scholarly journals 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea

2017 ◽  
Vol 65 (12) ◽  
pp. 1963-1973 ◽  
Author(s):  
Andi L Shane ◽  
Rajal K Mody ◽  
John A Crump ◽  
Phillip I Tarr ◽  
Theodore S Steiner ◽  
...  
Keyword(s):  
Public Health ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Healthcare Professionals ◽  
Infection Prevention And Control ◽  
Infectious Diarrhea ◽  
And Control

Abstract These guidelines are intended for use by healthcare professionals who care for children and adults with suspected or confirmed infectious diarrhea. They are not intended to replace physician judgement regarding specific patients or clinical or public health situations. This document does not provide detailed recommendations on infection prevention and control aspects related to infectious diarrhea.

scholarly journals 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea

2017 ◽  
Vol 65 (12) ◽  
pp. e45-e80 ◽  
Author(s):  
Andi L Shane ◽  
Rajal K Mody ◽  
John A Crump ◽  
Phillip I Tarr ◽  
Theodore S Steiner ◽  
...  
Keyword(s):  
Public Health ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Healthcare Professionals ◽  
Infection Prevention And Control ◽  
Infectious Diarrhea ◽  
And Control

Abstract These guidelines are intended for use by healthcare professionals who care for children and adults with suspected or confirmed infectious diarrhea. They are not intended to replace physician judgement regarding specific patients or clinical or public health situations. This document does not provide detailed recommendations on infection prevention and control aspects related to infectious diarrhea.

scholarly journals Infection Prevention and Control

2020 ◽  
pp. 99-116
Author(s):  
Anna L. Costa ◽  
Gaetano Pierpaolo Privitera ◽  
Giorgio Tulli ◽  
Giulio Toccafondi
Keyword(s):  
Public Health ◽  
Risk Management ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Clinical Risk Management ◽  
Cross Sectional ◽  
Healthcare Associated ◽  
And Control ◽  
Avoidable Risk

AbstractHealthcare-associated infections (HAI) are adverse events exposing patients to a potentially avoidable risk of morbidity and mortality. Antimicrobial resistance (AMR) is increasingly contributing to the burden of HAIs and emerging as of the most alarming challenges for public health worldwide. Practically, harm mitigation and risk containment demand cross-sectional initiatives incorporate both approaches to infection prevention and control and methodologies from clinical risk management.

scholarly journals Impact of COVID-19 on Volume of Infection Prevention and Control Calls at a Tertiary-Care Center in Iowa, 2018–2020

2021 ◽  
Vol 1 (S1) ◽  
pp. s53-s54
Author(s):  
Mohammed Alsuhaibani ◽  
Takaaki Kobayashi ◽  
Stephanie Holley ◽  
Angie Dains ◽  
Oluchi Abosi ◽  
...  
Keyword(s):  
Public Health ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Outpatient Clinics ◽  
Infection Prevention And Control ◽  
Phone Line ◽  
And Control ◽  
The Impact ◽  
Inpatient Units ◽  
Frequent Call

