Anthrax

No person to person transmission after decontamination

Placement

Any room after decontamination

Decontamination

Patient shower with soap and water (bag clothes/seal tightly)

Transport

Standard Precautions

Cleaning

Standard using hospital-approved phenolic compound

Visitors

Yes

Discharge Precautions

No precautions, except cutaneous anthrax needs standard precautions

Postmortem

Standard precautions

Botulism

No person to person transmission

Placement

Any room

Decontamination

None necessary

Transport

Standard Precautions

Cleaning

Standard using hospital-approved phenolic compound

Visitors

Yes

Discharge Precautions

No precautions

Postmortem

Standard precautions

Plague

Droplet precautions due to respiratory droplet spread

Placement

Private room, N95 respirator mask for 72 hours after initiation of appropriate antibiotic therapy

Decontamination

Risk is low, but if gross exposure, decontaminate with shower and bag clothing

Transport

Droplet Precautions, surgical mask for patient

Cleaning

Standard using hospital-approved phenolic compound

Visitors

Restrict for 72 hours

Discharge Precautions

No precautions unless discharged less that 72 hours after onset of
antibiotic therapy, then teach Droplet Precautions

Postmortem

Droplet and standard precautions

Smallpox

High risk person to person transmission. Airborne and Contact transmission Precautions

Placement

Negative Pressure isolation room(s), doors must be kept closed at all times, monitor negative pressure airflow

Decontamination

None

Transport

Patient MAY NOT LEAVE ROOM except in dire medical necessity and must wear N95 mask

Cleaning

DO NOT SHARE PATIENT EQUIPMENT (may be contaminated with viral particles), standard cleaning using hospital-approved phenolic compound

Visitors

No visitors

Discharge Precautions

Should not be discharged until no longer infectious, all bedding to be placed in BIOHAZARD (red) bag and autoclaved.

Postmortem

Airborne and contact transmission precautions