CDC -Resources Toward Elimination of HAIs - HAI

7/24/2019 CDC -Resources Toward Elimination of HAIs - HAI

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2/12/12 12:2DC -Resources toward elimination of HAIs - HAI

Page ttp://www.cdc.gov/HAI/prevent/prevent_pubs.html

Guidelines and Recommendations

Part of CDC's work is the development and dissemination of public health guidance based on the

best available information. CDC is committed to reviewing and updating these guidance documeno ensure that they provide up-to-date, practical, and effective public health recommendations.

Healthcare Infection Control Practices Advisory Committee (HICPAC)(/hicpac/) is charged withproviding advice and guidance to the Secretary, Department of Health and Human Services; theDirector, CDC; and the Director, National Center for Emerging and Zoonotic Infectious DiseasesNCEZID), regarding the practice of hospital infection control and strategies for surveillance,

prevention, and control of healthcare-associated infections (e.g., nosocomial infections),antimicrobial resistance, and related events in settings where healthcare is provided, includinghospitals, ambulatory and long-term care facilities, and homehealth agencies. The committee shaalso advise CDC on periodic updating of existing guidelines, development of new guidelines,

guideline evaluation, and other policy statements regarding prevention of healthcare-associatednfections and healthcare-related conditions.

For more information see Updating the Guideline Methodology of the Healthcare Infection ControPractices Advisory Committee (HICPAC) [PDF - 188 KB](/hicpac/pdf/guidelines/2009-10-29HICPAC_GuidelineMethodsFINAL.pdf)

General GuidelinesPreventing Healthcare-associated Infections [PDF - 2.28 MB]/nhsn/RA/PDF/csteWorkshopDHQP6709Final.pdf)

Council of State and Territorial Epidemiologists Workshop June 7, 20092008 Guideline for Disinfection, and Sterilization in Healthcare Facilities/hicpac/Disinfection_Sterilization/toc.html)presents evidence-based recommendations on the preferr

methods for cleaning, disinfection, and sterilization of patient-care medical devices and for cleaninand disinfecting the healthcare environment. In addition to updated recommendations, new topicare also addressed in this guideline.Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 [PDF - 948 KB]

/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdf) .

Guidelines for Environmental Infection Control in Healthcare Facilities

/mmwr/preview/mmwrhtml/rr5210a1.htm) June 6, 2003 / 52(RR10);1-42 The Guidelines forEnvironmental Infection Control in Healthcare Facilitiesis a compilation of recommendations fohe prevention and control of infectious diseases that are associated with healthcare environments

Available for download [PDF - 1.4 MB](/hicpac/pdf/guidelines/eic_in_HCF_03.pdf)

Guidelines for Hand Hygiene in Healthcare Settings (/handhygiene/Guidelines.html)Recent developments in the field have stimulated a review of the scientific data regarding handhygiene and the development of new guidelines designed to improve hand hygiene practices in
http://www.cdc.gov/handhygiene/Guidelines.htmlhttp://www.cdc.gov/hicpac/pdf/guidelines/eic_in_HCF_03.pdfhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5210a1.htmhttp://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdfhttp://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdfhttp://www.cdc.gov/hicpac/Disinfection_Sterilization/toc.htmlhttp://www.cdc.gov/hicpac/Disinfection_Sterilization/toc.htmlhttp://www.cdc.gov/nhsn/RA/PDF/csteWorkshopDHQP6709Final.pdfhttp://www.cdc.gov/hicpac/pdf/guidelines/2009-10-29HICPAC_GuidelineMethodsFINAL.pdfhttp://www.cdc.gov/hicpac/pdf/guidelines/2009-10-29HICPAC_GuidelineMethodsFINAL.pdfhttp://www.cdc.gov/hicpac/pdf/guidelines/2009-10-29HICPAC_GuidelineMethodsFINAL.pdfhttp://www.cdc.gov/hicpac/http://www.cdc.gov/handhygiene/Guidelines.htmlhttp://www.cdc.gov/hicpac/pdf/guidelines/eic_in_HCF_03.pdfhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5210a1.htmhttp://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdfhttp://www.cdc.gov/hicpac/Disinfection_Sterilization/toc.htmlhttp://www.cdc.gov/nhsn/RA/PDF/csteWorkshopDHQP6709Final.pdfhttp://www.cdc.gov/hicpac/pdf/guidelines/2009-10-29HICPAC_GuidelineMethodsFINAL.pdfhttp://www.cdc.gov/hicpac/


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healthcare facilities.Guidelines for Hand Hygiene in Healthcare Settings Published 2002 [PDF - 359 KB]

/mmwr/PDF/rr/rr5116.pdf) October 25, 2002 / Vol. 51 / No. RR-16

2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents inHealthcare Settings(/hicpac/2007IP/2007isolationPrecautions.html) This document is intended for usenfection control staff, healthcare epidemiologists, healthcare administrators, nurses, other

healthcare providers, and persons responsible for developing, implementing, and evaluatingnfection control programs for healthcare settings across the continuum of care.

