Adapting and thriving, the Association for Professionals in Infection Control and Epidemiology (APIC) and the Society for Healthcare Epidemiology of America (SHEA) partnership

2021 ◽  
Vol 42 (12) ◽  
pp. 1421-1421
Author(s):  
Ann Marie Pettis ◽  
Mary K. Hayden
Keyword(s):  
Infection Control ◽  
Healthcare Epidemiology

Healthcare Epidemiology Practicum Rotation for Postgraduate Physician Trainees in Medicine–Infectious Diseases

2013 ◽  
Vol 34 (10) ◽  
pp. 1114-1116
Author(s):  
Pranavi Sreeramoju ◽  
Maria Eva Fernandez-Rojas
Keyword(s):  
Infectious Diseases ◽  
Infection Control ◽  
Medical Center ◽  
Common Trunk ◽  
University Hospitals ◽  
Hospital System ◽  
University Of Texas ◽  
Core Rotation ◽  
The University ◽  
Healthcare Epidemiology

Practicum education in healthcare epidemiology and infection control (HEIC) for postgraduate physician trainees in infectious diseases is necessary to prepare them to be future participants and leaders in patient safety. Voss et al suggested that training in HEIC should be offered as a “common trunk” for physicians being trained in clinical microbiology or infectious diseases. A 1-month rotation has been recommended previously. A survey by Joiner et al indicated that only 50% of infectious diseases fellows found the infection control training adequate. The objective of this article is to report our 2-year experience with a 1-month practicum rotation we designed and implemented at our institution.The setting is the Adult Infectious Diseases fellowship program at the University of Texas Southwestern Medical Center (UTSW), Dallas, Texas. The fellows have clinical rotations at the Parkland Health and Hospital System, UTSW University hospitals, North Texas Veterans Affairs Health Care System, and Children's Medical Center Dallas. The 2-year program recruits 7 fellows every 2 years. The 1-month core rotation was established in July 2011 and is ongoing. Fellows who completed the rotation during the period July 2011 to April 2013 are included in this study.

scholarly journals The Use of Live Attenuated Influenza Vaccine (LAIV) in Healthcare Personnel (HCP): Guidance from the Society for Healthcare Epidemiology of America (SHEA)

2012 ◽  
Vol 33 (10) ◽  
pp. 981-983 ◽  
Author(s):  
Thomas R. Talbot ◽  
Hilary Babcock ◽  
Deborah Cotton ◽  
Lisa L. Maragakis ◽  
Gregory A. Poland ◽  
...  
Keyword(s):  
Influenza Vaccine ◽  
Infection Control ◽  
Infect Control Hosp ◽  
Healthcare Personnel ◽  
Live Attenuated Influenza Vaccine ◽  
Healthcare Epidemiology

Because of the live viral backbone of live attenuated influenza vaccine (LAIV), questions have arisen regarding infection control precautions and restrictions surrounding its use in healthcare personnel (HCP). This document provides guidance from the Society for Healthcare Epidemiology of America regarding use of LAIV in HCP and the infection control precautions that are recommended with its use in this population.Infect Control Hosp Epidemiol 2012;33(10):981-983

Clinical Practice Guidelines for Clostridium difficile Infection in Adults: 2010 Update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA)

2010 ◽  
Vol 31 (05) ◽  
pp. 431-455 ◽  
Author(s):  
Stuart H. Cohen ◽  
Dale N. Gerding ◽  
Stuart Johnson ◽  
Ciaran P. Kelly ◽  
Vivian G. Loo ◽  
...  
Keyword(s):  
Environmental Management ◽  
Clinical Practice ◽  
Clostridium Difficile ◽  
Infection Control ◽  
Practice Guidelines ◽  
Virulent Strain ◽  
Severe Disease ◽  
Position Paper ◽  
Healthcare Associated ◽  
Healthcare Epidemiology

Since publication of the Society for Healthcare Epidemiology of America position paper onClostridium difficileinfection in 1995, significant changes have occurred in the epidemiology and treatment of this infection.C. difficileremains the most important cause of healthcare-associated diarrhea and is increasingly important as a community pathogen. A more virulent strain ofC. difficilehas been identified and has been responsible for more-severe cases of disease worldwide. Data reporting the decreased effectiveness of metronidazole in the treatment of severe disease have been published. Despite the increasing quantity of data available, areas of controversy still exist. This guideline updates recommendations regarding epidemiology, diagnosis, treatment, and infection control and environmental management.

