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Hi Fiona
If the shingles lesions are dry and crusted over then Standard Precautions are suitable as the disease is not transmissible. If the lesions are moist and disseminating then Contact and Droplet remain appropriate.
If there is evidence to suggest otherwise, then forward to NHMRC for review. Providing feedback to the NHMRC with evidence supporting your concern facilitates action. I recently provided feedback with documented evidence supporting the need for Droplet Precautions for RSV (the new 2019 Guidelines recommended Standard Precautions). I received a response within 4 weeks advising they had reviewed the feedback and are updating the Guidelines to show Droplet Precautions for RSV.
Kind regards
Meredith Southon
Meredith Southon RN MInfecPrevCont QualNursImm
Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
PO Box 821, Murwillumbah NSW 2484
Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
http://www.health.nsw.gov.au
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Hi All,
We are currently reviewing our Transmission Based Precautions for Herpes Zoster (shingles). Traditionally we have cared for people using contact precautions and added in airborne precautions if the patient has disseminated shingles or respiratory involvement.
However the 2019 edition of the Australian Guidelines for the Prevention and Control of Infection in Healthcare, whilst acknowledging airborne transmission is recommending Standard precautions and adding in contact and airborne precautions in the case of disseminated disease.
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I am interested to know how other facilities / jurisdictions manage herpes zoster.
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
IPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
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