https://www.canada.ca/en/public-health/services/publications/diseases-conditions/routine-practices-precautions-healthcare-associated-infections/part-c.html#tb5

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Transmission of Infectious Agents (Canada Public Health Agency) 2014

Microorganism

Precautions

Route of transmission

Actinomyces species

Routine

(normal flora, 2o to trauma)

Adenovirus Respiratory

strains

Droplet and contact

Large droplets; direct and

indirect contact

Adenovirus Conjunctivitis

Contact

Direct and indirect contact

Adenovirus GI strains

Adult: Routine

Children: Contact

Direct and indirect contact

(fecal-oral)

Amebiasis (E. histolytica)

Adult: Routine

Children: Contact

Direct and indirect contact

(fecal-oral)

Anthrax (B. anthracis)

Routine

Contact with infected animals and animal products, inhalation

from occupational exposure or bioterrorism

Antibiotic resistant organisms

(AROs) (includes MRSA, VRE,

resistant Gram negatives)

Contact

Direct and indirect contact

Arthropod borne viruses

Routine

Vector-borne

Ascariasis

Routine

Fecal-oral (ova must hatch in

soil)

Aspergillosis

Routine

Spores in dust;

immunocompromised

Astrovirus

Adult: Routine

Children: Contact

Direct and indirect contact

Babesiosis

Routine

Tick borne

Bacillus cereus

Routine

Foodborne

Bed Bugs

Routine

Not known to transmit disease

Blastomycosis

Routine

Acquired from spores in soil

Bocavirus Resp Tract

Droplet and contact

Droplet and contact (may

cohort if infected with same virus)

Botulism (C. botulinum)

Routine

Foodborne

Brucellosis (Undulant,

Malta or Mediterranean Fever)

Routine

Acquired from contact with

infected animals or contaminated food

Burkholderia cepacia

Contact

Usually only infects Cystic

Fibrosis patients

Campylobacter

Adult: Routine

Children: Contact

Direct and Indirect contact

(fecal-oral)

Candidiasis

Routine

Normal flora

Cat scratch disease

(Bartonella hensalae)

Routine

Acquired from animals

Chancroid (Haemophilus ducreyi)

Routine

Direct contact (sexual transmission)

Chlamydia trachomatis

Routine

Trachoma: direct/indirect

STI: sexual transmission (direct)

Chlamydia pneumoniae

Routine

Unknown, likely droplet, direct and indirect

Chlamydia psittaci

Routine

Inhalation of dessicated

droppings from birds

Cholera (Vibrio cholerae)

Adult: Routine Children: Contact

Direct and indirect contact (fecal oral)

Clostridium difficile

Contact

Direct and indirect contact

(fecal-oral)

Clostridium perfringens

Routine

Foodborne or in normal gut flora, in soil with trauma

Coccidioidomycosis

(Coccidioides immitis)

Routine

Acquired from spores in soil,

dust in endemic areas

Coronavirus (CoV other than SARS-CoV)

Droplet and contact

Direct and indirect contact, possible large droplet

Creutzfeldt-Jakob Disease

Routine

Acquired from infected donors (separate guidelines for precautions at www.phac- aspc.gc.ca/noissinp/guide/pubs-

eng.php

Cryptococcosis (Cryptococcus neoformans)

Routine

Unknown, but inhaled from environment, bird droppings

Cryptosporidiosis

(Cryptosporidium parvum)

Adult: Routine

Children: Contact

Direct and indirect contact

(fecal-oral)

Cysticercosis (Taenia solium larvae)

Routine

Direct contact (fecal-oral)

Cytomegalovirus

Routine

Direct, sexual transmission, mother to child, transfusion,

transplantation

Dengue virus

Routine

Vector

Dermatophytosis

Contact

Direct or indirect contact

Diphtheria cutaneous Diphtheria-pharyngeal (Corynebacterium diphtheriae)

Contact Droplet

Direct or indirect contact Large droplets

Echinococcosis

Routine

Acquired from contact with

infected animals

Enteroviral infections

(Echovirus, Coxsackie A & B, Enterovirus, Poliovirus

Adult: Routine Children: Contact

Direct and indirect contact (fecal-oral)

