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Requirements for Infrastructure and Essential Activities of Infection Control and Epidemiology in Out-of-Hospital Settings: A Consensus Panel Report

  • Candace Friedman (a1), Marcie Barnette (a2), Alfred S. Buck (a3), Rosemary Ham (a1), Jo-Ann Harris (a4), Peggy Hoffman (a2), Debra Johnson (a1), Farrin Manian (a5), Lindsay Nicolle (a5), Michele L. Pearson (a5), Trish M. Perl (a5) and Steven L. Solomon (a6)...

Abstract

In 1997 the Association for Professionals in Infection Control and Epidemiology and the Society for Healthcare Epidemiology of America established a consensus panel to develop recommendations for optimal infrastructure and essential activities of infection control and epidemiology programs in out-of-hospital settings. The following report represents the Consensus Panel's best assessment of requirements for a healthy and effective out-of-hospital-based infection control and epidemiology program. The recommendations fall into 5 categories: managing critical data and information; developing and recommending policies and procedures; intervening directly to prevent infections; educating and training of health care workers, patients, and nonmedical caregivers; and resources. The Consensus Panel used an evidence-based approach and categorized recommendations according to modifications of the scheme developed by the Clinical Affairs Committee of the Infectious Diseases Society of America and the Centers for Disease Control and Prevention's Healthcare Infection Control Practices Advisory Committee.

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1. Marszalek-Gaucher, E, Coffey, RJ. Transforming Healthcare Organizations. San Francisco, CA: Jossey-Bass; 1990: P xi.
2. Jackson, MM, Lynch, R Ambulatory care settings. In: Bennett, JV, Brachman, PS, eds. Hospital Infections. 4th ed. Philadelphia, PA: Lippincott-Raven; 1998.
3. Association for Professionals in Infection Control and Epidemiology. APIC Infection Control and Applied Epidemiology: Principles and Practice. St Louis, MO: Mosby; 1996.
4. A Practical Handbook for Hospital Epidemiologists. The Society for Healthcare Epidemiology of America. Herwaldt, LA, Decker, MD, eds. Thorofare, NJ: Slack, Inc; 1998.
5. Centers for Disease Control and Prevention. Preventing Emerging Infectious Diseases: A Strategy for the 21st Century. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention; 1998.
6. Scheckler, WE, Brimhall, D, Buck, AS, Farr, BM, Friedman, C, Garibaldi, RA, et al. Requirements for infrastructure and essential activities of infection control and epidemiology in hospitals: a consensus panel report Infect Control Hosp Epidemiol 1998;19:114124.
7. Kemper, P, Murtaugh, CM. Lifetime use of nursing home care. N Engl J Med 1991;324:595600.
8. Nicolle, LE, Strausbaugh, LJ, Garibaldi, RA. Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev 1996;9:17.
9. Strausbaugh, IJ, Crossley, KB, Nurse, BA, Thrupp, LD, SHEA Long-Term-Care Committee. Antimicrobial resistance in long-term care facilities. Infect Control Hosp Epidemiol 1996;17:129140.
10. Centers for Disease Control and Prevention. Outbreaks of pneumococcal pneumonia among unvaccinated residents in chronic-care facilities— Massachusetts, October 1995, Oklahoma, February 1996, and Maryland, May-June 1996. MMWR 1997;46:6062.
11. Rice, LB, Willey, SH, Papanicolaou, GA, Medeiros, AA, Eliopoulos, GM, Moellering, RC Jr, et al. Outbreak of ceftazidime resistance caused by extended-spectrum beta-lactamases at a Massachusetts chronic-care facility. Antimicrob Agents Chemother 1990;34:21932199.
12. Stevenson, KB. Regional data set of infection rates for long-term care facilities: description of a valuable benchmarking tool. Am J Infect Control 1999;27:2026.