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

1999 ◽  
Vol 20 (10) ◽  
pp. 695-705 ◽  
Author(s):  
Candace Friedman ◽  
Marcie Barnette ◽  
Alfred S. Buck ◽  
Rosemary Ham ◽  
Jo-Ann Harris ◽  
...  
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Health Care Workers ◽  
Evidence Based ◽  
Consensus Panel ◽  
Critical Data ◽  
Policies And Procedures ◽  
Care Workers ◽  
Healthcare Epidemiology ◽  
And Training

AbstractIn 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.

Expanding Roles of Healthcare Epidemiology and Infection Control in Spite of Limited Resources and Compensation

2010 ◽  
Vol 31 (2) ◽  
pp. 127-132 ◽  
Author(s):  
Sharon B. Wright ◽  
Belinda Ostrowsky ◽  
Neil Fishman ◽  
Valerie M. Deloney ◽  
Leonard Mermel ◽  
...  
Keyword(s):  
Infection Control ◽  
Emergency Preparedness ◽  
Hospital Setting ◽  
The United States ◽  
Median Number ◽  
Full Time ◽  
Master Of Public Health ◽  
Infection Control Practitioner ◽  
Survey Responses ◽  
Healthcare Epidemiology

Objective.Data on the resources and staff compensation of hospital epidemiology and infection control (HEIC) departments are limited and do not reflect current roles and responsibilities, including the public reporting of healthcare-associated infections. This study aimed to obtain information to assist HEIC professionals in negotiating resources.Methods.A 28-question electronic survey was sent via e-mail to all Society for Healthcare Epidemiology of America (SHEA) members in October 2006 with the use of enterprise feedback management solution software. The survey responses were analyzed using Microsoft Excel.Results.Responses were received from 526 (42%) of 1,255 SHEA members. Of the respondents, 84% were doctors of medicine (MDs) or doctors of osteopathy (DOs), 6% were registered nurses, and 21% had a master of public health or master of science degree. Sixty-two percent were male (median age range, 50-59 years). Their practice locations varied across the United States and internationally. Two-thirds of respondents practiced in a hospital setting, and 63% were the primary or associate hospital epidemiologist. Although 91% provided HEIC services, only 65% were specifically compensated. In cases of antimicrobial management, patient safety, employee health, and emergency preparedness, 75%-80% of respondents provided expertise but were compensated in less than 25% of cases. Of the US-based MD and DO respondents, the median range of earnings was $151,000-$200,000, regardless of their region (respondents selected salary ranges instead of specifying their exact salaries). Staffing levels varied: the median number of physician full-time equivalents (FTEs) was 1.0 (range, 1-5); only about 25% of respondents had 3 or more infection control practitioner FTEs.Conclusions.Most professionals working in HEIC have had additional training and provide a wide, growing range of services. In general, only traditional HEIC work is compensated and at levels much less than the time dedicated to those services. Most HEIC departments are understaffed. These data are essential to advocate for needed funding and resources as the roles of HEIC departments expand.

scholarly journals Design, implementation, and analysis considerations for cluster-randomized trials in infection control and hospital epidemiology: A systematic review

2019 ◽  
Vol 40 (6) ◽  
pp. 686-692
Author(s):  
Lyndsay M. O’Hara ◽  
Natalia Blanco ◽  
Surbhi Leekha ◽  
Kristen A. Stafford ◽  
Gerard P. Slobogean ◽  
...  
Keyword(s):  
Systematic Review ◽  
Infection Control ◽  
Randomized Trials ◽  
Intraclass Correlation ◽  
Healthcare Setting ◽  
Cluster Randomized Trials ◽  
Hospital Epidemiology ◽  
Design Type ◽  
Cluster Randomized ◽  
Healthcare Epidemiology

