Table 2. Major elements of a ‘package of control’ approach to infection prevention and control for airborne infections in healthcare facilities.
Category | Details or examples | ||||
Administrative | Examples include triage and separation of people with infectious or potentially infectious TB, COVID-19, and/or influenza, etc. | ||||
Environmental | E.g., ensuring good ventilation (minimum 6 - 12 air changes per hour equivalent), minimising crowding, and using UVGI. | ||||
Personal protection | Using high quality PPE as appropriate (e.g., respirators, eye protection, gloves, aprons). | ||||
Additional measures to reduce transmission between clinic attendees and from clinic attendees to HWs. | E.g., face coverings for all individuals attending health facilities (source control), physical distancing, and hand hygiene | ||||
Additional measures to reduce transmission between HWs. | Attention to IPC in non-clinical areas such as staff canteens, rest areas, and changing rooms | ||||
Additional measures to reduce transmission to and from HWs outside of healthcare facilities. | HWs trained to maintain precautions outside of health facilities. For example, during use of public transport; by minimising time spent in poorly ventilated, densely occupied areas; and by maintaining physical distancing, hand hygiene, and use of face coverings. | ||||
Longer term measures to strengthen systems and reduce risks of transmission. | Respiratory protection programmes; surveillance for healthcare-associated infections; monitoring/audit of IPC practices with feedback* |
TB = tuberculosis
COVID-19 = coronavirus disease 2019
UVGI = ultraviolet germicidal irradiation
HW = health worker
PPE = personal protective equipment
IPC = infection prevention and control
* See ‘core components of IPC programmes’ in 2019 WHO TB IPC guidelines.[20]