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Assessments and observations of infection prevention and control practices in US outpatient hemodialysis facilities, 2015–2018: important opportunities for improvement

Published online by Cambridge University Press:  15 May 2024

Nicole R. Gualandi*
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
Shannon A. Novosad
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
Joseph F. Perz
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
Lauren R. Hopkins
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA Chenega Enterprise Systems & Solutions, LLC, Chesapeake, VA, USA
Stephanie Hsu
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
Sheila Segura
Affiliation:
Healthcare-Associated Infections Program, California Department of Public Health, Richmond, CA, USA
Patricia Kopp
Affiliation:
Healthcare Associated Infections Section, South Carolina Department of Health & Environmental Control, Columbia, SC, USA
Meghan Maloney
Affiliation:
Healthcare-Associated Infections and Antimicrobial Resistance Program, Connecticut Department of Public Health, Hartford, CT, USA
Eileen McHale
Affiliation:
Bureau of Health Care Safety and Quality, Massachusetts Department of Public Health, Boston, MA, USA
Jason Mehr
Affiliation:
Infection Control, Healthcare, & Environmental Epidemiology Section, New Jersey Department of Health, Trenton, NJ, USA
Rebecca Perlmutter
Affiliation:
Healthcare Associated Infections Program, Maryland Department of Health, Baltimore, MD, USA
Priti R. Patel
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
*
Corresponding author: Nicole R. Gualandi; Email: xfb9@cdc.gov

Abstract

Infections cause substantial morbidity and mortality among patients receiving care in outpatient hemodialysis facilities. We describe comprehensive infection prevention assessments by US public health departments using standardized interview and observation tools. Results demonstrated how facility layouts can undermine infection prevention and that clinical practices often fall short of policies.

Information

Type
Concise Communication
Creative Commons
To the extent this is a work of the US Government, it is not subject to copyright protection within the United States. To the extent this work is subject to copyright outside of the United States, such copyright shall be assigned to The Society for Healthcare Epidemiology of America and licensed to the Publisher. Outside of the United States, the US Government retains a paid-up, nonexclusive, irrevocable worldwide license to reproduce, prepare derivative works, distribute copies to the public and display publicly the Contribution, and to permit others to do so. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America.
Copyright
© The Society for Healthcare Epidemiology of America, 2024

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