13. Nicolle, LE. Urinary tract infections in long term care facilities. Infect Control Hosp Epidemiol 1993;14:220225.
14. Nicolle, LE, Bentley, D, Garibaldi, R, Neuhaus, E, Smith, P, Antimicrobial use in long-term care facilities. Infect Control Hosp Epidemiol 1996;17:119128.
15. McGeer, A, Campbell, B, Emori, TG, Hierholzer, WJ, Jackson, MM, Nicolle, LE, et al. Definitions of infection for surveillance in long-term care facilities. Am J Infect Control 1991;19:17.
16. Smith, PW, Rusnak, PG. Infection prevention and control in the long-term-care facility. SHEA Long-Term-Care Committee and APIC Guidelines Committee. Am J Infect Control 1997;25:488512.
17. Auerbach, SB, Schwartz, B, Williams, D, Fiorilli, MG, Adimora, AA, Breiman, RF, et al. Outbreak of invasive group A streptococcal infections in a nursing home. Lessons on prevention and control. Arch Intern Med 1992;152:10171022.
18. Arden, NH, Patriarca, PA, Fasano, MB, Lui, KJ, Harmon, MW, Kendal, AP, et al. The roles of vaccination and amantadine prophylaxis in controlling an outbreak of influenza A (H3N2) in a nursing home. Arch Intern Med 1988;148:865868.
19. Layton, MC, Calliste, SG, Gomez, TM, Patton, C, Brooks, S. A mixed food-borne outbreak with Salmonella heidelberg and Campylobacter jejuni in a nursing home. Infect Control Hosp Epidemiol 1997;18:115121.
20. Yonkosky, D, Ladia, L, Gackenheimer, L, Schultz, MW. Scabies in nursing homes: an eradication program with permethrin 5% cream. J Am Acad Dermatol 1990;23:11331136.
21. Nuorti, JR Butler, JC, Crutcher, JM, Guevara, R, Welch, D, Holder R et al. An outbreak of multidrug-resistant pneumococcal pneumonia and bacteremia among unvaccinated nursing home residents. N Engl J Med 1998;338:18611868.
22. Goodman, RA, Solomon, SL. Transmission of infectious diseases in outpatient health care settings. JAMA 1991;265:23772381.
23. Manian, FA. Surveillance of surgical site infections in alternative settings: exploring the current options. Am J Infect Control 1997;25:102105.
24. Hecht, AD. Creating greater efficiency in ambulatory surgery. J Clin Anesth 1995;7:581584.
25. Davis, JE. Ambulatory surgery … how far can we go? Med Clin North Am 1993;77:365375.
26. Bookwalter, JW 3rd, Busch, MD, Nicely, D. Ambulatory surgery is safe and effective in radicular disk disease. Spine 1994;19:526530.
27. Williams, DN, Rehm, SJ, Tice, AD, Bradley, JS, Kind, AD, Craig, WA, et al. Practice guidelines for community-based parenteral anti-infective therapy. IDSA Practice Guidelines Committee. Clin Infect Dis 1997;25:787801.
28. Kunkel, MJ, Tice, AD, Dalovisio, JR, the Opivate OPAT Network. Patient registry for outpatient intravenous antimicrobial therapy. Clin Infect Dis 1998;27:1050. Abstract.
29. Liebert, L, Bryant-Wimp, J. Ambulatory infusion centers: hospital survival in an outpatient world. Infusion 1997;4(3:2529.
30. Poretz, DM. Outpatient parenteral antibiotic therapy. Management of serious infections. Part II: Amenable infections and models for delivery. Infusion center, office, and home. Hosp Pract 1993;28(suppl 2):S40S43.
31. Poretz, DM. The infusion center: a model for outpatient parenteral antibiotic therapy. Rev Infect Dis 1991;13(suppl 2):S142S146.
