- Email: [email protected]
Guidelines committee
Volume 16 Number 6
December1988
Committee reports 3 1 A
er gastrointestinal flexible endoscope cleaning method. Dis Colon Rectum 1985;28:653-7. McAllister TA, Roud JA, Marshall A, Holland BM, Turner TL. Outbreak of Salmonella eimsbuttei in newborn infants spread by rectal thermometers. Lancet 1986; 1:1262-4. Mecraft JW, Hawkins JM, Fletcher BN, Dodswell JV. Potential hazards from spray cleaning of floors in hospital wards. J Hosp Infect 1987; 98:151-7. Moloney AC, Quoraishi AH, Parry P, Hall V. A bacteriological examination of breast pumps. J Hosp Infect 1987;9:169-74. Nelson KE, Warren D, Tomasi AM, Rajn TN, Vidyasagar D. Transmission of neonatal listeriosis in a delivery room. Am J Dis Child 1985; 139:903-5. 9Panwalker AP, Fukse E. Nosocomial Mycobacterium gordonae pseudoinfection from contaminated ice machines. Infect Control 1986;7: 67-70. *Quercia RA, Hills SW, Klimek .!J, ct al. Bacteriologic contamination of intravenous infusion delivery systems in an intensive care unit. Am J Med 1986;80:364-8. Siegman-Igra Y, Inbar G, Campus A. An outbreak of pulmonary pseudoinfection by Serratia marcescens. J Hosp Infect 1985;6:218-20. *Solomon SL, Alexander H, Eley JW, et al. Nosocomial fungemia in neonates associated with intravascular pressure-monitoring devices. Pediatr Infect Dis 1986;5:680-5. *Stone JW, DaN BC. Investigation of an outbreak of infection with Acinetobacter calcoaceticus in a special care baby unit. J Hosp Infect 1986;7:42-8. *Thompson AC, Wilder BJ, Powner DJ. Bedside resuscitation bags: a source of bacterial contamination. Infect Cont 1985;6:231-2. Timbury MC, Donaldson JR, McCartney AC, eta]. Outbreak of Legionnaire's disease in Glasgow Royal Infirmary: microbiological aspects. J Hyg (Lond) 1986;97:393-403. APIC Research Committee Sandra Landry, RN, MS, CIC, Chairman Brian Cooper, MD Helen R. Kotilatnen, MT (ASCP), CIC Elaine Larson, RN, PhD, FAAN Frank Rhame, MD Barbara Terry, RN, BSN *Highly recommended.
Guil iNhles . Imm
tee
The following APIC guidelines for infection control practice are being developed under the direction of the Guidelines Committee: 1. "Guideline for Use of Topical Antimicrobial Agents" by Elaine Larson, RN, PhD, FAAN This first APIC guideline can be found in this issue of the AMERICANJOURNAL OF INFECTION CONTROL. 2. "Selection and Use of Disinfectants" by William A. Rutala, PhD, MPH We anticipate publication of this draft guideline in the February 1989 AMERICANJOURNALOF INFECTIONCONTROLfor review and c o m m e n t by the APIC membership. 3. "Infection Control Guidelines for Home Health" by Bryan Simmons, MD, Rebecca Scott, RN, and Martha Trusler, RN Working copies of this guideline currently are being reviewed by the APIC Guidelines Committee, APIC Board of Directors, APIC committee chairmen, APIC legal counsel, the editor of the AMERICAN JOURNAL OF INFECTION CONTROL, and experts from other professional organizations. 4. "Infection Control in the Long-Term Care Facility" by Philip Smith, MD, FACP, and Patricia Rusnak, RN The first draft of this guideline has been written and is in the review process by the Guidelines Committee. 5. Consideration is being given to developing future guidelines on (1) cleansing and disinfection of flexible fiberoptic endoscopes and (2) reuse of disposable medical devices. Members of the Guidelines Committee maintain liaison relationships with more than 50 professional organizations for the purpose of identifying standards and guidelines that relate to the practice of infection control. Recent liaison activities include "the following: 1. American Society for Testing and Materials (ASTM) F04.20 Subcommittee on Reprocessing of Medical Devices APIC, represented by Marjorie Underwood, is participating in the develop-
American Journal of
32A
Committee reports
INFECTION CONTROL
