Clinical Meaning
Isolation precautions are infection prevention strategies designed to interrupt the chain of infection by targeting the mode of transmission.
Isolation precautions are infection prevention strategies designed to interrupt the chain of infection by targeting the mode of transmission. The chain of infection requires six links: (1) Infectious agent (pathogen), (2) Reservoir (where the organism lives and multiplies), (3) Portal of exit (how it leaves the reservoir), (4) Mode of transmission (how it travels to a new host), (5) Portal of entry (how it enters the new host), and (6) Susceptible host. Isolation precautions target the MODE OF TRANSMISSION link. There are two tiers of precautions: STANDARD PRECAUTIONS apply to ALL patients regardless of known or suspected infection status and include hand hygiene, PPE based on anticipated exposure, respiratory hygiene/cough etiquette, safe injection practices, and proper handling of contaminated equipment and surfaces. TRANSMISSION-BASED PRECAUTIONS are used IN ADDITION to standard precautions when the route of transmission is not completely interrupted by standard precautions alone. There are three categories: AIRBORNE (particles <5 microns that remain suspended: TB, measles, varicella), DROPLET (particles >5 microns that fall within 3-6 feet: influenza, pertussis, meningococcal meningitis), and CONTACT (direct or indirect physical transfer: MRSA, C.diff,...
