Notice2025-22539

Draft Infection Control in Healthcare Personnel: Epidemiology and Control of Selected Infections Transmitted Among Healthcare Personnel and Patients: Conjunctivitis Section

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Published
December 11, 2025

Issuing agencies

Health and Human Services DepartmentCenters for Disease Control and Prevention

Abstract

The Centers for Disease Control and Prevention (CDC) in the Department of Health and Human Services (HHS) announces the opening of a docket to obtain comment on the Draft Infection Control in Healthcare Personnel: Epidemiology and Control of Selected Infections Transmitted Among Healthcare Personnel and Patients: Conjunctivitis Section ("Draft Guideline"). The Draft Guideline includes updates to the Guideline for infection control in health care personnel, 1998 ("1998 Guideline"), Part E: Epidemiology and Control of Selected Infections Transmitted Among Health Care Personnel and Patients, and its corresponding recommendations in Part II of the 1998 Guideline: "2. Conjunctivitis." The updated recommendations in the Draft Guideline are intended for use by the leaders and staff of Occupational Health Services (OHS), as further provided herein. These updated recommendations will help facilitate the provision of occupational infection prevention and control services to healthcare personnel (HCP) who have been exposed or infected and may be contagious to others in the workplace.

Full Text

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<title>Federal Register, Volume 90 Issue 236 (Thursday, December 11, 2025)</title>
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[Federal Register Volume 90, Number 236 (Thursday, December 11, 2025)]
[Notices]
[Pages 57471-57472]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-22539]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2025-0651]


Draft Infection Control in Healthcare Personnel: Epidemiology and 
Control of Selected Infections Transmitted Among Healthcare Personnel 
and Patients: Conjunctivitis Section

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC) in the 
Department of Health and Human Services (HHS) announces the opening of 
a docket to obtain comment on the Draft Infection Control in Healthcare 
Personnel: Epidemiology and Control of Selected Infections Transmitted 
Among Healthcare Personnel and Patients: Conjunctivitis Section 
(``Draft Guideline''). The Draft Guideline includes updates to the 
Guideline for infection control in health care personnel, 1998 (``1998 
Guideline''), Part E: Epidemiology and Control of Selected Infections 
Transmitted Among Health Care Personnel and Patients, and its 
corresponding recommendations in Part II of the 1998 Guideline: ``2. 
Conjunctivitis.'' The updated recommendations in the Draft Guideline 
are intended for use by the leaders and staff of Occupational Health 
Services (OHS), as further provided herein. These updated 
recommendations will help facilitate the provision of occupational 
infection prevention and control services to healthcare personnel (HCP) 
who have been exposed or infected and may be contagious to others in 
the workplace.

DATES: Written comments must be received on or before February 9, 2026.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2025-
0651 by either of the methods listed below. Do not submit comments by 
email. CDC does not accept comments by email.
    <bullet> Federal eRulemaking Portal: <a href="http://www.regulations.gov">http://www.regulations.gov</a>. 
Follow the instructions for submitting comments.
    <bullet> Mail: Prevention and Response Branch, Division of 
Healthcare Quality Promotion, Centers for Disease Control and 
Prevention, 1600 Clifton Road NE, Mailstop H16-3, Atlanta, Georgia 
30329, Attn: Docket Number CDC-2025-0651.
    Instructions: All submissions received must include the agency name 
and Docket Number. All relevant comments received will be posted 
without change to <a href="http://regulations.gov">http://regulations.gov</a>, including any personal 
information provided. For access to the docket to read background 
documents or comments received, go to <a href="http://www.regulations.gov">http://www.regulations.gov</a>.

FOR FURTHER INFORMATION CONTACT: Laura Wells, Prevention and Response 
Branch, Division of Healthcare Quality Promotion, Centers for Disease 
Control and Prevention, 1600 Clifton Road NE, Mailstop H16-3, Atlanta, 
Georgia 30329; Telephone: (404) 639-4000.

SUPPLEMENTARY INFORMATION:

Public Participation

    Interested persons or organizations are invited to participate by 
submitting written views, recommendations, and data related to the 
Draft Guideline.
    Please note that comments received, including attachments and other 
supporting materials, are part of the public record and are subject to 
public disclosure. Comments will be posted on <a href="https://www.regulations.gov">https://www.regulations.gov</a>. Therefore, do not include any information in your 
comment or supporting materials that you consider confidential or 
inappropriate for public disclosure. If you include your name, contact 
information, or other information that identifies you in the body of 
your comments, that information will be on public display. CDC will 
review all submissions and may choose to redact, or withhold, 
submissions containing private or proprietary information such as 
Social Security numbers, medical information, inappropriate language, 
or duplicate/near duplicate examples of a mass-mail campaign. Do not 
submit comments by email. CDC does not accept comment by email.

