Healthcare Hygiene magazine September 2022 September 2022 | Page 11

Environmental infection control
Standard cleaning and disinfection procedures should be performed using an Environmental Protection Agency ( EPA ) -registered hospital-grade disinfectant with an emerging viral pathogen claim found on EPA ’ s List Q . Follow the manufacturer ’ s directions for concentration , contact time , and care and handling .
Soiled laundry should be gently and promptly contained in an appropriate laundry bag . It should not be shaken or otherwise handled in a manner that may disperse infectious particles .
Duration of precautions
Monkeypox can spread from the time symptoms start until the rash has fully healed and a fresh layer of skin has formed . Decisions regarding discontinuation of isolation precautions in a healthcare facility should be made in consultation with an infectious disease physician and the infection prevention and control department . Isolation precautions should be maintained until all lesions have crusted , those crusts have separated , and a fresh layer of healthy skin has formed underneath .
Visitation
Visitors to patients with Monkeypox should be limited to those essential for the patient ’ s care and wellbeing ( e . g ., parents of a child , spouse ).
Margaret M . Miller , BS , MT ( ASCP ) M , CIC , FAPIC , is an infection preventionist with ECRI .
Susan Singh , MPH , CIC , is an infection preventionist with ECRI .
Resources :
Management of Patients with Suspected or Confirmed Monkeypox Virus . ECRI ( pending publication ). 2022
Monkeypox – Infection Control in Healthcare Settings . CDC . July 2022 : https :// www . cdc . gov / poxvirus / monkeypox / clinicians / infection-control-healthcare . html
PA DOH fact sheet : https :// www . health . pa . gov / topics / Documents / Diseases % 20and % 20Conditions / Monkeypox . pdf
Monitoring Persons Exposed . CDC . June 2022 : https :// www . cdc . gov / poxvirus / monkeypox / clinicians / monitoring . html
Decisions regarding discontinuation of isolation precautions in a healthcare facility should be made in consultation with an infectious disease physician and the infection prevention and control department .”

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