Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-06T02:03:18.909Z Has data issue: false hasContentIssue false
  • English
  • Français

Infection Control for Home Health

Published online by Cambridge University Press:  21 June 2016

Bryan Simmons ,
Martha Trusler ,
Jane Roccaforte ,
Philip Smith  and
Rebecca Scott
Bryan Simmons*
Affiliation:
Department of Infectious Diseases, Methodist Hospital of Memphis, Memphis, Tennessee Department of Infection Control, Methodist Hospital of Memphis, Memphis, Tennessee
Martha Trusler
Affiliation:
Department of Infection Control, Methodist Hospital of Memphis, Memphis, Tennessee
Jane Roccaforte
Affiliation:
Department of Infectious Diseases, Bishop Clarkson Memorial Hospital, Omaha, Nebraska
Philip Smith
Affiliation:
Department of Infectious Diseases, Bishop Clarkson Memorial Hospital, Omaha, Nebraska
Rebecca Scott
Affiliation:
Department of Infection Control, St. Mary's Hospital, Knoxville, Tennesse
*
188 S. Bellevue Ave., Suite 419, Memphis, TN 38104
Get access Rights & Permissions [Opens in a new window]

Extract

Recent trends in medical care have resulted in increasing numbers of patients being cared for in the home health setting. The annual growth rate for home care is projected to be between 12% and 20%, at least through 1990. Many patients who would formerly have stayed in the hospital are now being discharged to home care. This trend has been prompted and driven by cost considerations, but other factors, such as new approaches to the care of dying patients, have also played a role. Many patients cared for at home may have communicable diseases, multiple invasive devices or an immunocompromising condition. The patient, family members and the home health professional (HHP) all may be at risk for developing or transmitting infection, although the actual risk has not been determined. Thus, there is a need for prevention and control of home-acquired infections.

