대한의료관련감염관리학회 Korean Society for Healthcare-associated infection Control and Prevention.

pISSN 0705-3797. eISSN 2586-1298.

Infection control for mpox patient by situation

(A) Healthcare settings

Classification Recommendations
Patient placement - A patient with suspected or confirmed mpox infection should be placed in a single-person room; special air handling is not required.- The door should be kept closed. The patient should have a dedicated bathroom.- Transport and movement of the patient outside of the room should be limited to medically essential purposes.- If the patient is transported outside of their room, they should use well-fitting source control (e.g., medical mask) and have any exposed skin lesions covered with a sheet or gown.- Any procedures likely to spread oral secretions should be performed in an airborne infection isolation room.
PPE - For all healthcare workers.- Gown, Gloves, Eye protection (goggles or a face shield), NIOSH-approved particulate respirator equipped with N95 filters or higher.- When removing PPE, it is necessary to do so in the correct order to reduce the risk of self- and cross-contamination.- Hand hygiene must immediately follow doffing of PPE.
Environment care - Standard cleaning and disinfection procedures should be performed using appropriate disinfectant.- When handing soiled laundry, contact with lesion material that may be present on the laundry should be avoided.- Soiled laundry should be gently and promptly contained in an appropriate laundry bag.- Wet cleaning methods are preferred to avoid mobilizing viral particles.

(B) Community settings

Classification Recommendations
Hand hygiene - The use of an alcohol-based hand rub or hand washing with soap and water should be performed by people with mpox and household contacts after touching rash material, clothing, linens, or environmental surfaces that may have had contact with rash material.
Source control - Cover all skin rashes to the extent possible by wearing long sleeves or long pants.- Gloves can be considered for covering rash on the hands when not in isolation such as when receiving medical care.- People with mpox should use well-fitting source control (e.g., medical mask), if close contact with others cannot be avoided, such as when receiving medical care.- Other household members should wear a respirator or a well-fitting mask when in close contact (e.g., within 6 feet) with the person with mpox for more than a brief encounter.
PPE - When possible, the person with mpox should change their own bandages and handle contaminated linens while wearing disposable gloves, followed by immediate handwashing after removing gloves.- As a last resort, if assistance is needed with these activities, a household member should avoid extensive contact and wear, at a minimum, disposable medical gloves and a well-fitting mask or respirator.- Any clothing that contacts the rash during dressing changes should be immediately laundered.- Gloves should be disposed of after use, followed by handwashing.

Abbreviations: PPE, personal protective equipment; NIOSH, Institute for Occupational Safety and Health.

Korean J healthc assoc Infect Control Prev 2023;28:10~21 https://doi.org/10.14192/kjicp.2023.28.1.10
© Korean J healthc assoc Infect Control Prev