32. Flores, K. AIC: what's your role in the most talked about delivery model? Infusion 1998;4(11:3538.
33. Favero, MS, Alter, MJ, Bland, LA Nosocomial infections associated with hemodialysis. In: Mayhall, CG, ed. Hospital Epidemiology and Infection Control. Volume 1. Baltimore, MD: Williams & Wilkins; 1996:693714.
34. Hindman, SH, Favero, MS, Carson, LA, Petersen, NJ, Schonberger, LB, Solano, JT. Pyrogenic reactions during haemodialysis caused by extramural endotoxin. Lancet 1975;2:732734.
35. Gordon, SM, Tipple, M, Bland, LA, Jarvis, WR. Pyrogenic reactions associated with the reuse of disposable hollow-fiber hemodialyzers. JAMA 1988;260:20772081.
36. Welbel, SF, Schoendorf, K, Bland, LA, Arduino, MJ, Groves, C, Schabie, B, et al. An outbreak of gram-negative bloodstream infections in chronic hemodialysis patients. Am J Nephrol 1995;15:14.
37. Flaherty, JP, Garcia-Houchins, S, Chudy, R, Arnow, PM. An outbreak of gram-negative bacteremia traced to contaminated O-rings in reprocessed dialyzers. Ann Intern Med 1993;119:10721078.
38. Lowry, PW, Beck-Sague, CM, Bland, LA, Aguero, SM, Arduino, MJ, Minuth, AN, et al. Mycobacterium chelonae infection among patients receiving high-flux dialysis in a hemodialysis clinic in California. J Infect Dis 1990;161:8590.
39. Alter, MJ, Favero, MS, Maynard, JE. Impact of infection control strategies on the incidence of dialysis-associated hepatitis in the United States. J Infect Dis 1986;153:11491151.
40. Velandia, M, Fridkin, SK, Cardenas, V, Boshell, J, Ramirez, G, Bland, L, et al. Transmission of HIV in dialysis centre. Lancet 1995;345:14171422.
41. Tokars, JI, Alter, MJ, Favero, MS, Moyer, LA, Bland, LA. National surveillance of dialysis associated diseases in the United States, 1991. ASAIOJ 1993;39:966975.
42. Almroth, G, Ekermo, B, Franzen, L, Hed, J. Antibody responses to hepatitis C virus and its modes of transmission in dialysis patients. Nephron 1991;59:232235.
43. National Association for Home Care. Basic Statistics About Home Care. Washington, DC: National Association for Home Care; 1997.
44. National Association for Home Care. Uniform Data Set for Home Care and Hospice. Washington, DC: National Association for Home Care; 1998.
45. National Association for Home Care. How to Choose a Home Care Provider: A Consumer's Guide. Washington, DC: National Association for Home Care; 1997.
46. Smith, PW. Forum: infection prevention in the home health setting. Asepsis 1994;16:911.
47. Rosenheimer, L. Establishing a surveillance system for infections acquired in home healthcare. Home Healthc Nurse 1995;13(3:2026.
48. Do, AN, Ray, BJ, Banerjee, SN, Illian, AF, Barnett, BJ, Pham, MH, et al. Bloodstream infection associated with needleless device use and the importance of infection-control practices in the home health setting. J Infect Dis 1999;179:442448.
49. Kellerman, S, Shay, DK, Howard, J, Goes, C, Feusner, J, Rosenberg, J, et al. Bloodstream infections in home infusion patients: the influence of race and needleless intravascular access devices. J Pediatr 1996;129:711717.
50. Danzig, LE, Short, LJ, Collins, K, Mahoney, M, Sepe, S, Bland, L, et al. Bloodstream infections associated with a needleless intravenous infusion system in patients receiving home infusion therapy. JAMA 1995;273:18621864.
51. Tokars, JI, Cookson, ST, McArthur, MA, Boyer, CL, McGeer, AJ, Jarvis, WR. Prospective evaluation of risk factors for bloodstream infection in patients receiving home infusion therapy. Ann Intern Med. In press.
