![]() In the section on aspergillosis, the revised recommendations include the use of a room with high-efficiency particulate air filters rather than laminar airflow as the protective environment for allogeneic HSCT recipients and the use of high-efficiency respiratory-protection devices (e.g., N95 respirators) by severely immunocompromised patients when they leave their rooms when dust-generating activities are ongoing in the facility. HSCT recipients who had visited an outpatient HSCT unit during all or part of the 2-10 day period before illness onset. ![]() when one definite or one possible case of laboratory-confirmed health-care-associated Legionnaires disease is identified in an inpatient hemopoietic stem-cell transplant (HSCT) recipient or in two or more Program to prevent and control health-care-associated Legionnaires disease, and initiating an investigation for the source of Legionella spp. The potable water system of a facility's organ-transplant unit when it is done as part of the facility's comprehensive Legionella spp., considering routine culturing of water samples from For prevention of health-care-associated Legionnaires disease, the changes include maintaining potable hot waterĪt temperatures not suitable for amplification of Recommendations were made about the use of sucralfate, histamine-2 receptor antagonists, or antacids for stress-bleeding prophylaxis. Ventilator-associated pneumonia, are the preferential use of oro-tracheal rather than naso-tracheal tubes in patients who receive mechanically assisted ventilation, the use of noninvasive ventilation to reduce the need for and duration of endotracheal intubation, changing the breathing circuits of ventilators when they malfunction or are visibly contaminated, and (whenįeasible) the use of an endotracheal tube with a dorsal lumen to allow drainage of respiratory secretions no The new guidelines are designed to reduce the incidence of pneumonia and other severe, acute lower respiratory tract infections in acute-care hospitals and in other health-care settings (e.g., ambulatory and long-term care institutions) and other facilities where health care is provided.Īmong the changes in the recommendations to prevent bacterial pneumonia, especially This report updates, expands, and replaces the previously published CDC "Guideline for Prevention of Cardo, M.D., Director, and the Division of Bacterial and Mycotic Diseases, Mitchell L. Hughes, M.D., Division of Healthcare Quality Promotion, Denise M. The material in this report originated in the National Center for Infectious Diseases, James M. Pneumonia, 2003 Recommendations of CDC and the Healthcare Infection Controlġ Division of Healthcare Quality Promotion, National Center for Infectious DiseasesĢDivision of Viral and Rickettsial Diseases, National Center for Infectious DiseasesģDivision of Bacterial and Mycotic Diseases, National Center for Infectious Diseases ![]() Guidelines for Preventing Health-Care-Associated ![]() For assistance, please send e-mail to: Type 508 Accommodation and the title of the report in the subject line of e-mail. Persons using assistive technology might not be able to fully access information in this file. ![]()
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