Infection control

Standard and transmission-based precautions

  • Standard precautions minimise the risk of transmission of health care related infections
  • Transmission-based precautions are used as well as standard precautions when standard precautions alone are not sufficient to prevent the spread of an infectious agent
  • Transmission-based precautions are based upon the mode of transmission of the infectious agent

Standard precautions

  • Apply to all patients regardless of their diagnosis or presumed infection status
  • Must be used in the handling of
    • Blood (including dried blood)
    • All other body fluids/substances (except sweat), regardless of whether they contain visible blood
    • Non-intact skin
    • Mucous membranes
  • Consist of
    • Hand hygiene before and after all contact
    • Use of personal protective equipment, which may include gloves, impermeable gowns, plastic aprons, masks, face shields and eye protection
    • Safe use and disposal of sharps
    • Use of aseptic 'non-touch' technique for all invasive procedures, including appropriate use of skin disinfectants
    • Reprocessing of reusable instruments and equipment
    • Routine environmental cleaning
    • Waste management
    • Respiratory hygiene and cough etiquette
    • Appropriate handling of linen

Transmission-based precautions

  • Transmission-based precautions (TBP) are used in addition to standard precautions when standard precautions alone may be insufficient to prevent transmission of infection
  • The type of TBP applied is based upon the mode of transmission of the pathogen
  • For diseases that have multiple routes of transmission, more than one TBP category is applied

Table 1.1 Transmission-based precautions required according to route of transmission  

Infection control measures                                Route of transmission
Airborne Droplet Contact
Gloves As per standard precautions As per standard precautions For all manual contact with patient, associated devices and immediate environmental surfaces
Impermeable apron/gown As per standard precautions As per standard precautions When healthcare worker's clothing is in substantial contact with the patient, items in contact with the patient, and their immediate environment

P2 Respirator

Refer to AS/NZS 1715 for additional information

Yes Not required Not required

Mask (surgical-style)

Refer to AS 4381:2015 for additional information

No (P2 respirator) Yes As per standard precautions
Goggles/face shields As per standard precautions As per standard precautions As per standard precautions

Supporting resources

  • Hand Hygiene Australia website
  • Donning and doffing poster