RESUMEN
This document introduces and explains common implementation concepts and frameworks relevant to healthcare epidemiology and infection prevention and control and can serve as a stand-alone guide or be paired with the "SHEA/IDSA/APIC Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2022 Updates," which contain technical implementation guidance for specific healthcare-associated infections. This Compendium article focuses on broad behavioral and socio-adaptive concepts and suggests ways that infection prevention and control teams, healthcare epidemiologists, infection preventionists, and specialty groups may utilize them to deliver high-quality care. Implementation concepts, frameworks, and models can help bridge the "knowing-doing" gap, a term used to describe why practices in healthcare may diverge from those recommended according to evidence. It aims to guide the reader to think about implementation and to find resources suited for a specific setting and circumstances by describing strategies for implementation, including determinants and measurement, as well as the conceptual models and frameworks: 4Es, Behavior Change Wheel, CUSP, European and Mixed Methods, Getting to Outcomes, Model for Improvement, RE-AIM, REP, and Theoretical Domains.
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Infección Hospitalaria , Humanos , Infección Hospitalaria/prevención & control , Instituciones de Salud , Cuidados Críticos/métodosRESUMEN
Previously published guidelines have provided comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). The intent of this document is to highlight practical recommendations in a concise format designed to assist acute-care hospitals in implementing and prioritizing efforts to prevent methicillin-resistant Staphylococcus aureus (MRSA) transmission and infection. This document updates the "Strategies to Prevent Methicillin-Resistant Staphylococcus aureus Transmission and Infection in Acute Care Hospitals" published in 2014.1 This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA). It is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise.
Asunto(s)
Infección Hospitalaria , Staphylococcus aureus Resistente a Meticilina , Infecciones Estafilocócicas , Humanos , Infección Hospitalaria/prevención & control , Control de Infecciones , Instituciones de Salud , Hospitales , Infecciones Estafilocócicas/epidemiologíaAsunto(s)
Control de Infecciones/métodos , Antiinfecciosos Locales/farmacología , Vendajes , Infección Hospitalaria/prevención & control , Farmacorresistencia Microbiana , Adhesión a Directriz , Humanos , Humedad , Relaciones Interprofesionales , Cavidad Nasal/microbiología , Staphylococcus aureus/efectos de los fármacos , TemperaturaAsunto(s)
Infección Hospitalaria/prevención & control , Control de Infecciones/métodos , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Infecciones Estafilocócicas/prevención & control , Transmisión de Enfermedad Infecciosa/prevención & control , Humanos , Unidades de Cuidados Intensivos , Infecciones Estafilocócicas/transmisiónAsunto(s)
Antiinfecciosos/uso terapéutico , Revisión de la Utilización de Medicamentos , Epidemiología , Control de Infecciones , Conducta Cooperativa , Revisión de la Utilización de Medicamentos/métodos , Revisión de la Utilización de Medicamentos/organización & administración , Métodos Epidemiológicos , Humanos , Control de Infecciones/métodos , Control de Infecciones/organización & administración , Política Organizacional , Sociedades MédicasRESUMEN
It is clear that the widespread and injudicious use of antimicrobials has greatly increased the presence of MDROs that threaten the health of all. There is worldwide acknowledgement that this threat is growing, and that prudent use of antimicrobials combined with infection prevention can prevent harm and improve patient safety. Antimicrobial stewardship programs must harness the talents of all members of the health care team to effectively identify the organism, determine its susceptibility, institute any precautions required, and prescribe the narrowest-acting antibiotic that will destroy it. IPs/HEs play a pivotal role in this approach, by assisting with early organism and infected patient identification, by promoting compliance with standard and transmission-based precautions and other infection prevention strategies such as care bundle practices, hand hygiene, and by educating staff, patients, and visitors.
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Antiinfecciosos/efectos adversos , Infecciones Bacterianas/prevención & control , Micosis/prevención & control , Medicamentos bajo Prescripción/efectos adversos , Virosis/prevención & control , Antiinfecciosos/administración & dosificación , Infecciones Bacterianas/tratamiento farmacológico , Infecciones Bacterianas/microbiología , Control de Enfermedades Transmisibles/legislación & jurisprudencia , Control de Enfermedades Transmisibles/organización & administración , Resistencia a Medicamentos/efectos de los fármacos , Humanos , Profesionales para Control de Infecciones/organización & administración , Relaciones Interprofesionales , Micosis/tratamiento farmacológico , Micosis/microbiología , Medicamentos bajo Prescripción/administración & dosificación , Salud Pública/legislación & jurisprudencia , Salud Pública/normas , Virosis/tratamiento farmacológico , Virosis/virologíaRESUMEN
This article is an executive summary of the Association for Professionals in Infection Control and Epidemiology, Inc, Elimination Guide for methicillin-resistant Staphylococcus aureus, including the 2009 California Supplement. Infection preventionists are encouraged to obtain the original, full-length Association for Professionals in Infection Control and Epidemiology, Inc, Elimination Guides for more thorough coverage of Staphylococcus aureus prevention.
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Infección Hospitalaria/prevención & control , Control de Infecciones/métodos , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Guías de Práctica Clínica como Asunto , Infecciones Estafilocócicas/prevención & control , California/epidemiología , Infección Hospitalaria/epidemiología , Infección Hospitalaria/transmisión , Transmisión de Enfermedad Infecciosa/prevención & control , Hospitales , Humanos , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Medición de Riesgo , Infecciones Estafilocócicas/epidemiología , Infecciones Estafilocócicas/transmisiónRESUMEN
This article is an executive summary of the APIC Elimination Guide for methicillin-resistant Staphylococcus aureus infection in long-term care facilities. Infection preventionists are encouraged to obtain the original, full-length APIC Elimination Guides for more thorough coverage of methicillin-resistant Staphylococcus aureus prevention in long-term care facilities.
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Infección Hospitalaria/prevención & control , Transmisión de Enfermedad Infecciosa/prevención & control , Control de Infecciones/métodos , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Infecciones Estafilocócicas/prevención & control , Infección Hospitalaria/microbiología , Infección Hospitalaria/transmisión , Instituciones de Salud , Humanos , Cuidados a Largo Plazo , Infecciones Estafilocócicas/microbiología , Infecciones Estafilocócicas/transmisiónRESUMEN
Many hospitals and long-term care facilities in North America currently permit animals to visit with their patients; however, the development of relevant infection control and prevention policies has lagged, due in large part to the lack of scientific evidence regarding risks of patient infection associated with animal interaction. This report provides standard guidelines for animal-assisted interventions in health care facilities, taking into account the available evidence.