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Infection Prevention and Control Guideline for Cystic Fibrosis: 2013 Update

Part of: SHEA Papers and Guidelines

Published online by Cambridge University Press:  10 May 2016

Lisa Saiman ,
Jane D. Siegel ,
John J. LiPuma ,
Rebekah F. Brown ,
Elizabeth A. Bryson ,
Mary Jo Chambers ,
Veronica S. Downer ,
Jill Fliege ,
Leslie A. Hazle  and
Manu Jain
...Show all authors
Lisa Saiman*
Affiliation:
Department of Pediatrics, Columbia University Medical Center, New York, New York; and Department of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, New York Co-chairs of the Infection Prevention and Control Guideline for Cystic Fibrosis Committee
Jane D. Siegel
Affiliation:
Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas; and Children’s Medical Center, Dallas, Texas Co-chairs of the Infection Prevention and Control Guideline for Cystic Fibrosis Committee
John J. LiPuma
Affiliation:
Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, Michigan; and Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan Co-chairs of the Infection Prevention and Control Guideline for Cystic Fibrosis Committee
Rebekah F. Brown
Affiliation:
Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee
Elizabeth A. Bryson
Affiliation:
Department of Pediatrics, Akron Children’s Hospital, Akron, Ohio
Mary Jo Chambers
Affiliation:
Department of Social Work, Arkansas Children’s Hospital, Little Rock, Arkansas
Veronica S. Downer
Affiliation:
University of Michigan Hospital, Ann Arbor, Michigan
Jill Fliege
Affiliation:
Pulmonary Division, Nebraska Medical Center, Omaha, Nebraska
Leslie A. Hazle
Affiliation:
Medical Department, Cystic Fibrosis Foundation, Bethesda, Maryland
Manu Jain
Affiliation:
Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Bruce C. Marshall
Affiliation:
Medical Department, Cystic Fibrosis Foundation, Bethesda, Maryland
Catherine O’Malley
Affiliation:
Department of Pediatrics, Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Suzanne R. Pattee
Affiliation:
Adult with cystic fibrosis, Silver Spring, Maryland
Gail Potter-Bynoe
Affiliation:
Department of Infection Prevention and Control, Boston Children’s Hospital, Boston, Massachusetts
Siobhan Reid
Affiliation:
Parent
Karen A. Robinson
Affiliation:
Johns Hopkins University, Baltimore, Maryland
Kathryn A. Sabadosa
Affiliation:
Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
H. Joel Schmidt
Affiliation:
Department of Pediatrics, Children’s Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia
Elizabeth Tullis
Affiliation:
Department of Medicine, University of Toronto, and Keenan Research Centre of Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Canada
Jennifer Webber
Affiliation:
Parent
David J. Weber
Affiliation:
Departments of Medicine and Pediatrics, University of North Carolina at Chapel Hill Medical School, Chapel Hill, North Carolina The list of authors represents the entire Infection Prevention and Control Guideline for Cystic Fibrosis Committee
*
Columbia University, 622 West 168th Street, PH4 West Room 470, New York, NY 10032 (ls5@cumc.columbia.edu).
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The 2013 Infection Prevention and Control (IP&C) Guideline for Cystic Fibrosis (CF) was commissioned by the CF Foundation as an update of the 2003 Infection Control Guideline for CF. During the past decade, new knowledge and new challenges provided the following rationale to develop updated IP&C strategies for this unique population:

1. The need to integrate relevant recommendations from evidence-based guidelines published since 2003 into IP&C practices for CF. These included guidelines from the Centers for Disease Control and Prevention (CDC)/Healthcare Infection Control Practices Advisory Committee (HICPAC), the World Health Organization (WHO), and key professional societies, including the Infectious Diseases Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA). During the past decade, new evidence has led to a renewed emphasis on source containment of potential pathogens and the role played by the contaminated healthcare environment in the transmission of infectious agents. Furthermore, an increased understanding of the importance of the application of implementation science, monitoring adherence, and feedback principles has been shown to increase the effectiveness of IP&C guideline recommendations.

2. Experience with emerging pathogens in the non-CF population has expanded our understanding of droplet transmission of respiratory pathogens and can inform IP&C strategies for CF. These pathogens include severe acute respiratory syndrome coronavirus and the 2009 influenza A H1N1. Lessons learned about preventing transmission of methicillin-resistant Staphylococcus aureus (MRSA) and multidrug-resistant gram-negative pathogens in non-CF patient populations also can inform IP&C strategies for CF.

Type
Research Article
Information
Infection Control & Hospital Epidemiology , Volume 35 , Issue S1: Cystic Fibrosis Foundation Guideline , August 2014 , pp. s1 - s67
Creative Commons
Creative Common License - CCCreative Common License - BY
© Lisa Saiman, Jane D. Siegel, John J. LiPuma, Rebekah F. Brown, Elizabeth A. Bryson, Mary Jo Chambers, Veronica S. Downer, Jill Fliege, Leslie A. Hazle, Manu Jain, Bruce C. Marshall, Catherine O'Malley, Suzanne R. Pattee, Gail Potter-Bynoe, Siobhan Reid, Karen A. Robinson, Kathryn A. Sabadosa, H. Joel Schmidt, Elizabeth Tullis, Jennifer Webber and David J. Weber 2014 This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© 2014 by The Society for Healthcare Epidemiology of America and The Cystic Fibrosis Foundation.

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