Recommendations For Change In Infection Prevention Programs And
Fifty years of evolution in infection prevention and control programs have involved significant accomplishments related to clinical practices, methodologies, and technology. However, regulatory mandates, and resource and research limitations, coupled with emerging infection threats such as the COVID-19 pandemic, present considerable challenges for infection preventionists. This article provides guidance and recommendations in 14 key areas. These interventions should be considered for implementation by United States health care facilities in the near future. Keywords: Antibiotic-resistant organisms; Decolonization; Emerging pathogens; Environment of care; Healthcare-associated infections; Infection prevention and control programs; Surveillance. Copyright © 2022 Association for Professionals in Infection Control and Epidemiology, Inc.
Published by Elsevier Inc. All rights reserved. Core Infection Prevention and Control Practices for Healthcare Adherence to infection prevention and control practices is essential to providing safe and high quality patient care across all settings where healthcare is delivered This document concisely describes a core set of infection prevention and control practices that are required in all healthcare settings, regardless of the type of healthcare provided. The practices were selected from among existing CDC recommendations and are the subset that represent fundamental standards of care that are not expected to change based on emerging evidence or to be regularly altered...
The practices outlined in this document are intended to serve as a standard reference and reduce the need to repeatedly evaluate practices that are considered basic and accepted as standards of medical care. Readers should consult the full texts of CDC healthcare infection control guidelines for background, rationale, and related infection prevention recommendations for more comprehensive information. The core practices in this document should be implemented in all settings where healthcare is delivered. These venues include both inpatient settings (e.g., acute, long-term care) and outpatient settings (e.g., clinics, urgent care, ambulatory surgical centers, imaging centers, dialysis centers, physical therapy and rehabilitation centers, alternative medicine clinics). In addition, these practices apply to healthcare delivered in settings other than traditional healthcare facilities, such as homes, assisted living communities, pharmacies, and health fairs. Healthcare personnel (HCP) referred to in this document include all paid and unpaid persons serving in healthcare settings who have the potential for direct or indirect exposure to patients or infectious materials, including body...
Cambridge University Press | https://doi.org/10.1017/ice.2025.73 Thomas R. Talbot, Christopher Baliga, Rebecca Crapanzano-Sigafoos, Tania N. Bubb, Mohamad Fakih, Thomas G. Fraser, Ibukunoluwa C. Kalu, Vidya Mony, Anupama Neelakanta, Ann-Christine Nyquist, Catherine O’Neal, Jan E.
Patterson, David K. Warren, and Sharon B. Wright This paper is endorsed by the Association for Professionals in Infection Control and Epidemiology (APIC), the Pediatric Infectious Diseases Society (PIDS), and the Infectious Diseases Society of America (IDSA) The Society for Healthcare Epidemiology of America, the Association of Professionals in Infection Control and Epidemiology, the Infectious Diseases Society of America, and the Pediatric Infectious Diseases Society represent the core expertise regarding healthcare... Based on a systematic literature search and formal consensus process, the authors advocate raising the expectations for facility IPC programs, moving to effective programs that are:
• Foundational and influential parts of the facility’s operational structure The Joint Commission announced significant changes to infection control standards taking effect July 1, 2024. This comprehensive update represents a major shift in how healthcare facilities will approach infection control and high-consequence infectious disease preparedness. The most notable change is the reduction in standards and elements of performance. The Joint Commission has consolidated from 12 standards with 51 elements to 4 standards with 14 elements. The updates prioritize essential infection control measures like proper hand hygiene, cough etiquette, and appropriate PPE use and align language and requirements with Centers for Medicaid and Medicare (CMS) guidelines.
These updates remove repetition and simplify the standards, reducing interpretation challenges facilities previously faced. In addition, The Joint Commission created a new Infection Control (IC) Assessment Tool that details the IC practices and structures needed to meet the IC requirements, shifting survey focus from documentation review to practical... One of the four updated standards is IC.07.01.01, focuses on High-Consequence Infectious Disease (HCID) preparedness. The standard describes three elements of performance with six distinct elements: Organizations maintain significant control over implementation strategies. For competency assessment, facilities can define competency and its application within their organizational policies, including priority staff groups, training frequency, assessment methods, and documentation of the verification processes.
Training programs can be customized with department-specific requirements, delivery methods, refresher schedules, and success criteria. Documentation systems can be electronic or paper-based, with facilities determining their preferred organization methods, audit procedures, and review schedules. The Joint Commission offers extensive support through online standards, R3 report guidance, Standards Interpretation Group (SIG) consultation, and assessment tool templates. NETEC also provides technical assistance, training materials, consultation services, and supports regional coordination. Regional Emerging Special Pathogen Treatment Centers (RESPTC) offer expertise in protocol development, training support, and emergency response coordination. A multisociety group composed of American Geriatrics Society (AGS), Infectious Diseases Society of America (IDSA), Post-Acute and Long-Term Care Medical Association (PALTmed), Association for Professionals in Infection Control and Epidemiology (APIC), and The Society...
