What infection control measures should be implemented in a primary care setting to prevent the spread of norovirus?

Infection control measures to prevent the spread of norovirus in a primary care setting include:

• Ensure thorough handwashing with liquid soap and tepid running water, followed by careful drying, especially after using the toilet, before eating, and after contact with infected individuals or contaminated surfaces. Handrubs can be used if soap and water are unavailable.
• Provide accessible handwashing facilities with liquid soap and tepid water for staff, patients, and visitors.
• Implement strict environmental cleaning protocols using appropriate disinfectants effective against norovirus on surfaces and equipment.
• Advise patients and staff with symptoms of norovirus (diarrhoea and vomiting) to avoid attending the facility until at least 48 hours after symptoms have resolved to reduce transmission risk.
• Promote education and awareness about infection prevention, including the importance of hand hygiene and exclusion periods for symptomatic individuals.
• Ensure safe food handling and hygiene practices if food is prepared or served within the setting.

These measures align with NICE guidelines on infection control and Public Health England recommendations for preventing gastrointestinal infections in community settings NICE NG63,NICE CG84.