IDSA News - June 2014  (Plain Text Version)

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In this issue:
Patient Care and Science
•  SHEA, IDSA Release Updated Guidance on CLABSI Prevention
•  CDC Releases New Guidelines for HIV Testing
Clinical Practice Management
•  CMS to Cover HCV Screening
•  New Resource Helps ID Specialists Prove Their Value
Policy and Advocacy
•  IDSA Continues Efforts to Advance AR Policy
•  HIVMA Advocacy Day 2014
Global ID
•  World Health Assembly Resolution on Hepatitis Calls for Syringe Exchange and Universal Access
Education and Resources
•  IDSA to Launch New Mentorship Program at IDWeek 2014
You and Your Colleagues
•  New Members
•  Members on the Move
Top Stories
•  President's Message: ID Specialists Should Take a Stand
•  New IDSA Guideline Covers Skin and Soft Tissue Infections
•  21st Century Cures Initiative
•  Countdown to IDWeek 2014
•  Journal Club


SHEA, IDSA Release Updated Guidance on CLABSI Prevention

With an estimated 41,000 cases occurring in U.S. hospitals, central-line associated bloodstream infections (CLABSI) pose a dangerous threat to vulnerable patients, causing increased length of hospital stay and risk of mortality and contributing to an increase in healthcare costs of up to an additional $39,000 per episode. In a collaborative effort, led by the Society for Healthcare Epidemiology of America (SHEA), IDSA, the American Hospital Association, the Association for Professionals in Infection Control and Epidemiology, and The Joint Commission have released new practical recommendations to assist acute care hospitals in implementing and prioritizing efforts to prevent such infections.

The guidance, to be published in the July issue of Infection Control and Hospital Epidemiology (ICHE), includes a special section on implementation, emphasizing engagement with healthcare personnel and the sharing of data with employees on the frontlines to track prevention progress. Implementation recommendations include:

  • engaging both hospital frontline staff and senior leadership in the process of an outcome improvement plan,
  • educating healthcare personnel involved in the insertion and care of central lines through multiple teaching strategies to best engage diverse learners,
  • executing best practices by standardizing the care process to help increase staff compliance, and
  • evaluating the impact of strategies with feedback provided to all personnel with the goals for improvement clearly and frequently articulated.
“There is no shortage of guidelines and recommendations to prevent CLABSI, including those from government, public health and professional organizations. But translating this evidence into practice, while challenging, is critically important,” said Leonard Mermel, DO, ScM, co-lead author of the guidelines with Jonas Marschall, MD. “We’ve included examples of successful implementation approaches and references to published examples that can be adapted and adopted by hospitals.”

The new practice recommendations are part of Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Updates. Guidance on surgical site infections, central-line associated urinary tract infections, Clostridium difficile, and methicillin-resistant Staphylococcus aureus (MRSA) infections have been published thus far in ICHE.  A total of seven compendium articles will be published in the May through August issues including guidance on strategies to prevent, and ventilator-associated pneumonia, and an article focused on hand hygiene improvement strategies.