions crusted. Non-immune staff should not enter.

Disseminated herpes zoster

AirborneContact

PPE: Fit-tested N95 or PAPR; negative-pressure (AIIR) room, door closed · Gown + gloves for all room entry

Airborne + contact. Localized zoster in immunocompetent patients: standard precautions with lesions covered.

COVID-19

DropletAirborne

PPE: Surgical mask within 3–6 ft; private room or cohort · Fit-tested N95 or PAPR; negative-pressure (AIIR) room, door closed

Follow current facility policy — N95 + eye protection commonly required, especially for aerosol-generating procedures.

Diphtheria (pharyngeal)

Droplet

PPE: Surgical mask within 3–6 ft; private room or cohort

Until cultures negative.

Epiglottitis (H. influenzae)

Droplet

PPE: Surgical mask within 3–6 ft; private room or cohort

Until 24 hours of effective antibiotics.

Parvovirus B19 (fifth disease)

Droplet

PPE: Surgical mask within 3–6 ft; private room or cohort

Pregnant staff should avoid exposure.

Remember

Standard precautions apply to every patient, every time — transmission-based precautions are layered on top. When categories combine (e.g. varicella), use the full PPE of each.