52. Chodoff, A, Pettis, AM, Schoonmaker, D, Shelly, MA. Polymicrobial gram-negative bacteremia associated with saline solution flush used with a needleless intravenous system. Am J Infect Control 1995;23:357363.
53. Graham, DR Nosohusial infection: complications of home intravenous therapy. Infect Dis Clin Practice 1993;2:158161.
54. Rosenheimer, L, Embry, FC, Sanford, J, Silver, SR. Infection surveillance in home care: device-related incidence rates. Am J Infect Control 1998;26:359363.
55. Simmons, B, Trusler, M, Roccaforte, J, Smith, P, Scott, R. Infection control for home health. Infect Control Hosp Epidemiol 1990;11:362370.
56. Rhinehart, E, Friedman, MM. Infection Control in Home Care. Gaithersburg, MD: Aspen Publishing; 1999.
57. Joint Commission on Accreditation of Healthcare Organizations. Comprehensive Accreditation Manual for Home Care: CAMHC/Joint Commission. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 1997.
58. Friedman, MM. Designing an infection control program to meet JCAHO standards. Caring 1996;15:1825.
59. Joint Commission on Accreditation of Healthcare Organizations. Comprehensive Accreditation Manual for Long Term Care: CAMLTC/Joint Commission. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 1997.
60. Joint Commission on Accreditation of Healthcare Organizations. Comprehensive Accreditation Manual for Ambulatory Care. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 1997.
61. Lorenzen, AN, Itkin, DJ. Surveillance of infection in home care. Am J Infect Control 1992;20:326329.
62. Rhinehart, E. Developing an infection surveillance system. Caring 1996;14:2632.
63. ORYX. The next evolution in accreditation. Joint Commission on Accreditation of Healthcare Organizations. Nurs Manage 1997;28:4954.
64. White, MC. Infections and infection risks in home care settings. Infect Control Hosp Epidemiol 1992;13:535539.
65. Wade, BH, Bush, SE. Opportunities for extending infection control into the community. Infect Dis Clin Pract 1998;7:3238.
66. Abrutyn, E, Scheckler, W, Goldmann, DA, eds. Saunders Infection Control Reference Service. Philadelphia, PA: WB Saunders; 1998.
67. Health Care Standards: Official Directory. Plymouth Meeting, PA: ECRI; 1990.
68. Bolyard, EA, Tablan, OC, Williams, WW, Pearson, ML, Shapiro, CN, Deitchman, SD, et al. Guideline for infection control in health care personnel, 1998. Am J Infect Control 1998;26:289354.
69. Stamm, WE, Weinstein, RA, Dixon, RE. Comparison of endemic and epidemic nosocomial infections. Am J Med 1981;70:393397.
70. Friedman, C, Chenoweth, C. Infection control. In: Schmele, JA, ed. Quality Management. Albany, NY: Delmar Publishers; 1996.
71. Sheldon, JE. 18 tips for infection control at home. Nursing 1995;25:32PP32QQ.
72. Herrick, S, Loos, KM. Designing an infection control program. Home Care Provid 1996;1:153156.
73. Bellen, V. A model for a comprehensive infection control program in home healthcare. J Healthc Qual 1996;18:717.
74. Friedman, MM. Joint Commission on Accreditation of Healthcare Organizations' infection control requirements: fact or fiction. Home Healthc Nurse 1997;15:236238.
75. Gross, PA, Barrett, TL, Dellinger, EP, Krause, PJ, Martone, WJ, McGowan, JE Jr, et al. Purpose of quality Standards for infectious diseases. Infectious Diseases Society of America. Clin Infect Dis 1994;18:421.
76. Pearson, ML. Guideline for prevention of intravascular device-related infections. The Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1996;24:262293.
77. An approach to the evaluation of quality indicators of the outcome of care in hospitalized patients, with a focus on nosocomial infection indicators. The Quality Indicator Study Group. Am J Infect Control 1995;23:215222.

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