Respiratory Hygiene in the Emergency Department

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Presentation transcript:

Respiratory Hygiene in the Emergency Department Richard E. Rothman, MD, PhD, Charlene B. Irvin, MD, Gregory J. Moran, MD, Lauren Sauer, BA, Ylisabyth S. Bradshaw, DO, MS, Robert B. Fry, MD, Elaine B. Josephine, MD, Holly K. Ledyard, MD, Jon Mark Hirshon, MD, MPH Journal of Emergency Nursing Volume 33, Issue 2, Pages 119-134 (April 2007) DOI: 10.1016/j.jen.2007.01.013 Copyright © 2006 American College of Emergency Physicians Terms and Conditions

Figure 1 Rating categories applying to Figures 2-4. Journal of Emergency Nursing 2007 33, 119-134DOI: (10.1016/j.jen.2007.01.013) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

Figure 2 Summary and level of supporting evidence for standard precautions (see Figure 1 for definitions of levels of grading); available at: http://www.cdc.gov/ncidod/hip/isolat/std_prec_excerpt.htm. Journal of Emergency Nursing 2007 33, 119-134DOI: (10.1016/j.jen.2007.01.013) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

Figure 3 Summary and level of supporting evidence for droplet precautions (see Figure 1 for definitions of levels of grading); available at: http://www.cdc.gov/ncidod/hip/isolat/droplet_prec_excerpt.htm. Journal of Emergency Nursing 2007 33, 119-134DOI: (10.1016/j.jen.2007.01.013) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

Figure 4 Summary and level of supporting evidence for airborne precautions (see Figure 1 for definitions of levels of grading); available at: http://www.cdc.gov/ncidod/hip/isolat/airborne_prec_excerpt.htm. Journal of Emergency Nursing 2007 33, 119-134DOI: (10.1016/j.jen.2007.01.013) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

Figure 5 Recommendations about air handling systems in health care facilities from Guidelines for environmental infection control in health-care facilities: recommendations of CDC and the Health Care Infection Control Practices Advisory Committee. MMWR Morb Mortal Wkly Rep. 2003;52:5-13,n0.rr10. Available at: http://www.cdc.gov/MWWR/preview/MMWRhtml/rr5210a1.htm. Journal of Emergency Nursing 2007 33, 119-134DOI: (10.1016/j.jen.2007.01.013) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

Figure 6 CDC algorithm for evaluation and treatment of patients requiring hospitalization for radiographically confirmed pneumonia in the absence of person-to-person transmission of SARS-Coronavirus. Available at: www.cdc.gov/ncidod/sars/clinicalguidanceframe1.htm. Journal of Emergency Nursing 2007 33, 119-134DOI: (10.1016/j.jen.2007.01.013) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

Figure 7 CDC algorithm for management of fever or respiratory symptoms when SARS-CoV person-to-person transmission is occurring. Available at: http://www.cdc.gov/ncidod/sars/clinicalguidanceframe2.htm. Journal of Emergency Nursing 2007 33, 119-134DOI: (10.1016/j.jen.2007.01.013) Copyright © 2006 American College of Emergency Physicians Terms and Conditions