Positions & Statements

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Position Papers & Statements

SHEA addresses numerous issues that affect healthcare-associated infections (HAIs). This section contains official SHEA policy statements and model policies on key issues.


Policy World Alliance Against Antibiotic Resistance (WAAAR) declaration against antibiotic resistance
Author: WAAAR
Date Published: Jun, 23 2014
Publication Format: PDF

Abstract: SHEA has signed on as a medical society supporting the efforts of WAAAR, a group of 700 individuals from 55 different countries representing all the key stakeholders (physicians, veterinarians, microbiologists, surgeons, pharmacists, nurses, evolutionary biologists, ecologists, environmentalists, patient advocacy groups). The primary goal of WAAAR is to raise awareness about the urgency and magnitude of the antibiotic resistance threat and to promote an international dialogue to assist in effective responses. The Alliance is dedicated to actively promoting antibiotic preservation and to raising awareness among antibiotic prescribers, politicians and policy-makers, patient safety and advocacy groups, the pharmaceutical industry, international health organizations, and the general population. Please read the declaration to find out more about this effort.

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Policy Statement on Mandatory Immunization of Health Care Personnel
Date Published: Dec, 10 2013
Publication Format: PDF

Abstract: Joint policy statement of IDSA, the Society for Healthcare Epidemiology of America (SHEA), and the Pediatric Infectious Diseases Society (PIDS) supporting universal immunization of health care personnel by health care employers as recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC).

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CDC Coalition FY 2014 Budget Request
Author: CDC Coalition
Date Published: Mar, 01 2013
Publication Format: PDF

Abstract: SHEA is a member of the CDC Coalition, which represents more than 40 organizations committed to strengthening our nation’s prevention programs.  The Coalition’s FY 2014 Budget Request urges a funding level of $7.8 billion for CDC programs overall.

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Policy Statement on Antimicrobial Stewardship by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America
Date Published: Mar, 15 2012
Publication Format: ICHE

Abstract: Antimicrobial resistance has emerged as a significant healthcare quality and patient safety issue in the twenty-first century that, combined with a rapidly dwindling antimicrobial armamentarium, has resulted in a critical threat to the public health of the United States. Antimicrobial stewardship programs optimize antimicrobial use to achieve the best clinical outcomes while minimizing adverse events and limiting selective pressures that drive the emergence of resistance and may also reduce excessive costs attributable to suboptimal antimicrobial use. Therefore, antimicrobial stewardship must be a fiduciary responsibility for all healthcare institutions across the continuum of care. This position statement of the Society for Healthcare Epidemiology of America, the Infectious Diseases Society of America, and the Pediatric Infectious Diseases Society of America outlines recommendations for the mandatory implementation of antimicrobial stewardship throughout health care, suggests process and outcome measures to monitor these interventions, and addresses deficiencies in education and research in this field as well as the lack of accurate data on antimicrobial use in the United States.

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Antimicrobial Stewardship: A Collaborative Partnership between Infection Preventionists and Healthcare Epidemiologists
Author: SHEA and APIC
Date Published: Mar, 01 2012
Publication Format: HTML

Abstract: None

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Revised SHEA Position Paper: Influenza Vaccination of Healthcare Personnel
Author: SHEA
Date Published: Sep, 02 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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Policy Implications of the SHEA Research Plan for Reducing Healthcare-Associated Infections
Author: SHEA Public Policy and Government Affairs Committee
Date Published: Feb, 01 2010
Publication Format: PDF

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Public Disclosure of Healthcare-Associated Infections: The Role of SHEA
Author: SHEA, ICHE
Date Published: Feb, 01 2008
Publication Format: PDF

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Legislative Mandates for Use of Active Surveillance Cultures to Screen for MRSA and VRE
Author: Joint SHEA/APIC Taskforce
Date Published: Jan, 01 2007
Publication Format: PDF

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PDFModel Legislation on Public Reporting of Healthcare-Associated Infections
Date Published: January 2006
Publication Format: PDF

Abstract: To assist patient safety initiatives by giving state legislatures a template to use when adopting legislation for the collection and reporting of infection rates.

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PDFEssentials of Public Reporting of Healthcare-Associated Infections: A Tool Kit
Author: SHEA, APIC, CSTE, CDC Healthcare-Associated Infection Working Group of the Joint Public Policy Committee
Date Published: January 2006
Publication Format: PDF

Abstract: A “how-to” document to give states and healthcare facilities facing legislative mandates to publicly report HAIs and practical management strategies for implementing them.

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