From: Subject: CDC | Severe Acute Respiratory Syndrome (SARS) Date: Mon, 24 Mar 2003 23:14:20 -0500 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_002A_01C2F25B.19B3BA70"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1106 This is a multi-part message in MIME format. ------=_NextPart_000_002A_01C2F25B.19B3BA70 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/ncidod/sars/aerosolinfectioncontrol.htm CDC | Severe Acute Respiratory Syndrome = (SARS) =
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Infection Control Precautions for = Aerosol-Generating=20 Procedures on Patients who have Suspected Severe Acute = Respiratory=20 Syndrome (SARS)
March 20, 2003, 7:00 PM = EST
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Multiple=20 cases of suspected Severe Acute Respiratory Syndrome (SARS) have = occurred=20 in healthcare personnel who had cared for other patients with = SARS. During=20 the course of the investigation, CDC has received anecdotal = reports that=20 aerosol-generating procedures may have facilitated transmission of = the=20 etiologic agent of SARS in some cases. Procedures that induce = coughing can=20 increase the likelihood of droplet nuclei being expelled into the = air.=20 These potentially aerosol-generating procedures include = aerosolized=20 medication treatments (e.g., albuterol), diagnostic sputum = induction,=20 bronchoscopy, airway suctioning, and endotracheal intubation. For = this=20 reason, healthcare personnel should ensure that patients have been = evaluated for SARS before initiation of aerosol-generating = procedures.=20 Evaluation for SARS should be based on the most recent case=20 definition for SARS. Aerosol-inducing procedures should be = performed=20 on patients who may have SARS only when such procedures are deemed = medically necessary. These procedures should be performed using = airborne=20 precautions as previously described for other infectious agents, = such as=20 Mycobacterium tuberculosis; Guidelines= =20 for Preventing the Transmission of Mycobacterium tuberculosis in=20 Health-Care Facilities. In summary, healthcare personnel = should apply=20 standard, (e.g., hand hygiene), airborne (e.g., respiratory = protective=20 devices with a filter efficiency of greater than or equal to 95%), = and=20 contact (e.g., gloves, gown, and eyewear) precautions when=20 aerosol-generating procedures are being performed on patients who = may have=20 SARS.

Other=20 information on appropriate infection control precautions for = patients with=20 suspected SARS can be found in the Updated = Interim=20 Domestic Infection Control Guidance in the Health Care and = Community=20 Setting for Patients with Suspected SARS.

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