Table F–1 (Transmission-Based Precautions for Perinatal/Neonatal Patients in conjunction with Standard Precautions) is based on current knowledge and practices in the fields of epidemiology, pediatrics, and perinatology. Published resource references are listed immediately following the table.
Instructions for using Precautions for Perinatal/Neonatal Patients Table:
- Each disease is considered individually so that only precautions indicated to interrupt transmission for that disease are recommended.
- The column "Maternal Precautions" describes the precautions to be used by staff providing care to the mother.
- The column "Neonatal Precautions" describes the precautions to be used by staff, patients, or visitors in contact with the neonate.
- Staff should assess the mother's ability to wash hands correctly and comply with precautions when determining the appropriateness of permitting rooming in.
Precautions shall be initiated for suspected as well as confirmed infectious diseases/conditions.
Table F–1. TRANSMISSION BASED PRECAUTIONS FOR PERINATAL PATIENTS IN CONJUNCTION WITH STANDARD PRECAUTIONS |Favorite Table|Download (.pdf)
Table F–1. TRANSMISSION BASED PRECAUTIONS FOR PERINATAL PATIENTS IN CONJUNCTION WITH STANDARD PRECAUTIONS
|Infection/Disease||Maternal Precautions||Neonatal Precautions||Room-in||Mother May Visit in Nursery||Breast-feeding||Additional Considerations|
|AIDS/HIV Positive||Standard||Standard||Yes||Yes||No||Recommend tuberculosis testing for mother.|
|Bathe baby ASAP when stable||HIV may be transmitted through breast milk.||Begin treatment for infant with AZT within 6–12 hours of birth and continue treatment for 6 weeks. Refer to AAP Red Book.|
|Report AIDS to Health Department.|
|Chickenpox (see Varicella)|
|Chlamydia Trachomatis||Standard||Standard||Yes||Yes||Yes||Topical prophylaxis is ineffective for Chlamydia ophthalmic disease.|
|Treatment for Chlamydia conjunctivitis and pneumonia is systemic Erythromycin for 14 days.|
|Cytomegalovirus (CMV)||Standard||Standard||Yes||Yes||Yes||No additional precautions for pregnant healthcare workers.|
|Gonococcal Ophthalmia Neonatorum||Standard||Standard||Yes||Yes||Yes||Prophylactic use of topical 0.5% Erythromycin ophthalmic or 1% tetracycline ointment at birth should be performed to prevent ophthalmic neonatorum.|
|After 24 hours of maternal treatment with antibiotics.||After 24 hours of maternal treatment with antibiotics.||After 24 hours of maternal treatment with antibiotics.|
|Newborns born to mothers with active gonorrhea should receive a single dose of ceftriaxone 125 mg IV or IM. For low birthweight neonates, the dose is 25–50 mg/kg of body weight. Cefotaxime (100 mg/kg) in a single does is an alternative.|
|Group B Streptococcal Infections||Standard||Standard||Yes||Yes||Yes||Follow Center for Disease Control and Prevention guidelines for laboratory testing and antibiotic treatment recommendations.|
|Hepatitis A, B, C||Standard||Standard||Yes||Yes||Yes||Early hepatitis B immunization is recommended for all medically stable infants with birth weights > 2 kg, regardless of maternal status. The American Academy of Pediatrics recommend that infants born to HBsAg positive mothers, including preterm and low birthweight infants, receive the initial dose of hepatitis B vaccine within 12 hours of birth.|
|Report to Health Department.|
|Herpes Simplex Virus (HSV) Neonatal Infection or Positive Culture in Absence of Disease||Contact Gown and gloves||Yes ...|
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