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Guidelines for environmental infection control in health-care facilities; recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC)
  • Published Date:
    2003, last update: February 15, 2017
  • Status:
    current
  • Language:
    English
Filetype[PDF-2.31 MB]


Details:
  • Description:
    Infection-control strategies and engineering controls, when consistently implemented, are effective in preventing opportunistic, environmentally-related infections in immunocompromised populations. Adherence to proper use of disinfectants, proper maintenance of medical equipment that uses water (e.g., automated endoscope reprocessors and hydrotherapy equipment), water-quality standards for hemodialysis, and proper ventilation standards for specialized care environments (i.e., airborne infection isolation [AII], protective environment [PE], and operating rooms [ORs]), and prompt management of water intrusion into facility structural elements will minimize health-care associated infection risks and reduce the frequency of pseudo-outbreaks. Routine environmental sampling is not advised except in the few situations where sampling is directed by epidemiologic principles and results can be applied directly to infection control decisions, and for water quality determinations in hemodialysis.

    Guidelines for Environmental Infection Control in Health-Care Facilities (2003)

    Suggested citations:

    The full-text version of the guidelines appears as a web-based document at the CDC’s Division of Healthcare Quality Promotion’s Infection Control website (https://wwwdev.cdc.gov/infectioncontrol/guidelines/environmental/index.html).

    The full-text version of the guidelines should be cited when reference is made primarily to material in Parts I and IV. The print version of the guidelines appears as:

    Sehulster LM, Chinn RYW, Arduino MJ, Carpenter J, Donlan R, Ashford D, Besser R, Fields B, McNeil MM, Whitney C, Wong S, Juranek D, Cleveland J. Guidelines for environmental infection control in health-care facilities. Recommendations from CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). Chicago IL; American Society for Healthcare Engineering/American Hospital Association; 2004.

    Part II of these guidelines appeared in the CDC’s “Morbidity and Mortality Weekly Report:”

    Centers for Disease Control and Prevention. Guidelines for environmental infection control in health-care facilities: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). MMWR 2003; 52 (No. RR-10): 1–48.

    Updates to the Part II recommendations also appeared in the MMWR in 2003 as “Errata: Vol. 52 (No. RR-10)” (MMWR Vol. 52 [42]: 1025–6) on October 24, 2003 and as a “Notice to Readers” scheduled to appear in February 2004. The full-text version of these guidelines (this document) incorporates these updates.

    environmental-guidelines.pdf

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