Ariz. Admin. Code § R9-6-363 - Methicillin-resistant Staphylococcus aureus (MRSA)
A. Case control
measures:
1. A diagnosing health care
provider or an administrator of a health care institution transferring a known
methicillin-resistant Staphylococcus aureus case with active
infection to another health care provider or health care institution or to a
correctional facility shall, either personally or through a representative,
ensure that the receiving health care provider, health care institution, or
correctional facility is informed that the patient is a known
methicillin-resistant Staphylococcus aureus case.
2. If a known methicillin-resistant
Staphylococcus aureus case with active infection is being
transferred from a correctional facility to another correctional facility or to
a health care institution, an administrator of the correctional facility,
either personally or through a representative, shall ensure that the receiving
correctional facility or health care institution is informed that the
individual is a known methicillin-resistant Staphylococcus
aureus case.
B.
Outbreak control measures:
1. A local health
agency, in consultation with the Department, shall:
a. Conduct an epidemiologic investigation of
each reported outbreak of methicillin-resistant Staphylococcus
aureus in a health care institution or correctional facility;
and
b. For each outbreak of
methicillin-resistant Staphylococcus aureus in a health care
institution or correctional facility, submit to the Department the information
required under
R9-6-206(E).
2. When an outbreak of methicillin-resistant
Staphylococcus aureus occurs in a health care institution or
correctional facility, the administrator of the health care institution or
correctional facility, either personally or through a representative, shall
comply with the control measures recommended by a local health agency or the
Department.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
A. Case control measures:
1. An administrator of a school or child care establishment, either personally or through a representative, shall:
a. Exclude a pertussis case from the school or child care establishment for 21 calendar days after the date of onset of cough or for five calendar days after the date of initiation of antibiotic treatment for pertussis; and
b. Exclude a pertussis suspect case from the school or child care establishment until evaluated and determined to be noninfectious by a physician, physician assistant, registered nurse practitioner, or local health agency.
2. An administrator of a health care institution, either personally or through a representative, shall:
a. Exclude a pertussis case from working at the health care institution for 21 calendar days after the date of onset of cough or for five calendar days after the date of initiation of antibiotic treatment for pertussis; and
b. Exclude a pertussis suspect case from working at the health care institution until evaluated and determined to be noninfectious by a physician, physician assistant, registered nurse practitioner, or local health agency.
3. A diagnosing health care provider or an administrator of a health care institution, either personally or through a representative, shall isolate and initiate droplet precautions for a pertussis case for five calendar days after the date of initiation of antibiotic treatment for pertussis.
4. A local health agency shall:
a. Upon receiving a report under R9-6-202 or R9-6-203 of a pertussis case or suspect case, notify the Department within one working day after receiving the report and provide to the Department the information contained in the report;
b. Conduct an epidemiologic investigation of each reported pertussis case or suspect case; and
c. For each pertussis case, submit to the Department, as specified in Table 2.4, the information required under R9-6-206(D).
5. An administrator of a correctional facility or shelter, either personally or through a representative, shall comply with the pertussis control measures recommended by a local health agency or the Department.
B. Contact control measures:
1. When a pertussis case has been at a school or child care establishment, the administrator of the school or child care establishment, either personally or through a representative, shall:
a. Consult with the local health agency to determine who shall be excluded and how long each individual shall be excluded from the school or child care establishment, and
b. Comply with the local health agency's recommendations for exclusion.
2. A local health agency shall identify contacts of a pertussis case and shall:
a. Determine which pertussis contacts will be quarantined or excluded, according to R9-6-303, to prevent transmission; and
b. If indicated, provide or arrange for a pertussis contact to receive antibiotic prophylaxis.