ment of voluntary consensus standards for reuse and reprocessing of medical devices. Other participating organizations include the American Hospital Association (AHA), Food and Drug Administration (FDA), United States Pharmacopeia (USP), Health and Human Welfare Canada, American Society for Healthcare Central Services Personnel, consumer groups, and manufacturers 2. Association of Operating Room Nurses (AORN) Recommended Practices Subcommittee Nancy Bjerke, representing APIC, is an active member of this subcommittee, which currently is reviewing drafts for product evaluation and selection, laser safety in the operating room, and operating room environmental sanitation. 3. Joint Committee on Healthcare Laundry Guidelines APIC, represented by Marjorie Underwood, was invited to participate on this committee along w i t h the AHA, CDC, Occupational Safety and Health Administration (OSHA), and textile and laundry organizations. The 1986 "Guideline for Healthcare Linen Service" was extensively revised to incorporate the concept of universal precautions. Preliminary plans were made to develop an educational video for laundry personnel on acquired immunodeficiency syndrome (AIDS) and infection control. 4. American Association of Critical Care Nurses (AACN)
The AACN Occupational Hazards Task Force recently developed a position statement on prevention of transmission of blood-borne pathogens and a handbook on occupational hazards, which contains a chapter on biologic hazards. At AACN request, Emily Rhine hart, representing APIC, reviewed both documents and provided suggested revisions to the biologic hazards chapter. 5. American Association for Respiratory Care (AARC) The AARC and the FDA held a consensus conference Sept. 29-30, 1988, to identify problems associated with the introduction of respiratory care equipment in the home. APIC was invited to participate, and our representative was Dr. Bryan Simmons. 6. Joint Commission on Accreditation of Healthcare Organizations The Guidelines Committee members revi~we~d the second draft of the proposed revision of the infection control chapter of the accreditation manual. Comments were provided to the APIC president for inclusion in APIC's response to the Joint Commission.
APIC Guidelines Committee
1988 Guidelines Committee Marjorie A. Underwood, RN, BS, CIC, Chairman Trisha Barrett, RN, BSN, CIC Nancy Bjerke, BN, BSN, MA, MEd, CIC Diane Fleming, PhD Emily Rhinehart, RN, CIC Bryan Simmons, MD
seeks authors
The APIC Guidelines Committee is seeking an author (or authors) for a paper on cleaning and disinfection of flexible fiberoptic endoscopes. Interested persons should send the following information to Marjorie Underwood, Chairman, APIC Guidelines Committee, by Feb. 1, 1989: 1. Curriculum vitae 2. Two letters of reference 3. Estimated project cost 4. Detailed outline of proposed guideline Marjorie A. Underwood, RN, BS, CIC Chairman, APIC Guidelines Committee Samuel Merritt Hospital Hawthorne Ave. and Webster St. Oakland, CA 94609
December1988
Committee reports 3 1 A
er gastrointestinal flexible endoscope cleaning method. Dis Colon Rectum 1985;28:653-7. McAllister TA, Roud JA, Marshall A, Holland BM, Turner TL. Outbreak of Salmonella eimsbuttei in newborn infants spread by rectal thermometers. Lancet 1986; 1:1262-4. Mecraft JW, Hawkins JM, Fletcher BN, Dodswell JV. Potential hazards from spray cleaning of floors in hospital wards. J Hosp Infect 1987; 98:151-7. Moloney AC, Quoraishi AH, Parry P, Hall V. A bacteriological examination of breast pumps. J Hosp Infect 1987;9:169-74. Nelson KE, Warren D, Tomasi AM, Rajn TN, Vidyasagar D. Transmission of neonatal listeriosis in a delivery room. Am J Dis Child 1985; 139:903-5. 9Panwalker AP, Fukse E. Nosocomial Mycobacterium gordonae pseudoinfection from contaminated ice machines. Infect Control 1986;7: 67-70. *Quercia RA, Hills SW, Klimek .!J, ct al. Bacteriologic contamination of intravenous infusion delivery systems in an intensive care unit. Am J Med 1986;80:364-8. Siegman-Igra Y, Inbar G, Campus A. An outbreak of pulmonary pseudoinfection by Serratia marcescens. J Hosp Infect 1985;6:218-20. *Solomon SL, Alexander H, Eley JW, et al. Nosocomial fungemia in neonates associated with intravascular pressure-monitoring devices. Pediatr Infect Dis 1986;5:680-5. *Stone JW, DaN BC. Investigation of an outbreak of infection with Acinetobacter calcoaceticus in a special care baby unit. J Hosp Infect 1986;7:42-8. *Thompson AC, Wilder BJ, Powner DJ. Bedside resuscitation bags: a source of bacterial contamination. Infect Cont 1985;6:231-2. Timbury MC, Donaldson JR, McCartney AC, eta]. Outbreak of Legionnaire's disease in Glasgow Royal Infirmary: microbiological aspects. J Hyg (Lond) 1986;97:393-403. APIC Research Committee Sandra Landry, RN, MS, CIC, Chairman Brian Cooper, MD Helen R. Kotilatnen, MT (ASCP), CIC Elaine Larson, RN, PhD, FAAN Frank Rhame, MD Barbara Terry, RN, BSN *Highly recommended.
