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July 18, 1980

Infection Control-Reply

JAMA. 1980;244(3):239. doi:10.1001/jama.1980.03310030014010

In Reply.—  Dr. Iffy's concern may arise from semantic confusion about the term "strict isolation." I had hoped to make clear that I used the isolation categories as named and fully described in the Center for Disease Control's (CDC) isolation manual.1 The manual recommends "wound and skin precautions" for most infected wounds. When the purulence cannot be contained by dressings and is caused by Sta aureus or Streptococcus pyogenes, it recommends strict isolation. "Wound and skin precautions" consists of wearing gown and gloves for direct contact with the patient and, for dressing change, a mask and two sets of gloves (the first pair to be discarded after removal of the dressing). Strict isolation calls for a single room (preferably with air control) and the wearing of gowns, gloves, and masks by all personnel whenever they are in the room.The CDC's recommendation of strict isolation for major surgical wound