Infection prevention and control program: Difference between revisions
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== Background == |
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* IPAC programs result in fewer healthcare-associated infections, reduced length of stay, less antimicrobial resistance, and decreased cost of infection treatments |
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== Core Components == |
== Core Components == |
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* Surveillance, based on systematic data collection and subsequent data analysis and dissemination |
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* Surveillance |
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** Process measures, often requiring audits |
** Process measures, often requiring process audits |
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** Outcome measures, such as rates hospital-acquired infections |
** Outcome measures, such as rates hospital-acquired infections |
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**System for detecting, investigating, and controlling outbreaks |
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**Reportable disease reporting to public health agencies |
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* Policies and procedures |
* Policies and procedures |
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**IPAC policies and procedures |
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**Care policies and procedures that impact IPAC |
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* Compliance and accreditation |
* Compliance and accreditation |
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* Occupational health and safety |
* Occupational health and safety |
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** Includes requirement for annual influenza vaccination as a rerequisite of employment |
** Includes requirement for annual influenza vaccination as a rerequisite of employment |
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* Education and training |
* Education and training |
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**Continuing education for healthcare providers in IPAC |
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**Education of clients, patients, residents, and visitors |
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*Antimicrobial stewardship program |
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=== Miscellaneous Components === |
=== Miscellaneous Components === |
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* Hand hygeine program |
* Hand hygeine program |
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* Routine practices and precautions program |
* Routine practices and precautions program |
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*Resident health program for longterm care facilities, such as immunization programs |
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*Timely access to microbiology laboratory reports and expertise |
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*Active participation in facility maintenance standards, facility design, and construction and renovation |
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*Product review and evaluation |
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*Continuous quality improvement activities |
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*Review of practices for reprocessing of equipment |
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*Review of practices for environmental cleaning |
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*Participation in research activities for programs affiliated with academic health science centres, teaching hospitals, and other settings |
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== Staffing Requirements == |
== Staffing Requirements == |
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Revision as of 19:25, 25 October 2021
Background
- IPAC programs result in fewer healthcare-associated infections, reduced length of stay, less antimicrobial resistance, and decreased cost of infection treatments
Core Components
- Surveillance, based on systematic data collection and subsequent data analysis and dissemination
- Process measures, often requiring process audits
- Outcome measures, such as rates hospital-acquired infections
- System for detecting, investigating, and controlling outbreaks
- Reportable disease reporting to public health agencies
- Policies and procedures
- IPAC policies and procedures
- Care policies and procedures that impact IPAC
- Compliance and accreditation
- Occupational health and safety
- Includes requirement for annual influenza vaccination as a rerequisite of employment
- Education and training
- Continuing education for healthcare providers in IPAC
- Education of clients, patients, residents, and visitors
- Antimicrobial stewardship program
Miscellaneous Components
- Hand hygeine program
- Routine practices and precautions program
- Resident health program for longterm care facilities, such as immunization programs
- Timely access to microbiology laboratory reports and expertise
- Active participation in facility maintenance standards, facility design, and construction and renovation
- Product review and evaluation
- Continuous quality improvement activities
- Review of practices for reprocessing of equipment
- Review of practices for environmental cleaning
- Participation in research activities for programs affiliated with academic health science centres, teaching hospitals, and other settings
Staffing Requirements
IPAC committee
- Membership must includes ICPs, IPAC physician, OHS representation, public health, environmental services representation, nursing and MD representatives, and management
- Can also include representatives from microbiology, ID, equipment processing, OR, epidemiology, and quality assurance
Infection Control Professional (ICP)
- In general, for an acute care facility, should have around 1 ICP per 100 occupied beds
- This number can vary based on complexity of patient care
IPAC MD
- Must have available a physician trained in IPAC
- Sits on the committee and is available as-needed otherwise
Administrative Assistant
- Helps to coordinate the program
Guidelines & Resources
- Ontario Agency for Health Protection and Promotion. Provincial Infectious Diseases Advisory Committee. Best Practices for Infection Prevention and Control Programs in All Health Care Settings, 3rd edition. Toronto, ON: Queen's Printer for Ontario; May 2012.
- Association for Professions in Infection Control and Epidemiology (APIC)
- Heymann D. Control of Communicable Diseases Manual. 20th edition. Washington, DC: American Public Health Association; 2008.
- American Academy of Pediatrics. Red Book: 2018-2021 Report of the Committee on Infectious Diseases. 31st edition. Elk Grove Village, IL: American Academny of Paediatrics; 2018.
- CDC Guidelines Library
