SHEA Guidelines and Expert Guidance Documents
SHEA Expert Guidance: Reliability of Non-Localizing Signs and Symptoms as Indicators of the Presence of Infection in Residents of Nursing Homes
This expert guidance provides a framework to guide practitioners in when to evaluate a nursing home resident for infection when a resident exhibits non-specific signs or symptoms, including: fever, hypothermia, low blood pressure, high blood sugar, and delirium. The authors also discuss symptoms, including behavioral changes, functional decline, falls, and anorexia, which own should not prompt further evaluation for infection but should be considered in full context of the patient’s condition.
Full text: https://doi.org/10.1017/ice.2020.1282
Press release: Guidance on Non-Specific Symptoms of Infection Aims to Reduce Inappropriate Antibiotic Use in Nursing Homes
Pocket card: Nursing Home Infections: Reliability of Non-Localizing Signs and Symptoms in Evaluating for Infection
SHEA White Paper: Management of healthcare personnel living with hepatitis B, hepatitis C, or human immunodeficiency virus in US healthcare institutions
Manuscript: https://doi.org/10.1017/ice.2020.458
IDSA COVID-19 Rapid Guideline
- Part 1: Treatment and Management of Patients
- Part 2: Infection Prevention
- Part 3: Diagnostics
- Part 4: Serologic Testing
Evaluation and Management of Penicillin Allergy: A Review
https://doi.org/10.1001/jama.2018.19283
Resources:
- AAAAI Choosing Wisely
- JAMA Pediatrics: Is My Child Allergic to Penicillin?
- Toolkits: https://jamanetwork.com/journals/jama/article-abstract/2720732
- Video: https://edhub.ama-assn.org/jn-learning/video-player/17148536
- Podcast: https://edhub.ama-assn.org/jn-learning/audio-player/17143729
- Patient resources: https://jamanetwork.com/journals/jama/fullarticle/2720729
SHEA Expert Guidance: Infection Prevention in the Operating Room Anesthesia Work Area
https://doi.org/10.1017/ice.2018.303
Resources:
- Webinars:
- New Guidance for OR Anesthesia – Recommendations for Preventing Infections
- Infection Prevention in Anesthesia Q&A
- Implementing Changes for Infection Prevention in Anesthesia
- Pocket Card
- ASA Statement
SHEA Neonatal Intensive Care Unit (NICU) White Paper Series
- Guidance Balances Staph Infection Prevention in Critically Ill Infants with Family Contact
- Guidance for Preventing C. difficile in Neonatal Intensive Care
Manuscripts:
- Practical approaches to S. aureus disease prevention
- Practical approaches to C. difficile prevention
In Development:
- Respiratory Infections
- CLABSI
Pocket Cards:
- NICU S. aureus
- NICU C. difficile (in development)
Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by IDSA & SHEA
SHEA Expert Guidance: Duration of Contact Precautions for Acute-Care Settings
Expert Guidance on Contact Precautions for Drug-Resistant Infections
Manuscript:
SHEA Expert Guidance: Outbreak Response and Incident Management: SHEA Guidance and Resources for Healthcare Epidemiologists in United States Acute-Care Hospitals
https://doi.org/10.1017/ice.2017.212
Tool Kits: https://ortp.guidelinecentral.com
- Incident Management
- Horizontal Strategies
- Emerging Pathogens
- Communication, Negotiation, and Implementation
SHEA/CDC Outbreak Response Training Program: http://ortp.shea-online.org/
Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America
https://doi.org/10.1093/cid/ciw118
Chinese Translation:
Expert Guidance: Isolation Precautions for Visitors
Expert Guidance: Animals in Healthcare Facilities: Recommendations to Minimize Potential Risks
http://dx.doi.org/10.1017/ice.2015.15
Pocket Card Digital and Print Orders: https://www.guidelinecentral.com/shop/animals-in-healthcare-facilities-guidelines-pocket-card
Medscape Slide Summary: http://www.medscape.com/features/slideshow/animals
Infection Prevention and Control Guideline for Cystic Fibrosis: 2013 Update
https://doi.org/10.1086/676882
In 2003, the Cystic Fibrosis (CF) Foundation published recommendations for infection prevention and control (IP&C) in an effort to reduce the risk of acquisition and transmission of pathogens among people with CF.1 However, both IP&C and CF are dynamic disciplines, and during the past decade new knowledge and new challenges necessitated the development of updated IP&C strategies for this unique population.
Reviewed August 2018.
Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Update
Healthcare Personnel Attire in Non-Operating-Room Settings (SHEA Expert Guidance)
Infection Prevention and Control in Residential Facilities for Pediatric Patients and Their Families
http://journals.cambridge.org/abstract_S0195941700033907
Three family education guides focusing on hand hygiene, respiratory etiquette, and safe handling of blood and body fluids were also created as part of this guideline but are not contained in this document. These guides are tools to educate families about how to help with minimizing the risk of pathogen transmission. These guides can be found at Patient Guides on Healthcare-Associated Infections.
Reviewed November 2018.
Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery
The guidelines are intended to provide practitioners with a standardized approach to the rational, safe, and effective use of antimicrobial agents for the prevention of surgical-site infections (SSIs) based on currently available clinical evidence and emerging issues.
Reviewed March 2018.
Guideline for Disinfection and Sterilization of Prion-Contaminated Medical Instruments
Creutzfeldt‐Jakob disease (CJD) is a degenerative neurologic disorder of humans. CJD is caused by a proteinaceous infectious agent. Prion diseases elicit no immune response, result in a noninflammatory pathologic process confined to the central nervous system, have an incubation period of years, and usually are fatal within 1 year after diagnosis.
Reviewed 2014.