Complete PDF version available for download Guideline for Isolation Precautions: PreventingTransmission of Infectious Agents in Healthcare Settings 2007 [PDF - 3.80 MB]/hicpac/pdf/isolation/Isolation2007.pdf)

Guidance on Public Reporting of Healthcare-associated Infections: Recommendations/hicpac/pubReportGuide/publicReportingHAI.html)HICPAC has developed this guidance document

based on established principles for public health and HAI reporting systems. This document isntended to assist policymakers, program planners, consumer advocacy organizations, and othersasked with designing and implementing public reporting systems for HAIs.

Available for download [PDF - 150 KB](/hicpac/pdf/guidelines/PublicReportingGuide.pdf)

nterim Guidance for Managing Patients with Suspected Viral Hemorrhagic Fever in U.S. Hospita[PDF - 80 KB](/HAI/pdfs/bbp/VHFinterimGuidance05_19_05.pdf) May 2005. This document

updates recommendations (MMWR 1995; 44 (25) ;475-9) for managing patients with suspectedviral hemorrhagic fever (VHF) who are admitted to U.S. hospitals.

Device-associated Infection Prevention GuidelinesGuideline for Prevention of Catheter-associated Urinary Tract Infections 2009/hicpac/cauti/002_cauti_toc.html)

n addition to updating the previous 1981 guideline, this revised guideline reviews the availableevidence on CAUTI prevention for patients requiring chronic indwelling catheters and individualswho can be managed with alternative methods of urinary drainage (e.g., intermittentcatheterization). The revised guideline also includes specific recommendations for implementationperformance measurement, and surveillance.

Available for download: Guideline for Prevention of CAUTI, 2009 [PDF - 407 KB](/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf)

Appendices - Guideline for Prevention of CAUTI, 2009 [PDF - 4.41 MB](/hicpac/pdf/CAUTI/CAUTI_GuidelineAppendices2009final.pdf)

CAUTI Guideline Fast Facts(CAUTI_fastFacts.html)Watch this Podcast: Dr. Sanjay Saint discusses Catheter-associated UTIs

(/hicpac/uti_saint_video.html)

Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2002/mmwr/preview/mmwrhtml/rr5110a1.htm)August 9, 2002 / 51(RR10);1-26

Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011 (/hicpac/BSI/BSI-guidelines-2011.html)
http://www.cdc.gov/hicpac/BSI/BSI-guidelines-2011.htmlhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5110a1.htmhttp://www.cdc.gov/hicpac/uti_saint_video.htmlhttp://www.cdc.gov/HAI/prevent/CAUTI_fastFacts.htmlhttp://www.cdc.gov/hicpac/pdf/CAUTI/CAUTI_GuidelineAppendices2009final.pdfhttp://www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdfhttp://www.cdc.gov/hicpac/cauti/002_cauti_toc.htmlhttp://www.cdc.gov/HAI/pdfs/bbp/VHFinterimGuidance05_19_05.pdfhttp://www.cdc.gov/hicpac/pdf/guidelines/PublicReportingGuide.pdfhttp://www.cdc.gov/hicpac/pubReportGuide/publicReportingHAI.htmlhttp://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdfhttp://www.cdc.gov/hicpac/2007IP/2007isolationPrecautions.htmlhttp://www.cdc.gov/mmwr/PDF/rr/rr5116.pdf


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This report provides Healthcare practitioners with background information and specificecommendations to reduce the incidence of intravascular catheter-related bloodstream infectionsCRBSI).

Available for download: Guideline for the Prevention of Intravascular CRBSI, 2011 [PDF - 1.05 MB](/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf)

Procedure-associated Infection Prevention GuidelinesGuideline for the Prevention of Surgical Site Infection, 1999 [PDF - 270 KB]/ncidod/dhqp/pdf/guidelines/SSI.pdf)

This document is primarily intended for use by surgeons, operating room nurses, postoperativenpatient and clinic nurses, infection control professionals, anesthesiologists, healthcare

epidemiologists, and other personnel directly responsible for the prevention of nosocomialnfections.

