National Ambulatory Medical Care Survey: State and National Summary Tables (p. 105). Available at: www.cdc.gov/nchs/data/ahcd/namcs_summary/2012_namcs_web_tables.pdf. Accessed August 28, 2012.Google Scholar

Barie, PS. Infection control practices in ambulatory surgical centers. JAMA. 2010;303:2295–227.Google Scholar

Ambulatory Surgery in the United States, 2006. National Health Statistics Reports, No 11. Center for Disease Control and Prevention, 2009. Available at: www.cdc.gov/nchs/data/nhsr/nhsr011.pdf. Accessed August 28, 2015.Google Scholar

Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care. Available at: www.cdc.gov/HAI/settings/outpatient/outpatient-care-guidelines.html. Accessed August 29, 2015.Google Scholar

Maki, DG, Crnich, CJ. History forgotten is history relived: nosocomial infection control is also essential in the outpatient setting. Arch Intern Med. 2005;165:2565–2567.CrossRefGoogle ScholarPubMed

10A NCAC 41A.0206. Available at: http://reports.oah.state.nc.us/ncac/title percent2010a percent20- percent20health percent20and percent20human percent20services/chapter percent2041 percent20- percent20epidemiology percent20health/subchapter percent20a/10a percent20ncac percent2041a percent20.0206.html. Accessed October 26, 2015.Google Scholar

North Carolina Statewide Program for Infection Prevention and Epidemiology. Available at: http://spice.unc.edu/. Accessed October 26, 2015.Google Scholar

2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Available at: www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf. Accessed August 31, 2015.Google Scholar

WHO Guidelines on Hand Hygiene in Health Care. Available at: http://apps.who.int/iris/bitstream/10665/44102/1/9789241597906_eng.pdf. Accessed August 31, 2015.Google Scholar

Centers for Disease Control and Prevention. 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. MMWR. 2002;51: 1–45.Google Scholar

Hand Hygiene in Outpatient and Home-based Care and Long-term Care Facilities: A Guide to the Application of the WHO Multimodal Hand Hygiene Improvement Strategy and the “My Five Moments for Hand Hygiene” Approach. Available at: www.who.int/gpsc/5may/hh_guide.pdf. Accessed August 31, 2015.Google Scholar

Cohen, HA, Kitai, E, Levy, I, Ben-Amitai, D. Handwashing patterns in two dermatology clinics. Dermatology (Basel, Switzerland). 2002;205:358–361.Google Scholar

Cohen, HA, Matalon, A, Amir, J, Paret, G, Barzilai, A. Handwashing patterns in primary pediatric community clinics. Infection. 1998;26:45–47.Google Scholar

Arenas, MD, Sanchez-Paya, J, Barril, G, et al. A multicentric survey of the practice of hand hygiene in haemodialysis units: factors affecting compliance. Nephrol Dial. 2005;20:1164–1171.Google Scholar

Bittle, MJ, LaMarche, S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Joint Commission Journal on Quality and Patient Safety. 2009;35:519–525.Google Scholar

Le-Abuyen, S, Ng, J, Kim, S, et al. Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting. Am J Infect Control. 2014;42:439–442.Google Scholar

Hlady, WG, Hopkins, RS, Ogilby, TE, Allen, ST. Patient-to-patient transmission of hepatitis B in a dermatology practice. Am J Pub Health. 1993;83:1689–1693.Google Scholar

Canter, J, Mackey, K, Good, LS, et al. An outbreak of hepatitis B associated with jet injections in a weight reduction clinic. Arch Intern Med. 1990;150:1923–1927.CrossRefGoogle Scholar

Lanini, S, Puro, V, Lauria, FN, Fusco, FM, Nisii, C, Ippolito, G. Patient to patient transmission of hepatitis B virus: a systematic review of reports on outbreaks between 1992 and 2007. BMC Med. 2009;7:15.Google Scholar

Thompson, ND, Perz, JF, Moorman, AC, Holmberg, SD. Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998–2008. Ann Intern Medi. 2009;150:33–39.CrossRefGoogle Scholar

Macedo de Oliveira, A, White, KL, Leschinsky, DP, et al. An outbreak of hepatitis C virus infections among outpatients at a hematology/oncology clinic. Ann Intern Med. 2005;142: 898–902.Google Scholar

Acute hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic–Nevada, 2007. MMWR Morbidity and Mortality Weekly Report. 2008;57: 513–517.Google Scholar

Invasive Staphylococcus aureus infections associated with pain injections and reuse of single-dose vials – Arizona and Delaware, 2012. MMWR. 2012;61: 501–504.Google Scholar

Outbreaks and Patient Notifications in Outpatient Settings, Selected Examples, 2010–2014. Available at: www.cdc.gov/HAI/settings/outpatient/outbreaks-patient-notifications.html#ref2. Accessed October 19, 2015.Google Scholar

Mattner, F, Gastmeier, P. Bacterial contamination of multiple-dose vials: a prevalence study. Am J Infect Control. 2004;32:12–16.Google Scholar