Background: The COVID-19 pandemic has affected healthcare systems worldwide, but the impact on infection prevention and control (IPC) programs has not been fully evaluated. We assessed the impact of the COVID-19 pandemic on IPC consultation requests. Methods: The University of Iowa Hospitals & Clinics comprises an 811-bed hospital that admits >36,000 patients yearly and >200 outpatient clinics. Questions about IPC can be addressed to the Program of Hospital Epidemiology via e-mail, in person, or through our phone line. We routinely record date and time, call source, reason for the call, and estimated time to resolve questions for all phone line requests. We defined calls during 2018–2019 as the pre–COVID-19 period and calls from January to December 2020 as the COVID-19 period. Results: In total, 6,564 calls were recorded from 2018 to 2020. In the pre–COVID-19 period (2018–2019), we received a median of 71 calls per month (range, 50–119). The most frequent call sources were inpatient units (n = 902; 50%), department of public health (n = 357; 20%), laboratory (n = 171; 9%), and outpatient clinics (n = 120; 7%) (Figure 1). The most common call topics were isolation and precautions (n = 606; 42%), outside institutions requests (n = 324; 22%), environmental and construction (n = 148; 10%), and infection exposures (n = 149; 10%). The most frequent infection-related calls were about tuberculosis (17%), gram-negative organisms (14%), and influenza (9%). During the COVID-19 period, the median monthly call volume increased 500% to 368 per month (range, 149–829). Most (83%) were COVID-19 related. The median monthly number of COVID-19 calls was 302 (range, 45–674). The median monthly number of non–COVID-19 calls decreased to 56 (range, 36–155). The most frequent call sources were inpatient units (57%), outpatient clinics (16%), and the department of public health (5%). Most calls concerned isolation and precautions (50%) and COVID-19 testing (20%). The mean time required to respond to each question was 10 minutes (range, 2–720). The biggest surges in calls during the COVID-19 period were at the beginning of the pandemic (March 2020) and during the hospital peak COVID-19 census (November 2020). Conclusions: In addition to supporting a proactive COVID-19 response, our IPC program experienced a 500% increase in consultation requests. Planning for future bioemergencies should include creative strategies to provide additional resources to increase response capacity within IPC programs.Funding: NoDisclosures: None

scholarly journals Assessment of the infection prevention and control learning needs of Ottawa community-based healthcare providers

2019 ◽  
pp. 135-140
Author(s):  
Geneviève Cadieux ◽  
Abha Bhatnagar ◽  
Tamara Schindeler ◽  
Chatura Prematunge ◽  
Donna Perron ◽  
...  
Keyword(s):  
Public Health ◽  
Professional Development ◽  
Best Practices ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Healthcare Providers ◽  
Infection Prevention And Control ◽  
Learning Needs ◽  
Community Based ◽  
And Control

Background: Under the Health Protection and Promotion Act and Infection Prevention and Control (IPAC) Complaint Protocol, Ontario public health units are mandated to respond to IPAC complaints about community-based clinical offices. From 2015 to 2018, Ottawa Public Health noted a seven-fold increase in IPAC complaints involving medical and dental settings. In response, we sought to assess the IPAC learning needs of our community-based healthcare providers. Specifically, our objectives were to assess: 1) clinical practice characteristics, 2) current IPAC practices, 3) IPAC knowledge, 4) barriers/facilitators to adherence to IPAC best practices, and 5) preferred IPAC professional development activities. Methods: An anonymous online survey targeting Ottawa community-based healthcare providers was disseminated through multiple methods including through Ottawa Public Health’s (OPH) subscription-based e-bulletin to physicians. The short survey questionnaire included Likert-scale, multiple choice, and open-ended questions. Data collection began in August 2018; a descriptive analysis was conducted using data extracted on January 19, 2019. Results: Our findings suggest that medical respondents may not be as aware of IPAC practices in their clinic as dental respondents were. Familiarity with IPAC best practice documents was also higher among dental respondents, as compared to medical respondents. IPAC knowledge-testing questions revealed that more medical than dental respondents knew the appropriate use of multi-dose vials, and that few medical respondents knew the IPAC best practices for point-of-care glucose monitoring equipment. Respondents recognized the importance of adhering to IPAC best practices to prevent healthcare-associated infections; however, lack of evidence and cost were selfreported barriers to adherence to IPAC best practices. Over half of all medical and dental respondents surveyed were interested in a voluntary audit of their IPAC practices to help meet their IPAC professional development needs. Conclusions: Findings from this needs assessment helped describe current IPAC practices and knowledge, identify barriers and facilitators to adherence to IPAC best practices, and understand the learning preferences of Ottawa community-based healthcare providers. This information will be instrumental in planning future IPAC capacity-building activities and tailoring these activities to specific professional groups in Ottawa and potentially beyond.

scholarly journals Busca por modelos de organização do trabalho nos atendimentos primários de saúde do Brasil e de países internacionais no enfrentamento da Covid-19

