An interaction involving manipulation or prolonged close contact with the patient’s eyes, nose, or mouth (e.g., covid testing) likely poses higher risk of transmission to the patient compared to other interactions (e.g., blood pressure check). There is neither expert consensus, nor sufficient supporting data, to create a definitive and comprehensive list of AGPs for healthcare settings. Commonly performed medical procedures that are often considered AGPs, or that might create uncontrolled respiratory secretions, include:
- open suctioning of airways
- sputum induction
- cardiopulmonary resuscitation
- endotracheal intubation and extubation
- non-invasive ventilation (e.g., BiPAP, CPAP)
- bronchoscopy
- manual ventilation
Based on limited available data, it is uncertain whether aerosols generated from some procedures may be infectious, such as:
- nebulizer administration*
- high flow O2 delivery
The number of HCP present during the procedure should be limited to only those essential for patient care and procedure support. Visitors should not be present for the procedure.