Epstein-Barr Virus

Routine

Direct via saliva, transplantation

Erythema infectiosum (Parvovirus B19)

Routine (5th disease) Droplet (TAC or chronic infection in

immunocompromised)

Large droplets, direct contact, vertical mother - baby

Giardia lamblia

Adult: routine

Children: Contact

Direct and indirect (fecal-oral)

Granuloma inguinale (Calymmatobacterium

granulomatis)

Routine

Direct - sexual transmission

Haemophilus influenzae

type b invasive infection

Adult: Routine

Children: Droplet

Large droplets, direct contact

Hand foot and mouth

disease

Adult: Routine

Children: Droplet

Direct and indirect contact

Hantavirus (Hantavirus

pulmonary syndrome)

Routine

Rodent excreta

Helicobacter pylori

Routine

Probable ingestion of organisms, presumed fecal-

oral,oral-oral

Hepatitis A, E

Adult: Routine

Children: Contact

Direct and indirect contact

(fecal-oral)

Hepatitis B,C,D,G

Routine

Mucosal or percutaneous exposure to infective body fluids, sexual transmission,

vertical mother to child

Herpes simplex encephalitis Herpes simplex neonatal

Herpes simplex mucocutaneous,

disseminated or primary and extensive

Adult: Routine Children: Contact

Contact, also contact for infants delivered vaginally to women with active genital HSV

Contact

Direct contact

Direct contact

Histoplasmosis (Histoplasma

capsulatum)

Routine

Acquired from spores in soil

Hookworm

Routine

Larvae must hatch in soil to

become infectious

HHV-6 (Roseola)

Routine

Direct contact

HIV

Routine

Mucosal or percutaneous exposure to infective body fluids. Sexual transmission,

vertical mother to child

Human metapneumovirus

Droplet and contact

Large droplets, direct and

indirect contact

Human T cell leukemia virus (HTLV 1, HTLV II)

Routine

Vertical mother to child, mucosal or percutaneous exposure by infective body

fluids

Influenza seasonal

Droplet and contact

Large droplets, direct and

indirect contact

Pandemic novel Influenza viruses

Pandemic influenza precautions

Large droplets, direct and indirect contact

Avian Influenza

Droplet and contact

?Excreta of sick birds, possibly

sometimes human respiratory secretions

Legionella

Routine

Acquired from contaminated water sources (inhalation not ingestion)

Leprosy

Routine

Direct contact

Leptospirosis

Routine

Acquired from contact with

animals or animal urine

Lice Head & Body, Pubic

Routine, plus gloves for

direct patient contact

Head and body: direct and

indirect contact. Pubic: sexual

Listeriosis

(Listeria monocytogenes)

Routine

Foodborne; vertical mother to

child

Lyme disease

(Borrelia bergdorferi)

Routine

Vector, tickborne

Lymphocytic

choriomeningitis

Routine

Acquired from contact with

rodents

Lymphogranuloma

venereum

Routine

Direct – sexually transmitted

Malaria (Plasmodium species)

Routine

Vector (mosquito), rarely vertical mother to child, blood

transfusion

Measles

Airborne

Airborne

Melloidosis (Pseudomonas

pseudomallei)

Routine

Acquired from soil in SE Asia

Neisseria meningitidis

Droplet

Large droplet, direct contact

Molluscum contagiosum

Routine

Direct contact

Monkeypox

Contact, droplet and airborne

Contact with infected animals;

possible airborne transmission from animals to humans

Mucormycosis

Routine

Inhalation or ingestion of fungal spores from soil, dust.

Infections in

immunocompromised

Mumps

Droplet

Large droplets, direct contact

Mycobacterium (non-TB)

Atypical

Routine

Acquired from soil, water,

animal reservoirs

Mycobacterium tuberculosis including M. bovis, M. africanum, M. caprae, M. microti and M. pinnipedii

Airborne

Nonpulmonary infections in bone or joint with no draining routine precautions; PPD skin test positive with no evidence of disease routine

Airborne

Mycoplasma pneumoniae

Droplet

Large droplets

Neisseria gonorrhoeae

Routine

Direct – sexual; mother to child

Neisseria meningitidis

See meningococcus

Nocardiosis

Routine

Acquired from organisms in soil,

dust

Noroviruses

Contact

Direct and indirect contact

(fecal-oral)

Orf

Routine

Acquired from infected animals

Parainfluenza virus

Droplet and contact

Large droplets, direct and indirect contact

Pertussis (Bordetella pertussis, Bordetella

parapertussis)

Droplet

Large droplets

Plague bubonic (Yersinia pestis) Plague pneumonic

Routine

Droplet

Acquired from contact with fleas and rats

Large droplets

Pneumocystis jiroveci

Routine

? normal flora?