AbstractBackground:In cluster-randomized trials (CRT), groups rather than individuals are randomized to interventions. The aim of this study was to present critical design, implementation, and analysis issues to consider when planning a CRT in the healthcare setting and to synthesize characteristics of published CRT in the field of healthcare epidemiology.Methods:A systematic review was conducted to identify CRT with infection control outcomes.Results:We identified the following 7 epidemiological principles: (1) identify design type and justify the use of CRT; (2) account for clustering when estimating sample size and report intraclass correlation coefficient (ICC)/coefficient of variation (CV); (3) obtain consent; (4) define level of inference; (5) consider matching and/or stratification; (6) minimize bias and/or contamination; and (7) account for clustering in the analysis. Among 44 included studies, the most common design was CRT with crossover (n = 15, 34%), followed by parallel CRT (n = 11, 25%) and stratified CRT (n = 7, 16%). Moreover, 22 studies (50%) offered justification for their use of CRT, and 20 studies (45%) demonstrated that they accounted for clustering at the design phase. Only 15 studies (34%) reported the ICC, CV, or design effect. Also, 15 studies (34%) obtained waivers of consent, and 7 (16%) sought consent at the cluster level. Only 17 studies (39%) matched or stratified at randomization, and 10 studies (23%) did not report efforts to mitigate bias and/or contamination. Finally, 29 studies (88%) accounted for clustering in their analyses.Conclusions:We must continue to improve the design and reporting of CRT to better evaluate the effectiveness of infection control interventions in the healthcare setting.

Variation in Definitions and Isolation Procedures for Multidrug-Resistant Gram-Negative Bacteria: A Survey of the Society for Healthcare Epidemiology of America Research Network

2014 ◽  
Vol 35 (4) ◽  
pp. 362-366 ◽  
Author(s):  
Marci Drees ◽  
Lisa Pineles ◽  
Anthony D. Harris ◽  
Daniel J. Morgan
Keyword(s):  
Infection Control ◽  
Online Survey ◽  
Multidrug Resistant ◽  
Research Network ◽  
Gram Negative Bacteria ◽  
Emerging Pathogens ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Gram Negative ◽  
Healthcare Epidemiology

Objective.To assess definitions, experience, and infection control practices for multidrug-resistant gram-negative bacteria (MDR-GNB), including Enterobacteriaceae, Acinetobacter, and Pseudomonas species, in acute care hospitals.Design.Cross-sectional survey.Participants.US and international members of the Society for Healthcare Epidemiology of America (SHEA) Research Network.Methods.Online survey that included definitions, infection control procedures, and microbiology capability related to MDR-GNB and other MDR bacteria.Results.From November 2012 through February 2013, 66 of 170 SHEA Research Network members responded (39% response rate), representing 26 states and 15 countries. More than 80% of facilities reported experience with each MDR-GNB isolate, and 78% had encountered GNB resistant to all antibiotics except colistin (62% Acinetobacter, 59% Pseudomonas, and 52% Enterobacteriaceae species). Participants varied regarding their definitions of “multidrug resistant,” with 14 unique definitions for Acinetobacter, 18 for Pseudomonas, and 22 for Enterobacteriaceae species. Substantial variation also existed in isolation practices. Although isolation was commonly used for methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and carbapenem-resistant Enterobacteriaceae (CRE), approximately 20% of facilities did not isolate for MDR Pseudomonas or Acinetobacter. The majority of those that isolated MDR organisms also removed isolation using a wide variety of criteria.Conclusion.Facilities vary significantly in their approach to preventing MDR-GNB transmission. Although practices for MRSA and VRE are relatively standardized, emerging pathogens CRE and other MDR-GNB have highly varied definitions and management. This confusion makes communication difficult, and varied use of isolation may contribute to emergence of these organisms. Public health agencies need to promote standard definitions and management to enable broader initiatives to limit emergence of MDR-GNB.

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