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Surveying Cystic Fibrosis Care Centers to Assess Adoption of Infection Prevention and Control Recommendations

Published online by Cambridge University Press:  15 April 2018

Lisa Saiman ,
Juyan J. Zhou ,
Xiaotong Jiang ,
Michael R. Kosorok  and
Marianne S. Muhlebach
Lisa Saiman*
Affiliation:
Department of Pediatrics, Columbia University Medical Center, New York, New York Department of Infection Prevention and Control, New York-Presbyterian Hospital, New York, New York
Juyan J. Zhou
Affiliation:
Department of Pediatrics, Columbia University Medical Center, New York, New York
Xiaotong Jiang
Affiliation:
Department of Biostatistics, University of North Carolina, Chapel Hill, North Carolina
Michael R. Kosorok
Affiliation:
Department of Biostatistics, University of North Carolina, Chapel Hill, North Carolina
Marianne S. Muhlebach
Affiliation:
Department of Pediatrics, University of North Carolina, Chapel Hill, North Carolina
*
Address correspondence to Lisa Saiman, MD, MPH, Columbia University Medical Center, 630 W 168th St, PH4W-470, New York 10032 (LS5@cumc.columbia.edu).
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Abstract

OBJECTIVE

In 2013, the Cystic Fibrosis (CF) Foundation developed an updated guideline for infection prevention and control (IP&C) practices for CF. We sought to assess the adoption of specific recommendations by CF care centers.

METHODS

Directors of the 277 CF care centers in the United States were asked to complete a confidential online survey regarding the adoption of selected IP&C recommendations. Selected recommendations were those we considered less likely to be incorporated into a center’s written IP&C policies.

RESULTS

Center directors from 198 of 277 CF centers (71%) completed the survey between December 2015 and June 2016; pediatric and larger centers were more likely to do so. Overall, 70% have adopted ≥75% of the selected recommendations. As recommended, almost all provided education to CF center staff (98%) and patients and families (97%); fewer developed educational materials in collaboration with local IP&C teams (59%) and/or patients and families (37%). Among 108 centers with non–English-speaking patients, 65 (60%) provided educational materials in relevant languages. Most (74%) held group education events; of the 138 centers with in-person meetings, 45% allowed 1 individual with CF to attend, and 51% allowed no individuals with CF to attend. Most centers (93%) held outdoor events, and 84% allowed >1 individual with CF to attend. Audits of exam-room cleaning were performed by 49% of CF centers.

CONCLUSIONS

Cystic fibrosis centers in the United States have adopted many of the recommendations addressed in this survey. Nonetheless, these findings suggest opportunities for improvement. More CF centers should provide education to non–English-speaking patients and families, and CF centers should perform audits of room cleaning.

Infect Control Hosp Epidemiol. 2018;39:647–651

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 6 , June 2018 , pp. 647 - 651
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTATION. This work was presented as a poster at the North American Cystic Fibrosis Conference on October 27–29, 2016, in Orlando, Florida.

References

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