Guil iNhles . Imm
tee
The following APIC guidelines for infection control practice are being developed under the direction of the Guidelines Committee: 1. "Guideline for Use of Topical Antimicrobial Agents" by Elaine Larson, RN, PhD, FAAN This first APIC guideline can be found in this issue of the AMERICANJOURNAL OF INFECTION CONTROL. 2. "Selection and Use of Disinfectants" by William A. Rutala, PhD, MPH We anticipate publication of this draft guideline in the February 1989 AMERICANJOURNALOF INFECTIONCONTROLfor review and c o m m e n t by the APIC membership. 3. "Infection Control Guidelines for Home Health" by Bryan Simmons, MD, Rebecca Scott, RN, and Martha Trusler, RN Working copies of this guideline currently are being reviewed by the APIC Guidelines Committee, APIC Board of Directors, APIC committee chairmen, APIC legal counsel, the editor of the AMERICAN JOURNAL OF INFECTION CONTROL, and experts from other professional organizations. 4. "Infection Control in the Long-Term Care Facility" by Philip Smith, MD, FACP, and Patricia Rusnak, RN The first draft of this guideline has been written and is in the review process by the Guidelines Committee. 5. Consideration is being given to developing future guidelines on (1) cleansing and disinfection of flexible fiberoptic endoscopes and (2) reuse of disposable medical devices. Members of the Guidelines Committee maintain liaison relationships with more than 50 professional organizations for the purpose of identifying standards and guidelines that relate to the practice of infection control. Recent liaison activities include "the following: 1. American Society for Testing and Materials (ASTM) F04.20 Subcommittee on Reprocessing of Medical Devices APIC, represented by Marjorie Underwood, is participating in the develop-
American Journal of
32A
Committee reports
INFECTION CONTROL
ment of voluntary consensus standards for reuse and reprocessing of medical devices. Other participating organizations include the American Hospital Association (AHA), Food and Drug Administration (FDA), United States Pharmacopeia (USP), Health and Human Welfare Canada, American Society for Healthcare Central Services Personnel, consumer groups, and manufacturers 2. Association of Operating Room Nurses (AORN) Recommended Practices Subcommittee Nancy Bjerke, representing APIC, is an active member of this subcommittee, which currently is reviewing drafts for product evaluation and selection, laser safety in the operating room, and operating room environmental sanitation. 3. Joint Committee on Healthcare Laundry Guidelines APIC, represented by Marjorie Underwood, was invited to participate on this committee along w i t h the AHA, CDC, Occupational Safety and Health Administration (OSHA), and textile and laundry organizations. The 1986 "Guideline for Healthcare Linen Service" was extensively revised to incorporate the concept of universal precautions. Preliminary plans were made to develop an educational video for laundry personnel on acquired immunodeficiency syndrome (AIDS) and infection control. 4. American Association of Critical Care Nurses (AACN)
The AACN Occupational Hazards Task Force recently developed a position statement on prevention of transmission of blood-borne pathogens and a handbook on occupational hazards, which contains a chapter on biologic hazards. At AACN request, Emily Rhine hart, representing APIC, reviewed both documents and provided suggested revisions to the biologic hazards chapter. 5. American Association for Respiratory Care (AARC) The AARC and the FDA held a consensus conference Sept. 29-30, 1988, to identify problems associated with the introduction of respiratory care equipment in the home. APIC was invited to participate, and our representative was Dr. Bryan Simmons. 6. Joint Commission on Accreditation of Healthcare Organizations The Guidelines Committee members revi~we~d the second draft of the proposed revision of the infection control chapter of the accreditation manual. Comments were provided to the APIC president for inclusion in APIC's response to the Joint Commission.
APIC Guidelines Committee
1988 Guidelines Committee Marjorie A. Underwood, RN, BS, CIC, Chairman Trisha Barrett, RN, BSN, CIC Nancy Bjerke, BN, BSN, MA, MEd, CIC Diane Fleming, PhD Emily Rhinehart, RN, CIC Bryan Simmons, MD
seeks authors
The APIC Guidelines Committee is seeking an author (or authors) for a paper on cleaning and disinfection of flexible fiberoptic endoscopes. Interested persons should send the following information to Marjorie Underwood, Chairman, APIC Guidelines Committee, by Feb. 1, 1989: 1. Curriculum vitae 2. Two letters of reference 3. Estimated project cost 4. Detailed outline of proposed guideline Marjorie A. Underwood, RN, BS, CIC Chairman, APIC Guidelines Committee Samuel Merritt Hospital Hawthorne Ave. and Webster St. Oakland, CA 94609