The 2025 statement updates the previous, 2008 SHEA/APIC guideline, Infection Prevention and Control in the Long-Term Care Facility. In the 2025 update, reflecting the growing function of nursing homes in today’s clinical landscape, the statement modernizes nursing home IPC program recommendations. With a total of 42 recommendations provided, the AGS/APIC/IDSA/PALTmed/SHEA guidance document Infection Prevention and Control in Nursing Homes is an extensive tool for IPC program leaders in US nursing homes. Today, we are summarizing a few key recommendations. For a complete look at the recommendations, consult the full text version. Sign up for alerts and stay informed on the latest published guidelines and articles.
Copyright © 2025 Guideline Central, all rights reserved. Arlington, VA —The Society for Healthcare Epidemiology of America (SHEA), in collaboration with the Association for Professionals in Infection Control and Epidemiology (APIC), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious... Despite decades of progress in reducing healthcare-associated infections (HAIs), the COVID-19 pandemic exposed persistent vulnerabilities and resource gaps in IPC programs, highlighting the urgent need for stronger, better-resourced, and more influential efforts. The new position paper calls on healthcare leaders, regulatory agencies, and payors to prioritize IPC programs as foundational and essential components of healthcare operations. “Preventing infections in healthcare settings is not optional—it’s fundamental to patient safety, healthcare quality, and operational stability,” said Dr. Tom Talbot, SHEA Past President and lead author of the paper.
“This position paper provides a clear roadmap for transforming IPC programs into highly effective, proactive, and properly resourced elements of healthcare delivery. Preventing harm to patients directly reduces healthcare costs and should be prioritized as much as revenue generation for its positive impact on both patients and healthcare systems.” Key Recommendations from the Position Paper: The position paper emphasizes that current regulatory requirements—such as the U.S. Centers for Medicare & Medicaid Services (CMS) mandate for active IPC programs—lack clear definitions of program effectiveness. As a result, many facilities meet minimum standards without achieving comprehensive infection prevention efforts.
The authors advocate for revised standards that promote continuously improving, data-driven IPC programs with measurable outcomes. �N0�a�?��nM����n����� ����`o���%�����>��OZ�!�0`,�25>�b(~t��[ٳ�~� 4>� ;��qXp�b�� �<`��d�YE� �w$�@ă�D�A����G�\`%�@���pL��pH�Y3g����:/HIY�v-�������~y� �':����x�833S�����F�g^�ކ�466��i�����?������6m~��a� Q�b���7v����Ӧ-X�P�����=<=���qQ ��P �tFb������?���[�K.��խ��;����Na�������"�a�O?�dmk����e�V???C��W�"����߷o����\|�8����{�ƛ���mmMmVVֶ�� ���0Y��E�9JPHn��}X��i��'�E �W�*���`�+N�a��!U"���Ўb'�6-� DG�ޠiV;Y�r���Ql���ԭ�g��իW����B��:���{('gVV���c�~��ѼYɳ--,��Y�X������ �y����0�*U��bߌ=��;bĈ+W^+�[��?�^��;��g6�6k33��g���n۱�VE��(�� �ff��H�?���ܼ7+kizzAA~ww7$���Ӊ����jSS���_�����ۛ(S�ş9}�ak�Ҍt؊�w� ��Qiii��K����utr �T*�IEyy�ҥ���322���Ѩ�{�쩬�GbҌ��Xj���BkkkOOϟ֭���w{?ٓ�~}����ݵ���Zeei��{ � Z�[RR_�|��ѣIInc�ީ��d��w6n�����Ʀ)11Ӧ�V#�رU\�� y�����a�-:w�+W�̜=k���0"�盚���\���?�Zx*.>.4,����9�9J �+�&�����3!k��Դ%m���f������6�MMM�e�L��8�8>=̠�KE���P��d�C�A�]DD]E4�`p�QCt�Q�#0��*��C7QD#�.��|�s� ��p���R�7tWWUWu�������~^SU�UС̌ ����A}w��v@ 2��]�bܕH��{P���y��%2_N�}y�@��@B�2֍��-�ؘ��,( �0�����!;���(**���S����4j>lj�`ooocmC�Qf)���]IM���j�o��и��r��9ss����6.�&)����r����3��M�.