Recommendations for change in infection prevention programs and practice

Garcia, Robert; Barnes, Sue; Boukidjian, Roy; Goss, Linda Kaye; Spencer, Maureen; Septimus, Edward; Wright, Marc‐Oliver; Munro, Shannon; Reese, Sara M.; Fakih, Mohamad G.; Edmiston, Charles E.; Levesque, Martin

doi:10.1016/j.ajic.2022.04.007

Cited by 11 publications

(5 citation statements)

References 137 publications

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“…While current IPC programs emphasize evidence-based practices in healthcare institutes, similar emphasis should be placed also in non-healthcare institutes. In that respect, community-based IPC manuals have been deployed in different countries [27], similar manuals could not be found in others, like Jordan. Therefore, this study needed to address the content and components of the manual that could be proposed to train and enhance the skills of non-healthcare personnel as well [28].…”

Section: Discussionmentioning

confidence: 99%

Society-based Infection Prevention and Control Guidelines after COVID-19: A Delphi Study.

Al-Hadid,

Alnawafleh,

Alfarajat

et al. 2024

Preprint

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Background Current infection prevention and control guidelines, protocols, and practices for public, outside healthcare facilities are not adequate by evidence of increasing rates of infections and outbreaks. This study proposed to formulate a consensus on the guidelines that would then govern future public health-related infection prevention and control practices. Methods A three-round Delphi technique to generate experts’ consensus on the development and required modifications of the current IPC guidelines to address public safety. Eighteen infection prevention and control practitioners and experts interviewed individually during the three rounds. Results Three themes identified during the first round. First, policies and regulations. Second, curricula reforms and education for all levels (such as kindergartens, schoolers, and the public). Third; content of IPC public manual. Results from Round I, II, and III changed a few subcategories until experts agreed on the themes and the subthemes. It is required that one department be responsible for providing IPC and the needed training of employees and public individuals in non-healthcare institutes. Conclusion It’s important to have one reference that provides IPC-related consultations to all, including the promotion of proper implementation of IPC guidelines as required by each industry. This includes unification of the assessment, evaluation, and follow-up of IPC issues in industries other than health facilities that involve human well-being.

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Section: Discussionmentioning

confidence: 99%

Society-based Infection Prevention and Control Guidelines after COVID-19: A Delphi Study.

Al-Hadid,

Alnawafleh,

Alfarajat

et al. 2024

Preprint

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“…Consequently, EC to be developed might not have been significantly associated with TS programs (Table 3 ). The hospitals are recommended to develop their acceptable EC after they examine their capability for implementing EC [ 17 ]. We suggest that the public health authorities and IC specialists might need to provide the hospitals with these recommendations to guide them to start developing EC programs.…”

Section: Discussionmentioning

confidence: 99%

Public Health Centers' Training Session Programs to Develop Programs on Infection Control Practices for Multidrug-Resistant Organisms in Hospitals in Kawaguchi City, Japan

Nakayama,

Yamaguchi,

Okamoto

et al. 2023

Cureus

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Introduction The Kawaguchi City Public Health Center (PHC) conducted training sessions focusing on infection control practices on multidrug-resistant organisms (MDROs) for 19 hospitals and eight affiliated clinics (AFs) with beds in June 2022. Issues with infection control programs were identified via a survey implemented following the training sessions. These included providing feedback on infection control policies for MDROs, hand hygiene compliance programs (HHCPs), environmental cleaning (EC), and training sessions programs that hospitals or AFs with beds (hospitals) intended to implement in the future or develop (to be developed). We planned to examine whether the PHC training sessions programs have an effect on the development of hospital infection control programs designed to address these issues. The purpose of this study is to clarify the training session program provided by the Kawaguchi City PHC, which was effective in developing hospital infection control programs based on the results of the survey conducted after the training session. Methods In June 2023, a second training session that offered information on infection control practices was completed for 30 hospitals. This was followed by sending a questionnaire. We examined infection control programs to be developed and analyzed associations with the first learned information by training session (the first learned information). Results Twenty-four hospitals responded to the survey with a response rate of 80.0%. Half the respondents (12, 50.0%) had prepared for the infection control policy on carbapenem-resistant Enterobacteriaceae (CRE), 11 hospitals (45.8%) had provided feedback on HHC, and four (16.7%) planned to conduct feedback on HHC. HHCPs were planned to be developed by 19 hospitals (79.2%), EC by five hospitals (20.8%), training session by 12 hospitals (50.0%), and screening of MDROs upon hospital admission (AS) by nine hospitals (37.5%). The first learned information, “the prevention of healthcare-associated infections and cost savings by implementing cleaning bundles (the effects of cleaning bundles),” was identified by 10 hospitals (41.7%), and “specific programs on providing feedback effective for developing hand hygiene compliance (specific feedback)” was learned by eight hospitals (33.3%). The first learned information regarding specific feedback was significantly associated with HHCPs to be developed (p = 0.044). The first learned information on the effects of cleaning bundles was significantly associated with HHCPs and HHC feedback to be developed (p = 0.023, 0.034). The training session programs were not significantly connected to EC, training session, or AS to be developed. Conclusions Infection control programs to be developed were linked to the provision of information on numerical effects by implementing specific feedback and cleaning bundles. We suggest that the PHC should develop infection control programs for the hospitals...

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“…One of the critical issues facing infection prevention programs concerns both the increasing number of CLABSI events and the lack of universal surveillance and BSI prevention efforts addressing other types of VADs. Recommendations have recently been published that suggest new strategies should include improvements in clinical documentation and surveillance definitions; expanding investigations in identifying knowledge gaps, followed by education; upgrading prevention bundles; and, perhaps most important, implementation of a hospital-onset bacteremia model, a concept that introduces a more comprehensive prevention strategy that addresses all types of VADs, including arterial, hemodialysis, midlines, and PIVCs 24,25. CMS has proposed new rule changes for 2023 that would expand the requirements for reporting an NHSN hospital-onset bacteremia and fungemia outcome measure.…”

Section: Recommendations For Enhancing the Prevention Processmentioning

confidence: 99%

Moving Beyond Central Line-Associated Bloodstream Infections: Enhancement of the Prevention Process

Garcia

2023

Journal of Infusion Nursing

Self Cite

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The provision of medications and other treatments via intravenous (IV) therapy has provided millions of health care patients with extended benefits. IV therapy, however, is also associated with complications, such as associated bloodstream infections. Understanding the mechanisms of development and the factors that have contributed to the recent increases in such health care-acquired infections assists in formulating new preventive strategies that include the implementation of hospital-onset bacteremia, an innovative model that requires surveillance and prevention of bloodstream infections associated with all types of vascular access devices, expansion of vascular access service teams (VAST), and use of advanced antimicrobial dressings designed to reduce bacterial proliferation over the currently recommended time periods for maintenance of IV catheters.

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Recommendations for change in infection prevention programs and practice

Cited by 11 publications

References 137 publications

Society-based Infection Prevention and Control Guidelines after COVID-19: A Delphi Study.

Society-based Infection Prevention and Control Guidelines after COVID-19: A Delphi Study.

Public Health Centers' Training Session Programs to Develop Programs on Infection Control Practices for Multidrug-Resistant Organisms in Hospitals in Kawaguchi City, Japan

Moving Beyond Central Line-Associated Bloodstream Infections: Enhancement of the Prevention Process

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