2021 ◽  
Vol 3 (2) ◽  
pp. 134-145
Author(s):  
Wellington Pereira Lopes ◽  
Ludmila Ichioka ◽  
Viviane Micheli Amaral ◽  
Glilciane Morceli ◽  
Marselle Nobre Carvalho
Keyword(s):  
Public Health ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Hospital Setting ◽  
Sao Paulo ◽  
Infection Prevention And Control ◽  
Transmission Characteristics ◽  
Coronavirus Infection ◽  
Novel Coronavirus ◽  
And Control

No dia 11 de março de 2020 a Organização Mundial da Saúde declarou oficialmente a pandemia da Covid-19. Essa declaração se deu não pela gravidade da patologia, mas pelo grande poder de contágio do vírus causador da doença. Por esse motivo, todos os países se viram frente um novo desafio de saúde mundial tendo a necessidade de se organizar para enfrentar essa nova demanda por meio da criação de novos fluxos, monitoramento interno dos profissionais e pacientes, e monitoramento externo dos mesmos. Além disso, por se tratar de um vírus com novas características, diversas pesquisas foram publicadas em tempo real a pandemia trazendo novas informações uteis para o trabalho, por esse motivo, o projeto Safety  foi criado com intuito de captar essas novas publicações, avaliar e posteriormente, inserir essas informações no trabalho proporcionando novas ferramentas de enfrentamento de acordo com a aplicabilidade no Brasil. REZENDE, JM. À sombra do plátano: crônicas de história da medicina [online]. São Paulo: EditorUnifesp, 2009. As grandes epidemias da história. pp. 73-82. ISBN 978-85-61673-63-5. Available from SciELO Books http://books.scielo.org.   ZHU, D et al. Um novo coronavírus de paciente com pneumonia na China em 2019. The New England Journal of medicine. Disponível em: https://www.nejm.org/doi/full/10.1056/nejmoa2001017, acessado dia 04/06/2020.   Organização Mundial da Saúde . Coronavírus Novel - China . Genebra, Suíça : Organização Mundial de Saúde , 12 de Janeiro de , 2020 . Https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/.   FREITAS, AR; NAPIMOGA, M; DONALISIO, MR. Análise da gravidade da pandemia de Covid-19.Epidemiol. Serv. Saúde,  Brasília ,  v. 29, n. 2,  e2020119,    2020 .   Available from <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S223796222020000200900&lng=en&nrm=iso>. access on  04  June  2020.  Epub Apr 06, 2020.  http://dx.doi.org/10.5123/s1679-49742020000200008.   FILHO, JMJ et al . A saúde do trabalhador e o enfrentamento da COVID-19. Rev. bras. saúde ocup.,  São Paulo ,  v. 45,  e14,    2020 .   Available from <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S030376572020000100100&lng=en&nrm=iso>. access on  04  June  2020.  Epub Apr 17, 2020.  http://dx.doi.org/10.1590/2317-6369ed0000120.   BRASIL. Ministério da saúde. Secretária de Vigilância em Saúde. Covid 19. 2020. https://covid.saude.gov.br/.   7.COFEN. Conselho Federal de Enfermagem. Registra 10 mil casos de Covid 19 entre profissionais de enfermagem. 2020. http://www.cofen.gov.br/cofen-registra-10-mil-casos-de-covid-19-entre-profissionais-de-enfermagem_79551.html.   CDC. Centro de Controle de Doenças Infecciosas. Divisão de Doenças Virais dos EUA. https://www.cdc.gov/coronavirus/2019-ncov/hcp/ambulatory-care-settings.html.   9.BRASIL Ministério da Saúde. Protocolo de Manejo Clínico do Coronavírus (Covid 19) Na Atenção Primária a Saúde Versão 8. Disponível em Abril 2020.  http://189.28.128.100/dab/docs/portaldab/documentos/20200422_ProtocoloManejo_ver08.pdf.   PORTUGAL Direção Geral da Saúde. Abordagem do Doente com Suspeita ou Infeção por SARS-CoV-2. Norma nº 004/2020 de 23/03/2020 atualizada a 25/04/2020https://www.dgs.pt/directrizes-da-dgs/normas-e-circulares normativas/norma-n-0042020-de-23032020-pdf.aspx   ESPANHA Ministerio de Sanidad. Procedimiento de Actuación para los Servicios de Prevención de Riesgos Laborales frente a la Exposición AL SARS‐cov‐2. Junho, 2020.https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/PrevencionRRLL_COVID-19.pdf   12.UK. Guidance Transmission Characteristics and Principles of Infection Prevention and Control. Public Health England. July 2020. https://w ww.gov.uk/government/publications/wuhan-novel-coronavirus-infection prevention-and-control/transmission-characteristics-and-principles-of-infection-prevention-and-control.   13. UK.  Reducing the risk of transmission of COVID-19 in the hospital setting. Public Health England. July 2020. https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/reducing-the-risk-of-transmission-of-covid-19-in-the-hospital-setting

