Skip to main content Accessibility help
×
×
Home

Infection Control Assessment after an Influenza Outbreak in a Residential Care Facility for Children and Young Adults with Neurologic and Neurodevelopmental Conditions

  • Alejandro Azofeifa (a1) (a2), Lorraine F. Yeung (a2), Georgina Peacock (a2), Cynthia A. Moore (a2), Loren Rodgers (a1) (a3) (a4), Mary DiOrio (a4), Shannon L. Page (a4), Brian Fowler (a4), Nimalie D. Stone (a5), Lyn Finelli (a3) and Michael A. Jhung (a3)...

Abstract

Objective.

To assess the knowledge, attitudes, and practices of infection control among staff in a residential care facility for children and young adults with neurologic and neurodevelopmental conditions.

Design.

Self-administered survey.

Setting.

Residential care facility (facility A).

Participants.

Facility A staff (N = 200).

Methods.

We distributed a survey to staff at facility A. We classified staff with direct care responsibilities as clinical (ie, physicians, nurses, and therapists) or nonclinical (ie, habilitation assistants, volunteers, and teachers) and used X2 tests to measure differences between staff agreement to questions.

Results.

Of 248 surveys distributed, 200 (81%) were completed; median respondent age was 36 years; 85% were female; and 151 were direct care staff (50 clinical, 101 nonclinical). Among direct care staff respondents, 86% agreed they could identify residents with respiratory symptoms, 70% stayed home from work when ill with respiratory infection, 64% agreed that facility administration encouraged them to stay home when ill with respiratory infection, and 72% reported that ill residents with respiratory infections were separated from well residents. Clinical and nonclinical staff differed in agreement about using waterless hand gel as a substitute for handwashing (96% vs 78%; P = .005) and whether handwashing was done after touching residents (92% vs 75%; P = .04).

Conclusions.

Respondents' knowledge, attitudes, and practices regarding infection control could be improved, especially among nonclinical staff. Facilities caring for children and young adults with neurologic and neurodevelopmental conditions should encourage adherence to infection control best practices among all staff having direct contact with residents.

Copyright

Corresponding author

National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop E-86, Atlanta, GA 30333 (aazofeifa@cdc.gov).

References

Hide All
1.Cox, CM, Blanton, L, Dhara, R, Brammer, L, Finelli, L. 2009 Pandemic influenza A (H1N1) deaths among children–United States, 2009–2010. Clin Infect Dis 2011;52(suppl 1):S69S74.
2.Keren, R, Zaoutis, TE, Bridges, CB, et al. Neurological and neuromuscular disease as a risk factor for respiratory failure in children hospitalized with influenza infection. JAMA 2005;294(17):21882194.
3.Bhat, N, Wright, JG, Broder, KR, et al. Influenza-associated deaths among children in the United States, 2003-2004. N Engl J Med 2005;353(24):25592567.
4.Centers for Disease Control and Prevention. Severe influenza among children and young adults with neurologic and neuro-developmental conditions—Ohio, 2011. MMWR Morb Mortal Wkly Rep 2012;60:17291733.
5.Blanton, L, Peacock, G, Cox, C, Jhung, M, Finelli, L, Moore, C. Neurologic disorders among pediatric deaths associated with the 2009 pandemic influenza. Pediatrics 2012;130(3):390396.
6.Harper, SA, Bradley, JS, Englund, JA, et al. Seasonal influenza in adults and children—diagnosis, treatment, chemoprophylaxis, and institutional outbreak management: clinical practice guidelines of the Infectious Diseases Society of America. Clin Infect Dis 2009;48(8):10031032.
7.Arden, NH. Control of influenza in the long-term-care facility: a review of established approaches and newer options. Infect Control Hosp Epidemiol 2000;21(1):5964.
8.Centers for Disease Control and Prevention. Outbreaks of 2009 pandemic influenza A (H1N1) among long-term-care facility residents-three states, 2009. MMWR Morb Mortal Wkly Rep 2010;59(3):7477.
9. Centers for Disease Control and Prevention (CDC). Interim Guidance for Influenza Outbreak Management in Long-Term Care Facilities. Atlanta: CDC, 2011. http://www.cdc.gov/flu/professionals/infectioncontrol/ltc-facility-guidance.htm. Accessed November 1, 2012.
10.Ashraf, MS, Hussain, SW, Agarwal, N, et al. Hand hygiene in long-term care facilities: a multicenter study of knowledge, attitudes, practices, and barriers. Infect Control Hosp Epidemiol 2010;31(7):758762.
11.Mody, L, McNeil, SA, Sun, R, Bradley, SE, Kauffman, CA. Introduction of a waterless alcohol-based hand rub in a long-term-care facility. Infect Control Hosp Epidemiol 2003;24(3):165171.
12.Aiello, AE, Malinis, M, Knapp, JK, Mody, L. The influence of knowledge, perceptions, and beliefs, on hand hygiene practices in nursing homes. Am J Infect Control 2009;37(2): 164167.
13.Alvaran, MS, Butz, A, Larson, E. Opinions, knowledge, and self-reported practices related to infection control among nursing personnel in long-term care settings. Am J Infect Control 1994;22(6):367370.
14.Boyce, JM, Pittet, D. Guideline for hand hygiene in health-care settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep 2002;51(16):145.
15.US Department of Health and Human Services (HHS). Long-Term Care and Other Residential Facilities Pandemic Influenza Planning Checklist. Washington, DC: HHS, 2012. http://www.flu.gov/planning-preparedness/hospital/longtermcare.pdf. Accessed November 1, 2012.
16.Bridges, CB, Kuehnert, MJ, Hall, CB. Transmission of influenza: implications for control in health care settings. Clin Infect Dis 2003;37(8):10941101.
17.Centers for Disease Control and Prevention (CDC). Prevention Strategies for Seasonal Influenza in Healthcare Settings: Guidelines and Recommendations. Atlanta: CDC, 2010. http://www.cdc.gov/flu/professionals/infectioncontrol/healthcaresettings.htm. Accessed November 1, 2012.
18.Pittet, D, Allegranzi, B, Sax, Het al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet 2006;6(10):641652.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed