Illness Prevention, Health Promotion, and Integrated Care — Infection control practices

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Case 1 of 1Illness Prevention, Health Promotion, and Integrated CareInfection control practices (e.g., hand hygiene)

A 7-year-old boy is brought to a busy family medicine clinic with 3 days of fever, cough, runny nose and red eyes. A blotchy red rash began on his face yesterday and is spreading down his trunk. On examination, he is irritable but alert, has bilateral non-purulent conjunctivitis, and has small white spots on the buccal mucosa. His parents state that he has received no vaccines, and there is an ongoing outbreak of a vaccine-preventable illness in the community. The family is seated in the crowded waiting room with several other patients.

Heart rate	118/min
Respiratory rate	24/min
Temperature	39.4 °C
O2 saturation	98%, room air
Blood pressure	100/62 mm Hg

Question 1 of 3

Which of the following are the most appropriate immediate infection-control and public health actions?

Select 3. (0 / 3 selected)

100%

AContact precautions with gowns and gloves only

BHand hygiene alone as the main protective measure

CEntry limited to staff with documented immunity wearing N95 respirators

DSeat the child in a corner of the waiting room 2 m from others

EMask the child and place him in a private room with the door closed

FNotify local public health immediately

GSurgical masks for staff entering the room

HWait for laboratory confirmation before notifying public health

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