scholarly journals Hospital Epidemiology and Infection Control for Children: Report From the Society for Healthcare Epidemiology of America Pediatric Leadership Council

2013 ◽  
Vol 3 (1) ◽  
pp. 4-6 ◽  
Author(s):  
T. J. Sandora
Keyword(s):  
Infection Control ◽  
Hospital Epidemiology ◽  
Healthcare Epidemiology

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.

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 Hospital Epidemiology Beyond Infection Control

1980 ◽  
Vol 1 (06) ◽  
pp. 373-374 ◽  
Author(s):  
Walter J. Hierholzer
Keyword(s):  
Infection Control ◽  
Hospital Epidemiology

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

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