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

Published online by Cambridge University Press:  02 January 2015

Candace Friedman ,
Marcie Barnette ,
Alfred S. Buck ,
Rosemary Ham ,
Jo-Ann Harris ,
Peggy Hoffman ,
Debra Johnson ,
Farrin Manian ,
Lindsay Nicolle  and
Michele L. Pearson
...Show all authors
Candace Friedman*
Affiliation:
Association for Professionals in Infection Control and Epidemiology (APIC)
Marcie Barnette
Affiliation:
National Association for Home Care (NAHC)
Alfred S. Buck
Affiliation:
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Rosemary Ham
Affiliation:
Association for Professionals in Infection Control and Epidemiology (APIC)
Jo-Ann Harris
Affiliation:
Pediatric Infectious Diseases Society (PIDS)
Peggy Hoffman
Affiliation:
National Association for Home Care (NAHC)
Debra Johnson
Affiliation:
Association for Professionals in Infection Control and Epidemiology (APIC)
Farrin Manian
Affiliation:
Society for Healthcare Epidemiology of America (SHEA) Consensus Panel
Lindsay Nicolle
Affiliation:
Society for Healthcare Epidemiology of America (SHEA) Consensus Panel
Michele L. Pearson
Affiliation:
Society for Healthcare Epidemiology of America (SHEA) Consensus Panel
Trish M. Perl
Affiliation:
Society for Healthcare Epidemiology of America (SHEA) Consensus Panel
Steven L. Solomon
Affiliation:
Centers for Disease Control and Prevention (CDC)
*
1275 K St NW, Washington, DC 20005-4006
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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.

Type
Special Report
Information
Infection Control & Hospital Epidemiology , Volume 20 , Issue 10 , October 1999 , pp. 695 - 705
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

