Document Citation: COMAR 10.06.01.08-1

Header:
CODE OF MARYLAND REGULATIONS
TITLE 10. DEPARTMENT OF HEALTH AND MENTAL HYGIENE
SUBTITLE 06. DISEASES
CHAPTER 01. COMMUNICABLE DISEASES AND RELATED CONDITIONS OF PUBLIC HEALTH IMPORTANCE

Date:
08/31/2009

Document:

.08-1 Campylobacteriosis.

A. Control of a Case.

(1) A physician in attendance upon a case of campylobacteriosis with diarrhea shall instruct the case on the risks of transmission and the prevention of infection, especially proper:

(a) Handwashing;

(b) Handling of raw meat; and

(c) Cleaning of the food-preparation surfaces in contact with raw meat.

(2) A case may not attend a child care facility until the:

(a) Case's fecal cultures are campylobacter-free on two consecutive specimens collected not less than 24 hours apart and not sooner than 48 hours following discontinuation of antibiotics, if antibiotics have been given; or

(b) Health officer approves readmission based on the low likelihood of disease transmission.

(3) A case, with or without diarrhea, may not participate in occupations involving food handling, patient care, or care of young children or the elderly until the:

(a) Case's fecal cultures are campylobacter-free on two consecutive specimens collected not less than 24 hours apart and not sooner than 48 hours following discontinuation of antibiotics, if antibiotics have been given; or

(b) Health officer approves resumption of occupational duties based on the low likelihood of disease transmission.

(4) A health care provider shall report groups of multiple cases to the health officer promptly.

(5) In the setting of multiple cases of diarrhea, the health officer or the Secretary shall investigate potential sources of campylobacter in food, water, raw milk, pets, and other possible environmental sources.

B. Control of Contacts. There is no control of a contact.

C. Infection Control. A health care provider shall use standard precautions when caring for a case with campylobacteriosis.