Guideline for Preventing Healthcare-Associated Pneumonia , 2003/mmwr/preview/mmwrhtml/rr5303a1.htm) This report updates, expands, and replaces the previously

published CDC "Guideline for Prevention of Nosocomial Pneumonia". The new guidelines aredesigned to reduce the incidence of healthcare-associated pneumonia and other severe, acute loweespiratory tract infections in acute-care hospitals and in other Healthcare settings (e.g., ambulato

and long-term care institutions) and other facilities where healthcare is provided.Download the complete guideline [PDF - 1.17 MB]/hicpac/pdf/guidelines/CDCpneumo_guidelines.pdf)

Drug-resistant OrganismsGuidelines for Developing an Institutional Program to Enhance Antimicrobial Stewardshiphttp://www.guideline.gov/content.aspx?id=10482)

Management of Multidrug-Resistant Organisms In Healthcare Settings, 2006/hicpac/mdro/mdro_toc.html) The prevention and control of MDROs is a national priority - one thatequires that all healthcare facilities and agencies assume responsibility. The followingecommendations are provided to guide the implementation of strategies and practices to preventhe transmission of MRSA, VRE, and other MDROs.

Available for download [PDF - 233 KB](/hicpac/pdf/guidelines/MDROGuideline2006.pdf)

Guidance for Control of Infections with Carbapenem-Resistant or Carbapenemase-ProducingEnterobacteriaceae in Acute Care Facilities(/mmwr/preview/mmwrhtml/mm5810a4.htm) MMWR Marc20, 2009 / 58(10);256-260

n light of the clinical and infection control challenges posed by CRE and advances in the ability todetect these pathogens, CDC and HICPAC have developed new guidance for CRE infectionprevention and control in an effort to limit the further emergence of these organisms. Theseecommendations are based on strategies outlined in the 2006 HICPAC guidelines for manageme

of multidrug-resistant organisms in Healthcare settings. Available for download [PDF 1.18 MB/mmwr/PDF/wk/mm5810.pdf)

Public Health u date of Carba enem-Resistant Enterobacteriaceae CRE roducin metallo-
http://www.cdc.gov/HAI/organisms/cre.htmlhttp://www.cdc.gov/mmwr/PDF/wk/mm5810.pdfhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5810a4.htmhttp://www.cdc.gov/hicpac/pdf/guidelines/MDROGuideline2006.pdfhttp://www.cdc.gov/hicpac/mdro/mdro_toc.htmlhttp://www.guideline.gov/content.aspx?id=10482http://www.cdc.gov/hicpac/pdf/guidelines/CDCpneumo_guidelines.pdfhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5303a1.htmhttp://www.cdc.gov/ncidod/dhqp/pdf/guidelines/SSI.pdfhttp://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf


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beta-lactamases (NDM, VIM, IMP) in the U.S. reported to CDC(/HAI/organisms/cre.html)

Healthcare Personnelnfluenza Vaccination of Health-Care Personnel, 2006http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5502a1.htm)Please note: An erratum has been

published for this article. View the erratum. (/mmwr/preview/mmwrhtml/mm5509a13.htm) MMWR

February, 2006/55(RR02);1-16HICPAC and ACIP recommend that all Healthcare personnel be vaccinated annually againstnfluenza. Facilities that employ HCP are strongly encouraged to provide vaccine to their staff by

using evidence-based approaches that maximize vaccination rates.Available for download [PDF - 628 KB](/mmwr/PDF/rr/rr55e209.pdf)

Guideline for Infection Control in Hospital Personnel 1998 (/hicpac/pdf/InfectControl98.pdf)PDF

1.04 MB/ 66 pages)This guideline updates and replaces the previous edition of the Centers for Disease Control andPrevention (CDC) "Guideline for Infection Control in Hospital Personnel," published in 1983. Theevised guideline, designed to provide methods for reducing the transmission of infections from

patients to healthcare personnel and from personnel to patients, also provides an overview of theevidence for recommendations considered prudent by consensus of the Hospital Infection ControlPractices Advisory Committee members.

Recommendations for Using Smallpox Vaccine in a Pre-Event Vaccination Programhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5207a1.htm)April 4, 2003 / 52(RR07);1-16

Protecting Healthcare Personnel from HIV

Updated U.S. Public Health Service Guidelines for the Management of OccupationalExposures to HIV and Recommendations for Post-Exposure Prophylaxis

(/mmwr/preview/mmwrhtml/rr5409a1.htm) MMWR September 30, 2005 / 54(RR09);1-17Exposure to Blood What Healthcare Personnel Need to Know [PDF - 330 KB(/HAI/pdfs/bbp/Exp_to_Blood.pdf)] July 2003

Updated U.S. Public Health Service Guidelines for the Management of OccupationalExposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis(/mmwr/preview/mmwrhtml/rr5011a1.htm)MMWR June 29, 2001 / 50(RR11);1-42

Appendix A. Practice Recommendations for Health-Care Facilities Implementing the UPublic Health Service Guidelines for Management of Occupational Exposures toBloodborne Pathogens(/mmwr/preview/mmwrhtml/rr5011a2.htm) MMWR June 29, 2001 /50(RR11);43-44

Appendix B. Management of Occupational Blood Exposures(/mmwr/preview/mmwrhtml/rr5011a3.htm) MMWR June 29, 2001 / 50(RR11);45-46