Poliomyelitis

Contact

Direct and indirect contact

Q Fever (Coxiella burnetii)

Routine

Acquired from contact with

infected animals or ingestion of raw milk

Rabies

Routine

Mucosal or percutaneous exposure to saliva; corneal tissue and organ

transplantation

Rat Bite Fever (Streptobacillus moniliformis, Spirillum

minus)

Routine

Rodent bite, ingestion of contaminated milk

Relapsing fever (Borrelia recurrentis, other Borrelia

sp)

Routine

Vector (ticks, lice)

Respiratory syncytial virus

Droplet and contact

Large droplets, direct and

indirect contact

Rhinovirus

Contact and droplet

Direct and indirect contact,

possibly large droplets

Rickettsialpox

Routine

Vector (mites)

Rocky Moutain spotted

fever

Routine

Vector (tick borne)

Rotavirus

Contact

Direct and indirect contact

(fecal-oral)

Rubella, acquired Rubella, congenital

Droplet

Droplet and contact

Large droplets, direct contact

Salmonella (including typhi)

Adult: Routine

Children: Contact

Direct and indirect contact

(fecal-oral)

Scabies

Contact

Direct and indirect contact

Schistosomiasis

Routine

Contact with larvae in water

Shigella

Adult: Routine Children: contact

Direct and indirect contact (fecal-oral)

SARS

Contact and droplet

Droplet, direct and indirect

contact, aerosols

Smallpox

Droplet, contact and

airborne

Airborne, direct and indirect

contact

Sporotrichosis

Routine

Acquired from spores in soil, on

vegetation

Staphylococcus aureus

Minor (contained): Routine Major (draining): Contact Pneumonia: droplet if child Routine

Toxic shock: routine

Direct and indirect contact

Large droplets Foodborne

Streptococcus pneumoniae

Routine

Normal flora or droplet

Streptococcus group A: skin Pharyngitis, Scarlet Fever

Toxic shock

Minor: routine Major: contact Adult: Routine

Children: Contact and droplet

Droplet and contact

Direct and indirect contact Large droplets

Large droplets, direct or indirect

Streptococcus Grp B

Routine

Mother to child at birth

Strongyloides

Routine

Infective larvae in soil, may cause disseminated disease in immunocompromised

Syphilis (Treponema pallidum)

Routine gloves for direct contact with skin lesions

Direct contact with infectious exudates or lesions; sexual transmission, intrauterine or intrapartum from mother to

child

Tapeworm

Routine

Consumption of larvae in

undercooked meat

Tetanus (Clostridium tetani)

Routine

Acquired from soil, trauma

Toxocariasis

Routine

Intrauterine transmission mother to child; transplantation of stem cells; contact with

infected felines or products

Trench Fever

(Bartonella Quintana)

Routine

Louse borne

Trichinosis

(Trichinella spiralis)

Routine

Foodborne, acquired from meat

Trichomoniasis

Routine

Sexually transmitted

Trichuriasis (Trichuria trichuria)

Routine

Ova must hatch in soil

Tularemia (Francisella

tularensis)

Routine

Acquired from contact with

infected animals, also vector

Typhus Fever (Rickettsia typhi)

Routine

Flea borne

Vaccinia

Contact

Direct and indirect contact

VRE

Contact

Direct and indirect contact

VRSA

Contact

Direct and indirect contact

Varicella zoster: varicella and zoster

Airborne and contact

More stringent for immunocompromised

Airborne, direct and indirect contact

Vibrio parahemolyticus

enteritis

Routine

Foodborne

Viral hemorrhagic fevers

Contact and droplet

Direct and indirect contact

Lassa: sexual contact

Yersinia enterocolitica

Adult: Routine

Children: contact

Direct and indirect contact

(fecal-oral), foodborne