Background

    The Draft Guideline, located in the ``Supporting & Related 
Material'' tab of the docket, includes updates to the Guideline for 
infection control in health care personnel, 1998, Part E: Epidemiology 
and Control of Selected Infections Transmitted Among Health Care 
Personnel and Patients, and its corresponding recommendations in Part 
II of the 1998 Guideline: ``2. Conjunctivitis.'' The 1998 Guideline 
provided information and recommendations for Occupational Health 
Services (OHS) of healthcare facilities and systems on the prevention 
of transmission of infectious diseases among HCP and patients and can 
be found at <a href="https://stacks.cdc.gov/view/cdc/11563">https://stacks.cdc.gov/view/cdc/11563</a>.
    As described in the Executive Summary of Part I of this guideline 
(<a href="https://www.cdc.gov/infection-control/hcp/healthcare-personnel-infrastructure-routine-practices/executive-summary.html">https://www.cdc.gov/infection-control/hcp/healthcare-personnel-infrastructure-routine-practices/executive-summary.html</a>), in this 
document, ``OHS'' is used synonymously with ``Employee Health,'' 
``Employee Health Services,'' ``Employee Health and Safety,'' 
``Occupational Health,'' and other such programs. OHS refers to the 
group, department, or program that addresses many aspects of health and 
safety in the workplace for HCP, including the provision of clinical 
services for work-related injuries, exposures, and illnesses. In 
healthcare settings, OHS addresses workplace hazards including 
communicable diseases; slips, trips, and falls; patient handling 
injuries; chemical exposures; HCP burnout; and workplace violence.
    The Draft Guideline, once finalized, is intended for use by the 
leaders and staff of OHS to guide the management of exposed or infected 
HCP who may be contagious to others in the workplace. The draft 
recommendations in the Draft Guideline provide current guidance on the 
management of HCP exposed to or infected with conjunctivitis, focusing 
on postexposure management, including postexposure prophylaxis, for 
exposed HCP and work restrictions for exposed or infected HCP.
    Beginning in 2015, the Healthcare Infection Control Practices 
Advisory Committee (HICPAC) worked with national partners, 
academicians, public health professionals, healthcare providers, and 
other partners to develop Infection Control in Healthcare Personnel 
(Part I: <a href="https://www.cdc.gov/infection-control/hcp/healthcare-personnel-infrastructure-routine-practices/index.html">https://www.cdc.gov/infection-control/hcp/healthcare-personnel-infrastructure-routine-practices/index.html</a>; Part II: https:/
/www.cdc.gov/infection-control/hcp/

[[Page 57472]]

healthcare-personnel-epidemiology-control/index.html) as a segmental 
update of the 1998 Guideline. HICPAC, now terminated, was a federal 
advisory committee appointed to provide advice and guidance to HHS and 
CDC regarding the practice of infection control and strategies for 
surveillance, prevention, and control of healthcare-associated 
infections, antimicrobial resistance, and related events in United 
States healthcare settings. HICPAC included representatives from public 
health, infectious diseases, regulatory and other federal agencies, 
professional societies, and other stakeholders. HICPAC reviewed and 
voted to approve the draft recommendations in the Draft Guideline prior 
to being terminated. Additional information on HICPAC's input into the 
update of the Infection Control in Healthcare Personnel Guideline can 
be found in the Methods Appendix included in the ``Supporting & Related 
Material'' tab of the docket.
    The updated draft recommendations in the Draft Guideline are 
informed by reviews of the 1998 Guideline; CDC resources (e.g., CDC 
infection control website), guidance, and guidelines, as noted more 
specifically in the draft document; and new scientific evidence, when 
available. A Methods Appendix for Infection Control in Healthcare 
Personnel: Epidemiology and Control of Selected Infections Transmitted 
Among Healthcare Personnel and Patients (<a href="https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/index.html">https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/index.html</a>) is 
included in the ``Supporting & Related Material'' tab of the docket. 
This information is being provided as supporting material, and CDC is 
not seeking comments on the Methods Appendix. The Draft Guideline, once 
finalized, will be the next section to be posted to the Infection 
Control in Healthcare Personnel website.
    CDC is seeking comments on the Draft Guideline. Please provide 
references to new evidence and justification to support any suggested 
revisions or additions. After comments received are considered and 
addressed, the final recommendations will be published on CDC's website 
here: <a href="https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/index.html">https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/index.html</a>. The final recommendations will also be 
posted to docket CDC-2025-0651 at <a href="http://www.regulations.gov">www.regulations.gov</a>.

Noah Aleshire,
Chief Regulatory Officer, Centers for Disease Control and Prevention.
[FR Doc. 2025-22539 Filed 12-10-25; 8:45 am]
BILLING CODE 4163-18-P


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Indexed from Federal Register on December 11, 2025.

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