CJD guidelines
Task:
Preparation (injection) of remains
Body condition:
Intact
Exposure level
3 (Medium)
Recommendation:
We recommend the body not be prepared by arterial injection.
Universal precautions/PPE recommended
Minimum:
Gloves
Gown
Facemask/eye shield
Head and shoe covers.
Procedure: (If injection is attempted)
Restrict embalming room access to necessary personnel only.
Follow preparation procedures as indicated by body condition.
Fluid strength, quantity and dilution will be determined by
overall condition of the body, since this will have no effect
on the CJD prion.
Use drain hose to sewer system to minimize exposure to blood.
Minimize the number of instruments used.
Do not aspirate body
Containerize and dispose of all instruments, tubes, hoses, needles, etc.
Place all gloves and other PPE in sealed plastic bag for disposal.
Clean table and other embalming room surfaces with Clorox.
Wash hands with disinfectant soap.
Note: There are no practical procedures available to ensure destruction of
the prion once it has contaminated the preparation room.
CJD guidelines
Task:
Preparation (injection) of remains using "no drainage" method*
Body condition:
Intact
Exposure level
2 (Low)
Recommendation:
We recommend the body not be prepared by arterial injection. This method reduces the level of
exposure if injection is attempted.
Universal precautions/PPE recommended
Minimum:
Gloves.
Gown.
Facemask/eye shield.
Head and shoe covers.
Procedure: (If injection is attempted)
Restrict embalming room access to necessary personnel only.
Inject body with no drainage.*
Do not aspirate body.
Minimize the number of instruments used.
Containerize and dispose of all instruments, tubes, needles, etc.
Clean table and other embalming room surfaces with Clorox.
Place all gloves and other PPE in sealed plastic bag for disposal.
Note: There are no practical procedures available to ensure destruction of the prion
once it has contaminated the preparation room.
* See Appendix B for "no-drainage" injection method.
CJD guidelines
Task:
Preparation of remains
Body condition:
Non-intact (autopsied)
Exposure level
5 (Full exposure to the causative agent).
Recommendation:
Preparation and/or restoration of the body should not be attempted and is strongly discouraged.
Universal precautions/PPE recommended
Minimum:
Gloves.
Gown.
Facemask/eye shield.
Shoe covers.
Procedure: (If injection is attempted)
Restrict embalming room access to necessary personnel only.
Minimize the number of instruments used.
Follow preparation procedures as indicated by body condition.
Fluid strength, quantity and dilution will be determined by
overall condition of the body, since this will have no effect
on the CJD prion.
Use extreme care in not contaminating embalming room with blood.
Clean table and other embalming room surfaces with Clorox.
Place all gloves and other PPE in sealed plastic bag for disposal.
Wash hands with disinfectant soap.
Note: There are no practical procedures available to ensure destruction of
the prion once it has contaminated the preparation room.
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