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References

1. Marszalek-Gaucher, E, Coffey, RJ. Transforming Healthcare Organizations. San Francisco, CA: Jossey-Bass; 1990: P xi.Google Scholar
2. Jackson, MM, Lynch, R Ambulatory care settings. In: Bennett, JV, Brachman, PS, eds. Hospital Infections. 4th ed. Philadelphia, PA: Lippincott-Raven; 1998.Google Scholar
3. Association for Professionals in Infection Control and Epidemiology. APIC Infection Control and Applied Epidemiology: Principles and Practice. St Louis, MO: Mosby; 1996.Google Scholar
4. A Practical Handbook for Hospital Epidemiologists. The Society for Healthcare Epidemiology of America. Herwaldt, LA, Decker, MD, eds. Thorofare, NJ: Slack, Inc; 1998.Google Scholar
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.Google Scholar
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;19:114–124.Google Scholar
7. Kemper, P, Murtaugh, CM. Lifetime use of nursing home care. N Engl J Med 1991;324:595–600.CrossRefGoogle ScholarPubMed
8. Nicolle, LE, Strausbaugh, LJ, Garibaldi, RA. Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev 1996;9:1–7.Google Scholar
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;17:129–140.Google Scholar
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;46:60–62.Google Scholar
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;34:2193–2199.Google Scholar
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;27:20–26.CrossRefGoogle ScholarPubMed
13. Nicolle, LE. Urinary tract infections in long term care facilities. Infect Control Hosp Epidemiol 1993;14:220–225.Google Scholar
14. Nicolle, LE, Bentley, D, Garibaldi, R, Neuhaus, E, Smith, P, Antimicrobial use in long-term care facilities. Infect Control Hosp Epidemiol 1996;17:119–128.Google Scholar
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;19:1–7.Google Scholar
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;25:488–512.CrossRefGoogle ScholarPubMed
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;152:1017–1022.Google Scholar
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;148:865–868.CrossRefGoogle ScholarPubMed
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;18:115–121.Google Scholar
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;23:1133–1136.CrossRefGoogle ScholarPubMed
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;338:1861–1868.Google Scholar
22. Goodman, RA, Solomon, SL. Transmission of infectious diseases in outpatient health care settings. JAMA 1991;265:2377–2381.Google Scholar
23. Manian, FA. Surveillance of surgical site infections in alternative settings: exploring the current options. Am J Infect Control 1997;25:102–105.Google Scholar
24. Hecht, AD. Creating greater efficiency in ambulatory surgery. J Clin Anesth 1995;7:581–584.Google Scholar
25. Davis, JE. Ambulatory surgery … how far can we go? Med Clin North Am 1993;77:365–375.Google Scholar
26. Bookwalter, JW 3rd, Busch, MD, Nicely, D. Ambulatory surgery is safe and effective in radicular disk disease. Spine 1994;19:526–530.CrossRefGoogle Scholar
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;25:787–801.Google Scholar
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.Google Scholar
29. Liebert, L, Bryant-Wimp, J. Ambulatory infusion centers: hospital survival in an outpatient world. Infusion 1997;4(3:25–29.Google Scholar
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):S40–S43.Google Scholar
31. Poretz, DM. The infusion center: a model for outpatient parenteral antibiotic therapy. Rev Infect Dis 1991;13(suppl 2):S142–S146.Google Scholar
32. Flores, K. AIC: what's your role in the most talked about delivery model? Infusion 1998;4(11:35–38.Google Scholar
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; 1996:693–714.Google Scholar
34. Hindman, SH, Favero, MS, Carson, LA, Petersen, NJ, Schonberger, LB, Solano, JT. Pyrogenic reactions during haemodialysis caused by extramural endotoxin. Lancet 1975;2:732–734.Google Scholar
35. Gordon, SM, Tipple, M, Bland, LA, Jarvis, WR. Pyrogenic reactions associated with the reuse of disposable hollow-fiber hemodialyzers. JAMA 1988;260:2077–2081.Google Scholar
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;15:1–4.CrossRefGoogle ScholarPubMed
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;119:1072–1078.Google Scholar
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;161:85–90.CrossRefGoogle Scholar
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;153:1149–1151.CrossRefGoogle ScholarPubMed
40. Velandia, M, Fridkin, SK, Cardenas, V, Boshell, J, Ramirez, G, Bland, L, et al. Transmission of HIV in dialysis centre. Lancet 1995;345:1417–1422.Google Scholar
41. Tokars, JI, Alter, MJ, Favero, MS, Moyer, LA, Bland, LA. National surveillance of dialysis associated diseases in the United States, 1991. ASAIOJ 1993;39:966–975.Google Scholar
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;59:232–235.CrossRefGoogle ScholarPubMed
43. National Association for Home Care. Basic Statistics About Home Care. Washington, DC: National Association for Home Care; 1997.Google Scholar
44. National Association for Home Care. Uniform Data Set for Home Care and Hospice. Washington, DC: National Association for Home Care; 1998.Google Scholar
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.Google Scholar
46. Smith, PW. Forum: infection prevention in the home health setting. Asepsis 1994;16:9–11.Google Scholar
47. Rosenheimer, L. Establishing a surveillance system for infections acquired in home healthcare. Home Healthc Nurse 1995;13(3:20–26.Google Scholar
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;179:442–448.Google Scholar
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;129:711–717.Google Scholar
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;273:1862–1864.CrossRefGoogle ScholarPubMed
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.Google Scholar
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;23:357–363.CrossRefGoogle ScholarPubMed
53. Graham, DR Nosohusial infection: complications of home intravenous therapy. Infect Dis Clin Practice 1993;2:158–161.Google Scholar
54. Rosenheimer, L, Embry, FC, Sanford, J, Silver, SR. Infection surveillance in home care: device-related incidence rates. Am J Infect Control 1998;26:359–363.Google Scholar
55. Simmons, B, Trusler, M, Roccaforte, J, Smith, P, Scott, R. Infection control for home health. Infect Control Hosp Epidemiol 1990;11:362–370.Google Scholar
56. Rhinehart, E, Friedman, MM. Infection Control in Home Care. Gaithersburg, MD: Aspen Publishing; 1999.Google Scholar
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.Google Scholar
58. Friedman, MM. Designing an infection control program to meet JCAHO standards. Caring 1996;15:18–25.Google Scholar
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.Google Scholar
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.Google Scholar
61. Lorenzen, AN, Itkin, DJ. Surveillance of infection in home care. Am J Infect Control 1992;20:326–329.CrossRefGoogle ScholarPubMed
62. Rhinehart, E. Developing an infection surveillance system. Caring 1996;14:26–32.Google Scholar
63. ORYX. The next evolution in accreditation. Joint Commission on Accreditation of Healthcare Organizations. Nurs Manage 1997;28:49–54.Google Scholar
64. White, MC. Infections and infection risks in home care settings. Infect Control Hosp Epidemiol 1992;13:535–539.Google Scholar
65. Wade, BH, Bush, SE. Opportunities for extending infection control into the community. Infect Dis Clin Pract 1998;7:32–38.Google Scholar
66. Abrutyn, E, Scheckler, W, Goldmann, DA, eds. Saunders Infection Control Reference Service. Philadelphia, PA: WB Saunders; 1998.Google Scholar
67. Health Care Standards: Official Directory. Plymouth Meeting, PA: ECRI; 1990.Google Scholar
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;26:289–354.Google Scholar
69. Stamm, WE, Weinstein, RA, Dixon, RE. Comparison of endemic and epidemic nosocomial infections. Am J Med 1981;70:393–397.Google Scholar
70. Friedman, C, Chenoweth, C. Infection control. In: Schmele, JA, ed. Quality Management. Albany, NY: Delmar Publishers; 1996.Google Scholar
71. Sheldon, JE. 18 tips for infection control at home. Nursing 1995;25:32PP–32QQ.Google Scholar
72. Herrick, S, Loos, KM. Designing an infection control program. Home Care Provid 1996;1:153–156.Google Scholar
73. Bellen, V. A model for a comprehensive infection control program in home healthcare. J Healthc Qual 1996;18:7–17.Google Scholar
74. Friedman, MM. Joint Commission on Accreditation of Healthcare Organizations' infection control requirements: fact or fiction. Home Healthc Nurse 1997;15:236–238.Google Scholar
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.Google Scholar
76. Pearson, ML. Guideline for prevention of intravascular device-related infections. The Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1996;24:262–293.Google Scholar
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;23:215–222.Google Scholar