Type
Special Commentary
Information
Infection Control & Hospital Epidemiology , Volume 11 , Issue 7 , July 1990 , pp. 362 - 370
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. American Hospital Association Home Care Information Pocket. Chicago, Il: American Hospital Association, Health Administrative Services/Data Center; 1984.Google Scholar
2. Centers for Disease Control. Recommendations for precautions of HIV transmission in health care settings. MMWR. 1987;36:3S–18S.Google Scholar
3. Centers for Disease Control. Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health care settings. MMWR. 1988;37:377-382,387–389.Google Scholar
4. OSHA Instruction CPL 2-2.44B. Washington DC: Office of Health Compliance Assistance. Occupational Health and Safety Administration; 1990.Google Scholar
5. Centers for Disease Control. Update: acquired immunodeficiency syndrome and human immunodeficiency virus infection among health-care workers. MMWR. 1988; 37:229-234,239.Google Scholar
6. Centers for Disease Control. Home care for AIDS. 1988 (in press).Google Scholar
7. Valenti, WM, Betts, RF, Hall, CB, Hruska, JF, Douglas, RG. Nosocomial viral infections II: guidelines for prevention and control of respiratory viruses, herpes viruses, and hepatitis viruses. Infect Control. 1980;1:165–178.Google Scholar
8. Simmons, BP, Gelfand, MS. Herpes simplex virus. Infect Control. 1986;7:380–383.Google Scholar
9. EPA Guide for Infectious Waste Management. Springfield, Va: National Technical Information Service; May 1986:U.S. Environmental Protection Agency, Office of Solid Wastes. EPA/530-SW-86-014.Google Scholar
10. Stratton, CW. Waterless agents for decontaminating the hands, Infect Control. 1986;7:186–187.Google Scholar
11. Rutala, W. Draft guideline for selection and use of disinfectants. Am J Infect Control. 1989;17:24A–38A.CrossRefGoogle ScholarPubMed
12. Bloomfield, SF. A review - the use of disinfectants in the home. J Appi Bacteriol. 1978;45:1–38.Google Scholar
13. Frawley, L. Home health care. In: APIC Curriculum. Mundelein, Ill: Association of Practitioners of Infection Control; 1988.Google Scholar
14. Pierce, AK, Sanford, JP. Treatment and prevention of infections associated with inhalation therapy. Modern Treatment. 1966;3:1171–1174.Google Scholar
15. Rhoades, ER, Ringrose, R, Mohr, JA, Brooks, L, et al. Contamination of ultrasonic nebulization equipment with gram-negative bacteria. Arch Intern Med. 1971;127:228–232.CrossRefGoogle ScholarPubMed
16. Strathclyde Diabetic Group. Disposable or non-disposable syringes and needles for diabetics? British Med J. 1983;286:369–370.10.1136/bmj.286.6362.369CrossRefGoogle Scholar
17. Greene, VW. Reuse of disposable medical devices: historical and current aspects. Infect Control. 1986;7:508–513.Google Scholar
18. Shabino, CL, Erlandson, AL, Kopta, LA. Home cleaning-disinfection procedure for tracheal suction catheters. Pediatr J Infect Dis. 1986;5:54–58.Google Scholar
19. Craig, CP. Room humidifiers and hospitals. Infect Control. 1985;6:129–130.Google Scholar
20. Pennsylvania Society for Respiratory Therapy, Inc. Respiratory Home Care Procedure Manual. Dallas, Tx: American Association for Respiratory Care; 1983.Google Scholar
21. O'Donohgue, WJ, Giovannoni, RM, Goldberg, AI, et al. Long-term mechanical ventilation: guidelines for management in the home and at alternative community sites. Report of the Ad Hoc committee, Respiratory Care Section, American College of Chest Physicians. Chest. 1986;90(suppl):15S–37S.Google Scholar
22. American Respiratory Care Foundation. Guidelines for disinfection of respiratory care equipment used in the home. Respiratory Care. 1988;9:801–808.Google Scholar
23. Allman, RM, Laprade, CA, Noel, B, et al. Pressure sores among hospitalized patients. Ann Intern Med. 1986;105:337–342.Google Scholar
24. Moody, BL, Fanale, JE, Thompson, M, Vaillancourt, D, Symonds, G, Bonasoro, C. Impact of staff education on pressure sore development in elderly hospitalized patients. Arch Intern Med. 1988;148:2241–2243.Google Scholar
25. Fowler, E. Pressure sores: a deadly nuisance. J Gerontol Nurs. 1982;8:680–685.10.3928/0098-9134-19821201-05Google Scholar
26. Brown, RB. Introduction. In: Outpatient Delivery of Parenteral Antibiotic: Therapy. Nutley, NJ: Hoffman-La Roche, Inc.; 1986.Google Scholar
27. Simmons, BB, Hooton, TM, Wong, ES, Allen, JR. Guidelines for prevention of intravascular infections. Infect Control. 1982;3:61–72.10.1017/S0195941700057131Google Scholar
28. Bortez, DM, Eron, LJ, Goldenberg, RI, et al. Intravenous antibiotic therapy m an outpatient setting. JAMA. 1982;248:336–339.Google Scholar
29. Stiver, HG, Trosky, SK, Cote, DD, Oruck, JL. Self-administration of intravenous antibiotics: an efficient, cost-effective home care program. Canada Med Assoc J. 1982;1:207–211.Google Scholar
30. Maki, DG, Botticelli, JT, LeRoy, ML, Thielke, TS. Brospective study of replacing administration sets for intravenous therapy at 48- and 72. -hour intervals: 72 hours is safe and cost effective. JAMA. 1987;258:1777–1781.Google Scholar
31. Williams, WW. Infection control during parenteral nutrition therapy. Journal of Parenteral Enteral Nutrition. 1985;9:735–746.Google Scholar
32. Kunin, CM. Detection, Prevention and Management of Urinary Tract Infections. Bhiladelphia, Ba: Lea and Febiger; 1987.Google Scholar
33. Warren, JW. Catheter-associated urinary tract infections. Infect Dis Clin North Am. 1987;1:823–854.Google Scholar
34. Wong, ES, Hooten, TM. Guideline for Prevention of Catheter-Associated Urinary Tract Infections, 1981. Atlanta, Ga: Centers for Disease Control; 1981.Google Scholar
35. Nolph, KD, Zinbland, AS, Novak, JW. Current concepts: continuous ambulatory peritoneal dialysis. N Engl J Med. 1988;381:1595–1600.Google Scholar
36. Bacterial contamination of enteral formula products. FDA Drug Bulletin 1988. Washington, DC: U.S. Food and Drug Administration; November 1988.Google Scholar
37. Simmons, BB, Gelfand, MS. Haas, M, Metts, L, Ferguson, J, Enterobacter sakazakii infections in neonates associated with intrinsic contamination of a powdered infant formula. Infect Control Hosp Epidemiol. 1989;10:398–401.Google Scholar
38. Levy, J. Enteral nutrition: an increasingly recognized cause of nosocomial bloodstream infection. Infect Control Hosp Epidemiol. 1989;10:395–397.Google Scholar
39. McWey, RE, Curry, NS, Schabel, SI, Reines, HD. Complications of nasoenteric feeding tubes. Am J Surg. 1988;155:253–257.Google Scholar
40. Caplan, ES, Hoyt, NJ. Nosocomial sinusitis. JAMA. 1982;247:639–641.Google Scholar
41. Williams, W. Guidelines for infection control in hospital personnel. Infect Control. 1983;4:326–349.Google Scholar
42. Pfaff, SJ, Terry, BA. Discharge planning: infection prevention and control in the home. Nurs Clin N Am. 1980;15:893–908.CrossRefGoogle ScholarPubMed
43. Benenson, AS, ed. Control of Communicable Diseases in Man. Washington, DC: American Bublic Health Association; 1985:454.Google Scholar
44. McCormick, RD, Maki, DG. Epidemiology of needle-stick injuries in hospital personnel. Am J Med. 1981;70:928–932.Google Scholar
45. Richardson, JM, Redford, LK, Morton, H, James, R, Porterfield, J. Brotective garb. N Engl J Med. 1988;318:1333.Google Scholar
46. Doebbeling, BN, Bfaller, MA, Houston, AK, Wenzel, RB. Removal of nosocomial pathogens from the contaminated glove. Implications for glove reuse and handwashing. Ann Intern Med. 1988;109:394–398.Google Scholar
47. Garibaldi, RA, Burke, JB, Dickman, ML, Smith, CB. Factors predisposing to bacteriuria during indwelling urethral catheterization. N Engl J Med. 1974;291:215–218.Google Scholar
48. Burke, JB, Garibaldi, RA, Britt, MR, Jacobson, JA, Conti, M, Alling, DW. Brevention of catheter-associated urinary tract infections: efficacy of daily meatal care regimens. Am J Med. 1981;70:655–658.Google Scholar