Motamedifar, M, Askarian, M. The prevalence of multidose vial contamination by aerobic bacteria in a major teaching hospital, Shiraz, Iran, 2006. Am J Infect Control. 2009;37:773–777.Google Scholar

Schaefer, MK, Perz, JF. Outbreaks of infections associated with drug diversion by US health care personnel. Mayo Clinic Proceedings. 2014;89:878–887.CrossRefGoogle ScholarPubMed

Huang, R, Mehta, S, Weed, D, Price, CS. Methicillin-resistant Staphylococcus aureus survival on hospital fomites. Infect Control Hosp Epidemiol. 2006;27:1267–1269.Google Scholar

Hardy, KJ, Oppenheim, BA, Gossain, S, Gao, F, Hawkey, PM. A study of the relationship between environmental contamination with methicillin-resistant Staphylococcus aureus (MRSA) and patients’ acquisition of MRSA. Infect Control Hosp Epidemiol. 2006;27:127–132.Google Scholar

Drees, M, Snydman, DR, Schmid, CH, et al. Prior environmental contamination increases the risk of acquisition of vancomycin-resistant enterococci. Clin Infect Dis. 2008;46:678–685.Google Scholar

Huang, SS, Datta, R, Platt, R. Risk of acquiring antibiotic-resistant bacteria from prior room occupants. Arch Intern Med. 2006;166:1945–1951.CrossRefGoogle ScholarPubMed

Martinez, JA, Ruthazer, R, Hansjosten, K, Barefoot, L, Snydman, DR. Role of environmental contamination as a risk factor for acquisition of vancomycin-resistant enterococci in patients treated in a medical intensive care unit. Arch Intern Med. 2003;163:1905–1912.Google Scholar

Weinstein, RA, Bridges, CB, Kuehnert, MJ, Hall, CB. Transmission of influenza: implications for control in health care settings. Clin Infect Dis. 2003;37:1094–1101.CrossRefGoogle Scholar

Calder, RA, Duclos, P, Wilder, MH, Pryor, VL, Scheel, WJ. Mycobacterium tuberculosis transmission in a health clinic. Bull Int Union Tuberculosis Lung Dis. 1991;66:103–106.Google Scholar

Fischl, MA, Uttamchandani, RB, Daikos, GL, et al. An outbreak of tuberculosis caused by multiple-drug-resistant tubercle bacilli among patients with HIV infection. Ann Intern Med. 1992;117:177–183.Google Scholar

Beck-Sague, C, Dooley, SW, Hutton, MD, et al. Hospital outbreak of multidrug-resistant Mycobacterium tuberculosis infections: factors in transmission to staff and HIV-infected patients. JAMA. 1992;268:1280–1286.Google Scholar

Couldwell, DL, Dore, GJ, Harkness, JL, et al. Nosocomial outbreak of tuberculosis in an outpatient HIV treatment room. AIDS (London, England) 1996;10:521–5.Google Scholar

Griffith, DE, Hardeman, JL, Zhang, Y, Wallace, RJ, Mazurek, GH. Tuberculosis outbreak among healthcare workers in a community hospital. Am J Respir Crit Care Med. 1995;152:808–811.Google Scholar

Tuberculosis outbreak in a community hospital–District of Columbia, 2002. MMWR Morbidity and mortality weekly report. 2004;53: 214–216.Google Scholar

Lee, EH, Graham, PL, 3rd, O’Keefe, M, Fuentes, L, Saiman, L. Nosocomial transmission of Mycobacterium tuberculosis in a children’s hospital. Int J Tuberculosis Lung Dis. 2005;9:689–692.Google Scholar

Moran, GJ, McCabe, F, Morgan, MT, Talan, DA. Delayed recognition and infection control for tuberculosis patients in the emergency department. Ann Emerg Med. 1995;26:290–295.Google Scholar

Orenstein, WA, Papania, MJ, Wharton, ME. Measles elimination in the United States. J Infect Dis. 2004;189:S1–S3.Google Scholar

Chen, SY, Anderson, S, Kutty, PK, et al. Health care–associated measles outbreak in the United States after an importation: challenges and economic impact. J Infect Dis. 2011;203:1517–1525.CrossRefGoogle ScholarPubMed

Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008. Centers for Disease Control and Prevention, 2008. Available at: www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdf. Accessed October 26, 2015.Google Scholar

Spach, DH, Silverstein, FE, Stamm, WE. Transmission of infection by gastrointestinal endoscopy and bronchoscopy. Ann Intern Med. 1993;118:117–128.CrossRefGoogle ScholarPubMed

Reprocessing of flexible gastrointestinal endoscopes. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc. 1996;43: 540–545.Google Scholar

Petersen, BT, Chennat, J, Cohen, J, et al. Multisociety guideline on reprocessing flexible GI endoscopes: 2011. Infect Control Hosp Epidemiol. 2011;32:527–537.CrossRefGoogle ScholarPubMed