Appendix C. Basic and Expanded HIV Postexposure Prophylaxis Regimens(/mmwr/preview/mmwrhtml/rr5011a4.htm)MMWR June 29, 2001 / 50(RR11);47-52

Preventing Needlestick Injuries in Healthcare Settings(/niosh/docs/2000-108/) NIOSH 1999

Guidelines for Infection Control in Healthcare Personnel, 1998 [PDF - 1.04 MB](/hicpac/pdf/InfectControl98.pdf)
http://www.cdc.gov/hicpac/pdf/InfectControl98.pdfhttp://www.cdc.gov/niosh/docs/2000-108/http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a4.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a2.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a1.htmhttp://www.cdc.gov/HAI/pdfs/bbp/Exp_to_Blood.pdfhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5207a1.htmhttp://www.cdc.gov/hicpac/pdf/InfectControl98.pdfhttp://www.cdc.gov/mmwr/PDF/rr/rr55e209.pdfhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5509a13.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5502a1.htmhttp://www.cdc.gov/HAI/organisms/cre.html


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age last reviewed: November 25, 2010age last updated: June 29, 2011

Content source: Centers for Disease Control and PreventionNational Center for Emerging and Zoonotic Infectious Diseases (NCEZID)Division of Healthcare Quality Promotion (DHQP)

Centers for Disease Control and Prevention 1600 Clifton Rd. Atlanta, GA 30333, USA800-CDC-INFO (800-232-4636) TTY: (888) 232-6348, New Hours of Operation 8am-8pm ET/Monday-Friday

Closed Holidays - [email protected]

Evaluation of Safety Devices for Preventing Percutaneous Injuries Among Healthcare WorkDuring Phlebotomy Procedures 1993-1995(/mmwr/preview/mmwrhtml/00045648.htm) . MMW1997

Evaluation of Blunt Suture Needles in Preventing Percutaneous Injuries Among HealthcareWorkers During Gynecologic Surgical Procedures March 1993-June 1994(/mmwr/preview/mmwrhtml/00045660.htm) . MMWR 1997

Case-control study of HIV seroconversion in Healthcare worker after percutaneous exposur

to HIV-infected blood(/mmwr/preview/mmwrhtml/00039830.htm) MMWR 1995USPHS/IDSA Guidelines for the prevention of opportunistic infections in persons infected

with human immunodeficiency virus: a summary(http://wonder.cdc.gov/wonder/prevguid/m0038328/m0038328.htm). MMWR 1995

Guidelines for preventing the transmission of HIV through transplantation of human tissueand organs(http://wonder.cdc.gov/wonder/prevguid/m0031670/m0031670.htm) . MMWR 1994

Use of vaccines and immune globulin in persons with altered immunocompetence(Recommendations of the ACIP)(http://wonder.cdc.gov/wonder/prevguid/p0000322/p0000322.h. MMWR 1993 Recommendations for HIV testing services for inpatients and outpatients inacute-care hospital settings. MMWR 1993

Recommendations for Preventing Transmission of Human Immunodeficiency Virus andHepatitis B Virus to Patients During Exposure-Prone Invasive Procedures(/mmwr/preview/mmwrhtml/00014845.htm) MMWR July 12, 1991 / 40(RR08)

Guidelines for Prevention of Transmission of Human Immunodeficiency Virus and HepatitiB Virus to Health-Care and Public-Safety Workers A Response to P.L. 100-607 The HealthOmnibus Programs Extension Act of 1988 (/mmwr/preview/mmwrhtml/00001450.htm) MMWRJune 23, 1989 / 38(S-6);3-37

CDC's Perspectives in Disease Prevention and Health Promotion Update: UniversalPrecautions for Prevention of Transmission of Human Immunodeficiency Virus, Hepatitis B

Virus, and Other Bloodborne Pathogens in Health-Care Settings(/mmwr/preview/mmwrhtml/00000039.htm) - MMWR June 24, 1988 / 37(24);377-388

CDC Recommendations for prevention of HIV transmission in Healthcare settings(/mmwr/preview/mmwrhtml/00023587.htm) MMWR August 21, 1987 / 36(SU02);001
http://www.hhs.gov/http://www.usa.gov/http://www.cdc.gov/mmwr/preview/mmwrhtml/00023587.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/00000039.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/00001450.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/00014845.htmhttp://wonder.cdc.gov/wonder/prevguid/p0000322/p0000322.htmhttp://wonder.cdc.gov/wonder/prevguid/m0031670/m0031670.htmhttp://wonder.cdc.gov/wonder/prevguid/m0038328/m0038328.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/00039830.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/00045660.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/00045648.htmmailto:[email protected]://www.cdc.gov/ncezid/dhqp/index.htmlhttp://www.cdc.gov/ncezid/http://www.cdc.gov/

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CDC -Resources Toward Elimination of HAIs - HAI