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Moving Toward Elimination of Healthcare-Associated Infections: A Call to Action
Author: CDC, SHEA, APIC, ASTHO, CSTE, IDSA, PIDS
Date Published: Oct, 2010
Date Revised:
Publication Format: HTML; PDF

Abstract: A framework for achieving elimination of HAIs using successful preventive practices and public health strategies to achieve the goal of eliminating HAIs builds upon the basis of lessons from recent successes and require constant action and vigilance. These are: implement evidence-based practices that protect patients; align incentives to promote system-wide strategies for HAI prevention; address gaps in knowledge to push beyond the current medical knowledge; and collect data to target prevention efforts and to measure progress.

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Revised SHEA Position Paper: Influenza Vaccination of Healthcare Personnel
Author: SHEA
Date Published: Sep, 2010
Date Revised: August 2010, ICHE
Publication Format: HTML

Abstract: In large part, the discussion about the rationale for influenza vaccination of healthcare personnel, the strategies designed to improve influenza vaccination rates in this population, and the recommendations made in the 2005 paper still stand. This position paper notes new evidence released since publication of the 2005 paper and strengthens SHEA’s position on the importance of influenza vaccination of HCP. This document does not discuss vaccine allocation during times of vaccine shortage, because the 2005 SHEA Position Paper still serves as the society’s official statement on that issue. SHEA views influenza vaccination of HCP as a core patient and HCP safety practice with which noncompliance should not be tolerated. Therefore, for the safety of both patients and HCP, SHEA endorses a policy in which annual influenza vaccination is a condition of both initial and continued HCP employment and/or professional privileges.

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Healthcare Personnel at High-Risk for Severe Influenza Illness: Care of Patients with Suspected or Confirmed Novel H1N1 Influenza A
Author: SHEA, APIC, IDSA, ACOEM
Date Published: Sep, 2010
Date Revised:
Publication Format: PDF

Abstract: The emergence of a novel H1N1 influenza A virus has dramatically impacted communities and healthcare institutions across the globe. In addition to potential exposure in the community, healthcare personnel are often called upon to care for individuals with suspected or confirmed novel H1N1 influenza A and may become exposed to the virus if appropriate infection control precautions are not implemented.

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Interim Guidance on Infection Control Precautions for Novel Influenza A H1N1 in Healthcare Facilities
Author: SHEA, endorsed by IDSA and APIC
Date Published: Jun, 2009
Date Revised:
Publication Format: PDF

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Recommendations for Metrics for Multidrug-Resistant Organisms in Healthcare Settings
Author: SHEA, HICPAC
Date Published: Oct, 2008
Date Revised:
Publication Format: PDF

Abstract: This document describes useful and practical metrics and surveillance considerations for measuring MDROs and the infections they cause in the practice of infection prevention and control in healthcare settings. These metrics are designed to aid healthcare workers in documenting trends over time within their facility and should not be used for interfacility comparison.The following MDROs are addressed: (1) methicillin‐resistant Staphylococcus aureus; (2) vancomycin‐resistant Enterococcus species; (3) multidrug‐resistant gram‐negative bacilli; and (4) vancomycin‐resistant S. aureus. We convened a working group of experts that reviewed current practices, the peer‐reviewed literature, and existing guidelines on surveillance strategies and key metrics.
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Raising Standards While Watching the Bottom Line: Making a Business Case for Infection Control
Author: SHEA
Date Published: Oct, 2007
Date Revised:
Publication Format: PDF

Abstract: The SHEA Board of Directors appointed a task force to draft this evidence‐based guideline to assist hospital epidemiologists in justifying and expanding their programs. Part 1 describes the basic steps needed to complete a business‐case analysis for an individual institution. A case study based on a representative infection control intervention is provided. Part 2 reviews important basic economic concepts and describes approaches that can be used to assess the financial impact of infection prevention, surveillance, and control interventions, as well as the attributable costs of specific healthcare‐associated infections. Both parts of the guideline aim to provide the hospital epidemiologist, infection control professional, administrator, and researcher with the tools necessary to complete a thorough business‐case analysis and to undertake an outcome study of a nosocomial infection or an infection control intervention.

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Antiviral Stockpiling for Influenza Preparedness
Author: SHEA, IDSA
Date Published: Oct, 2005
Date Revised:
Publication Format: PDF

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Requirements for Infrastructure and Essential Activities of Infection Control and Epidemiology in Hospitals
Author: SHEA, APIC, JCAHO, AHA, CDC, PIDS, IDSA, NFID
Date Published: Feb, 1998
Date Revised:
Publication Format: HTML, PDF

Abstract: SHEA established a consensus panel to develop recommendations for optimal infrastructure and essential activities of infection control and epidemiology programs in hospitals. The following report represents the consensus panel's best assessment of needs for a healthy and effective hospital-based infection control and epidemiology program. The recommendations fall into eight categories: managing critical data and information; setting and recommending policies and procedures; compliance with regulations, guidelines, and accreditation requirements; employee health; direct intervention to prevent transmission of infectious diseases; education and training of healthcare workers; personnel resources; and nonpersonnel resources. The consensus panel used an evidence-based approach and categorized recommendations according to modifications of the scheme developed by IDSA and HICPAC.

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How to Select & Interpret Molecular Strain Typing Methods for Epidemiological Studies of Bacterial Infections: A Review for Healthcare Epidemiologists
Author: Molecular Typing Working Group of SHEA
Date Published: Jun, 1997
Date Revised:
Publication Format: PDF

Abstract: Strain typing is an integral part of epidemiological investigations of nosocomial infections. Although not all molecular techniques are equally effective for typing all organisms, pulsed-field gel electrophoresis is the technique currently favored for most nosocomial pathogens. Nucleic acid amplification-based typing methods also are applicable to many organisms and can be completed within a single day, but interpretive criteria still are under debate. Strain typing cannot be used to replace a sound epidemiological investigation, but serves as a useful adjunct to such investigations.

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An Approach to the Evaluation of Quality Indicators of the Outcome of Care in Hospitalized Patients
Author: Quality Indicator Study Group
Date Published: May, 1995
Date Revised:
Publication Format: PDF

Abstract: The Quality Indicator Study Group was created by the governing boards of three national professional organizations that have interest and experience in epidemiology, nosocomial infection control and prevention, and quality of care improvement. The Study Group has reviewed the existing literature concerning quality indicators, interviewed experts in the field, and focused on how best to evaluate such indicators, with an emphasis on nosocomial infection indicators as a paradigm for all QIs. In this report, we review pertinent issues and, where possible, provide specific advice on how to evaluate QIs and QI systems.

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