Winnipeg Regional Health Authority Infection Prevention & Control Manual

Clinical Presentation, Type of Infective Material Route of Incubation Period of Duration of Comments Microorganism, Infectious Precautions Transmission Communicability Precautions Disease

GONORRHEA (cont’d)

Ophthalmia Routine discharge Mother-to- 1-5 days Until 24 hours after neonatorum newborn effective treatment

Arthritis, Routine Drainage Sexually 2-7 days May extend for Pelvic inflammatory disease transmitted months if untreated.

GRANULOMA INGUINALE Routine Sexually 8-20 days Donovanosis transmitted Klebsiella granulaomatous

GUILLAIN-BARRE SYNDROME Routine* *Take precautions as appropriate for known or suspected associated infection.

HAEMOPHILUS INFLUENZAE Droplet Respiratory Droplet, Variable Most infectious in the Until 24 hours Close contacts less than 48 months of TYPE b (HIB) secretions direct contact week prior to the after startt of age and who are not immune may Invasive disease onset of illness and appropriate require chemoprophylaxis. during the illness until Household contacts of such children treated therapy should also receive prophylaxis. Refer to Disease Specific Protocol: : Meningitis. HAND, FOOT & MOUTH DISEASE Routine Feces Direct & indirect 3-5 days During the acute For duration of Coxsackie enterovirus Children < 6 yrs: Respiratory (Fecal/oral) stage of the illness illness Contact secretions contact and perhaps longer

HANSENS DISEASE Routine Nasal secretions Direct contact One to many Transmitted between persons following Leprosy years very prolonged and extensive close Mycobacterium leprae personal contact. Household contacts Lepromatous leprosy should be given prophylaxis.

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DATE ISSUED: February 1, 2006 REVISION DATE: August, 2012 Winnipeg Regional Health Authority Infection Prevention & Control Manual

Clinical Presentation, Type of Infective Material Route of Incubation Period of Duration of Comments Microorganism, Infectious Precautions Transmission Communicability Precautions Disease

HANTAVIRUS Routine Rodent feces Not person to 2-4 weeks Infection acquired from rodents. person

HELICOBACTER PYLORI Routine

HEMOLYTIC UREMIC SYNDROME Routine* Feces Direct & indirect If E. coli If E. coli *Consider Contact Precautions for (HUS) Children < 6 yrs: contact 0:157:H7: :from 0:157:H7: Until incontinent patients if feces cannot be May be associated with Contact (Fecal/oral) onset of symptoms 2 stools contained or for patients who Verotoxigenic until several weeks negative or 10 contaminate their environment. after resolution days from onset If E. coli 0:157:H7: Refer to Specific of diarrhea Disease Protocol: Diarrhea – Bacterial.

HEMORRHAGIC (VIRAL) Airborne & Blood & Direct & indirect Variable Unknown possibly Duration of Manitoba Health & WRHA Medical (VHF) Contact bloody contact, possibly several weeks illness Officer of Health should be notified Ebola body fluids airborne hemorrhagic immediately of a suspected case. Lassa Fever Respiratory if Notify Infection Prevention & Control , Marburg Fever secretions Infectious Diseases Physician on Call, Others and Administrator on Call immediately. Add eye protection, double gloves, leg and shoe coverings and impermeable gowns. Special precautions for handling of deceased body. Contact Infection prevention & Control for direction.

HEPATITIS Routine* Blood Direct & indirect Variable Variable For 7 days after If specific etiology is established, refer Unknown etiology Children < 6 yrs: Certain body fluids. contact onset of to specific disease in table. Contact Feces (Fecal oral) jaundice or until *Consider Contact Precautions for for Hepatitis A, diagnosis incontinent patients if feces cannot be E established or contained or for patients with poor infectious hygiene who contaminate their etiology ruled environment. out 6.22

DATE ISSUED: February 1, 2006 REVISION DATE: May 1, 2010