Epstein, L, Hunter, JC, Arwady, M, et al. New Delhi metallo-β-lactamase–producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes. JAMA. 2014;312:1447–1455.Google Scholar

Interim Duodenoscope Surveillance Protocol. Available at: www.cdc.gov/hai/organisms/cre/cre-duodenoscope-surveillance-protocol.html#ref1. Accessed October 23, 2015.Google Scholar

Aumeran, C, Poincloux, L, Souweine, B, et al. Multidrug-resistant Klebsiella pneumoniae outbreak after endoscopic retrograde cholangiopancreatography. Endoscopy. 2010;42:895–899.Google Scholar

Alrabaa, SF, Nguyen, P, Sanderson, R, et al. Early identification and control of carbapenemase-producing Klebsiella pneumoniae, originating from contaminated endoscopic equipment. Am J Infect Control. 2013;41:562–564.Google Scholar

Gastmeier, P, Vonberg, RP. Klebsiella spp. in endoscopy-associated infections: we may only be seeing the tip of the iceberg. Infection. 2014;42:15–21.CrossRefGoogle ScholarPubMed

OSHA Compliance Document. Occupational Exposure to bloodborne pathogens; needlesticks and other sharp injuries; Final rule. 29 C.F.R. Part 1910 (January 18, 2001).Google Scholar

Kelen, GD, Green, GB, Purcell, RH, et al. Hepatitis B and hepatitis C in emergency department patients. N. Engl J Med. 1992;326:1399–1404.Google Scholar

Kelen, GD, Hansen, KN, Green, GB, Tang, N, Ganguli, C. Determinants of emergency department procedure- and condition-specific universal (barrier) precaution requirements for optimal provider protection. Ann Emerg Med. 1995;25:743–750.CrossRefGoogle ScholarPubMed

(2000) FNSaPAPL-.Google Scholar

Kelen, GD, Green, GB, Hexter, DA, et al. Substantial improvement in compliance with universal precautions in an emergency department following institution of policy. Arch Intern Med. 1991;151:2051–2056.Google Scholar

Miller, KE, Krol, RA, Losh, DP. Universal precautions in the family physician’s office. J Fam Pract. 1992;35:163–168.Google Scholar

Jensen, PA, Lambert, LA, Iademarco, MF, Ridzon, R. Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 2005. MMWR Recommendations and reports. 2005;54:1–141.Google Scholar

Alter, MJ, Tokars, JI, Arduino, MJ, Favero, MS. Nosocomial Infections Associated with Hemodialysis. In: Mayhall, CG, ed. Hospital Epidemiology and Infection Control 3rd ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2004:1139–60.Google Scholar

O’Grady, NP, Alexander, M, Burns, LA, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011;52:e162–e93.CrossRefGoogle ScholarPubMed

Sehulster, L, Chinn, RY. Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). MMWR Recommendations and reports. 2003;52:1–42.Google ScholarPubMed

Recommendations for preventing transmission of infections among chronic hemodialysis patients. MMWR Recommendations and Reports. 2001;50: 1–43.Google Scholar

Infection control requirements for dialysis facilities and clarification regarding guidance on parenteral medication vials. MMWR Morbidity and Mortality Weekly Report. 2008;57: 875–876.Google Scholar

CDC Guidelines for Vaccinating Kidney Dialysis Patients and Patients with Chronic Kidney Disease. Available at: www.cdc.gov/vaccines/pubs/downloads/dialysis-guide-2012.pdf. Accessed October 26, 2015.Google Scholar

Association for the Advancement of Medical Instrumentation (AAMI) Dialysis Standards Collection. Arlington, VA: Association for the Advancement of Medical Instrumentation.; 2014.Google Scholar

Aitken, ML, Limaye, A, Pottinger, P, et al. Respiratory outbreak of mycobacterium abscessus subspecies massiliense in a lung transplant and cystic fibrosis center. Am J Respir Crit Care Med. 2012;185:231–232.Google Scholar

Biddick, R, Spilker, T, Martin, A, LiPuma, JJ. Evidence of transmission of Burkholderia cepacia, Burkholderia multivorans and Burkholderia dolosa among persons with cystic fibrosis. FEMS Microbiol Letters. 2003;228:57–62.Google Scholar

Aaron, SD, Vandemheen, KL, Ramotar, K, et al. Infection with transmissible strains of Pseudomonas aeruginosa and clinical outcomes in adults with cystic fibrosis. JAMA. 2010;304:2145–2153.Google Scholar

Saiman, LMDMPH, Siegel, JDMD, LiPuma, JJMD, et al. Infection Prevention and Control Guideline for Cystic Fibrosis: 2013 Update. Infect Control Hosp Epidemiol. 2014;35:S1–S67.Google Scholar

Maragakis, LL, Cosgrove, SE, Song, X, et al. An outbreak of multidrug-resistant Acinetobacter baumannii associated with pulsatile lavage wound treatment. JAMA. 2004;292:3006–3011.Google Scholar