One challenge for patients with cystic fibrosis (CF) is that germs can be spread between patients. The Cystic Fibrosis Foundation has guidelines to help limit the spread of infection. For patient safety, we must follow these guidelines.
All patients with CF are treated the same in the hospital or at outpatient/clinic visits. All CF patients are managed in Contact Precautions. Some patients with certain bacteria, will have more rules to follow. The bacteria include:
Methicillin-Resistant Staphylococcus aureus (MRSA)
Multi-drug resistant Pseudomonas Aeruginosa
When You Arrive at the Hospital
All patients with CF will have a breathing culture done. Patients are placed in Contact and Droplet Precautions until results are known. We do this in case the patient has new bacteria in their culture that could be spread to others. While in contact and droplet precaution, the rules listed below will be followed:
All healthcare workers who enter the patient’s room will wear a gown, gloves, and mask.
Patients may leave their rooms only for medical tests (such as x-rays).
Upon leaving the room, patients will wash their hands well. They will need to wear a clean hospital robe and mask.
If the final culture results do not contain MRSA, healthcare workers and visitors no longer need to wear the face mask. They will still need to wear gowns and gloves while the patient is in clinic or the hospital.
Outside the Patient Room
All patients with CF need to wear masks when they are outside of their rooms. This is for their own safety.
Classroom and Child Life Rooms
Patients with CF should not have contact with each other in the hospital unless they are related. This applies to the patient units and in common places. These areas include the cafeteria, school, playroom and family lounge.
Only one child with CF can be in the classroom or child life room at one time.
School teachers and child life staff will clean the desk after the child with CF leaves the room.
School teachers and child life staff will create a fair system to allow equal sharing of the classroom and child life room.
Patients with CF should not visit with each other in the hospital. This includes the patient’s room and common places. These areas include the cafeteria, playroom, and school.
Guidelines for MRSA, Burkholderia species, and multi-drug resistant P. aeruginosa
Patients may leave their rooms for medical needs. They must be supervised by staff.
Healthcare workers will practice contact and droplet precautions when coming into the room.
Upon leaving their room, patients will wash their hands well. They will also need to wear a clean hospital robe and a mask.