scholarly journals Impact of Educational Intervention in Knowledge of Infection Prevention and Control among healthcare professionals in Nepal

2018 ◽  
Vol 1 (1) ◽  
pp. 126-131
Author(s):  
Sait Kumar Pradhan ◽  
Sweta Shrestha
Keyword(s):  
Health Care ◽  
Educational Intervention ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Healthcare Professionals ◽  
Positive Impact ◽  
Knowledge Score ◽  
Infection Prevention And Control ◽  
Before And After ◽  
And Control

Background: Health care-associated infection (HCAI) affects the mortality and morbidity of inpatients worldwide. Nepal is a developing country in which HCAI pose a major problem in terms of patient safety. Improper and inadequate knowledge about HCAI among health care workers is responsible for majority of nosocomial infections resulting in prolonged illness. Thus this study was designed to assess the level of knowledge of infection control among nurses and pharmacists. Methods: A pre and post interventional study was conducted in 22 participants using a self-administered questionnaire which included queries on hand hygiene strategies, cross contamination sources and aseptic services. Each correct answer was scored as 1 and an incorrect answer was scored as zero. The total score for each individual was calculated before and after the intervention which was compared using the Paired t test at 95% confidence interval. Result: 81.8% of the participants possessed a good knowledge on infection prevention and control practices which increased to 100% after intervention. The difference in knowledge score before and after the workshop was found to be statistically significant (p=0.034). Previous training and duration of work experience was found to be correlated with the knowledge score whereas the other independent variables had no association with the knowledge score. Conclusion: Educational intervention has a positive impact in the knowledge level of the healthcare professionals in infection and prevention control.

scholarly journals Impact of Educational Intervention in Knowledge of Infection Prevention and Control among healthcare professionals in Nepal

2018 ◽  
Vol 2 (1) ◽  
pp. 126-131
Author(s):  
Sait Kumar Pradhan ◽  
Sweta Shrestha
Keyword(s):  
Health Care ◽  
Educational Intervention ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Healthcare Professionals ◽  
Positive Impact ◽  
Knowledge Score ◽  
Infection Prevention And Control ◽  
Before And After ◽  
And Control

Background: Health care-associated infection (HCAI) affects the mortality and morbidity of inpatients worldwide. Nepal is a developing country in which HCAI pose a major problem in terms of patient safety. Improper and inadequate knowledge about HCAI among health care workers is responsible for majority of nosocomial infections resulting in prolonged illness. Thus this study was designed to assess the level of knowledge of infection control among nurses and pharmacists. Methods: A pre and post interventional study was conducted in 22 participants using a self-administered questionnaire which included queries on hand hygiene strategies, cross contamination sources and aseptic services. Each correct answer was scored as 1 and an incorrect answer was scored as zero. The total score for each individual was calculated before and after the intervention which was compared using the Paired t test at 95% confidence interval. Result: 81.8% of the participants possessed a good knowledge on infection prevention and control practices which increased to 100% after intervention. The difference in knowledge score before and after the workshop was found to be statistically significant (p=0.034). Previous training and duration of work experience was found to be correlated with the knowledge score whereas the other independent variables had no association with the knowledge score. Conclusion: Educational intervention has a positive impact in the knowledge level of the healthcare professionals in infection and prevention control.

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