��Þ��4�lzgW���>����ʠ�/�Lxx8��|5U� U55NMMzVԫ}��m"F��������ã�v���YJJ��ŋ�q��||||��Y�66&f�����/_nܴq�(#�*�'O�jiyv������ݝ_P�{�.ee���j��� 8y�@�����R���W�N�442<����?`�IH�~�{bb�wg���KHШ�66��\'�ѐIs��TUT�+*�����ӧM���aAO�����8���vtptrvz��iht�����lݥKa �#�u.��_�:22 �p,"|����A.��I��764���q-���S H�l.//��G�`R��d�䪪��B�6n��m�r�ٳg��� �;v:>�F�uk�2�+���mlm�N�h<}ڜ_X_�{�Wgg�|�E��p5��a��,D���UYY)�*������imm%7c�2=}�O��PS���2���G�<:::2"�t�̙�<����� ����_����WCt�P،�V0�V(�R�Q��!Cl4AK��m�Etb�叮�1�(�cY�z::JJs��pƼ�n��Ҳ��y90x�ĉ��H|��N����ϝO��x�P"&.���q��w� z��TI��3s�y<44848XQ^��P��>]ZV���/^H�h��}.]... �"Q�ё�o �UU��qp��繳�:;��o�v� u��i���]I��7m*-+?~�'KKަ-�SΞ�[�f���r/o��5�::P�999k�X��� a���~���/7|�ݮ]C 7|����[K��>^����IP,�"v�#��_o����'��:����db"����Kbbb�N&�������"�8(*n� �� ������#���]�,88Z�+�55���`�k�|}��齵�c�KT0�fL�lm�Q����&@`�� �O��� �*J�L�(�O��i1����'��^P�y��� r�\ hkk����ԟ2e������ego�x���Eb�D__ .�+��jjj�N��H$ (.*200�w�Ϻ�u?�ނ��v�vD�۷�(�/�(���C�!�8����V��hXFZ�PP��+k+���G�53{��c"�|�#���%(���{��kf�|���W��y<ޔ�S!��O�����DU�"���߿w�#S�M���srr������̹��7}:���037�={f` �Wp�O� � �ݠ?����[��m���1p�'� ��aZ MP���I&s��?-RT���3���)i�u��`���Pl p���?����ǎ�p���:���&M+R)D LU�"(����c�Bs@Σ���*Jj %ɀ�t3�0� ����Qp��A��88����Zگ�T*T���� �q����~��je``�L��p��D^�D��~�(RNp(E�#�7���=�5Z �&FCmFA�--�Y�L��D��P'LP�� ���A���to�� ��,� +������VC.���f�x��˗�mrm���@s �>Υ�����&&&J�������VKK ^ڬ�L�D2/$D__�������ӽ���g;��'��tww������0���>W*�{xXY[CS��� i@c"�<<<WW;����A��Ϯ]���>nĈ���ܻw��+�]��1|�p�)..λ�������Ԩ~�(�����֖� ,�,�(���u���_��D,A�Pcc�Wf�-�������;/�J|}};;��ܹdcc�T*�df���|�|-��~%��F�ؼ�{ ��A�a�;��˗Y�;��$Bu�q8,��있�S A9̠w�E6 4(�P� ��P�54(�A�B[���... ����3��o��;�Θ�Xȃ����^� ��������R,+>����뼽8�wϯ�P�Ů��'))/])�=g���s�a�F����/�?u�Tff�11�W�1= ����/�J�_}�b6C��V\�QS]�u�v����ih� ���������� ���OKKKA�}���x4����EؿreⒸ������l���Ν��� �(g���}v�-MM��k�'$$�-�S��ܲm�^��Yq��ڵkT���?<"�~m�mĶc��)~*�yL�T�d�����A�W� 1��D=(\ jB�+��ù����0(���k�}+&���m����A�!wnWm��d�6�~]�����ӧ��?@u�b��ŧO����K]����4::: 0�ja���ٳ�#3+.�k_���������� ��� {!��^|�E��~��0)zF�������Moְ)+�:;��yҗ�y3�3�:�������?���H+p`���7*��1����~~���2 � �3g y AAA3|}CBB�ѽ}�/̚����*oެ�������f����^^v�������/G�7/ ��.�c����r=��jQZ����8�29~ J�RA���EX�R�`��� ��������lpQW[��E"����/�N���$<S��Â�c�n`'>>6��G�X$����mcZ��ٳ0 �5? 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Fifty years of evolution in infection prevention and control programs have involved significant accomplishments related to clinical practices, methodologies, and technology. However, regulatory mandates, and resource and research limitations, coupled with emerging infection threats such as the COVID-19 pandemic, present considerable challenges for infection preventionists. This article provides gu...
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Published by Elsevier Inc. All rights reserved. Core Infection Prevention and Control Practices for Healthcare Adherence to infection prevention and control practices is essential to providing safe and high quality patient care across all settings where healthcare is delivered This document concisely describes a core set of infection prevention and control practices that are required in all health...
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The practices outlined in this document are intended to serve as a standard reference and reduce the need to repeatedly evaluate practices that are considered basic and accepted as standards of medical care. Readers should consult the full texts of CDC healthcare infection control guidelines for background, rationale, and related infection prevention recommendations for more comprehensive informat...
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