Practical Handbook for Healthcare Epidemiologists

by Lautenbach, Ebbing; Woeltje, Keith

• ISBN13: 9781556426773
• ISBN10: 1556426771
• Edition: 2nd
• Format: Hardcover
• Copyright: 2004-09-28
• Publisher: Slack Incorporated

Summary

If you work in today's healthcare epidemiology programsyou will needthe latest edition ofPractical Handbook for Healthcare Epidemiologists. Situations that are encountered daily can be challenging, and now the answers needed are available in one solid resource.Extensively updated and revised, thisbest sellinghandbook is concise and user-friendly, and will provide practical information regarding many aspects of establishing and managing a healthcare epidemiology program.The Society for Healthcare Epidemiology of America (SHEA) has recruited over 50 recognized leaders in the field to share their expertise. They discuss overarching goals, as well as successful strategies for handling specific situations and problems. There is also extensive information on infection control in the outpatient setting and measures to take after exposure to infectious agents. This is the most complete hands-on source about healthcare epidemiology and infection prevention and control. Epidemiologists and infection control professionals will be able to successfully develop and improve their knowledge base and practice with the latest information and trends for today's programs. Students, residents, fellows, and faculty will benefit as they learn in a productive manner what to expect in their future roles. A straightforward and practical guide,Practical Handbook for Healthcare Epidemiologists, Second Editionwill be critical to establishing and operating a successful healthcare epidemiology and infection control program.Topics Inside: How to negotiate with administration How to survive JCAHO and OSHA inspections How to implement exposure workups Ethical decisions and application to infection control The building blocks of surveillance-identification to communication Extending infection control programs into long-term care and outpatient facilitiesNew to this edition: Patient safety Bioterrorism preparedness Antimicrobial resistance Hand hygiene

Author Biography

Ebbing Lautenbach, MD, MPH, MSCE is an Assistant Professor of Medicine in the Division of Infectious Diseases, Assistant Professor of Epidemiology in the Department of Biostatistics and Epidemiology, and Senior Scholar in the Center for Clinical Epidemiology and Biostatistics at the University of Pennsylvania School of Medicine. He is the Associate Hospital Epidemiologist and Codirector of Antimicrobial Management at the Hospital of the University of Pennsylvania. Dr. Lautenbach is a Fellow in the Institute on Aging and a Senior Fellow at the Leonard Davis Institute for Health Economics, both at the University of Pennsylvania. Dr. Lautenbach received his MD and MPH degrees from Columbia University in New York. He completed his Internal Medicine residency and Infectious Diseases fellowship at the University of Pennsylvania, where he also received a Master’s Degree in Clinical Epidemiology. He is board certified in internal medicine, infectious diseases, and epidemiology. Dr. Lautenbach's clinical and research interests focus on the epidemiology and prevention of nosocomial infections, as well as the emergence of healthcare-acquired antimicrobial resistance.
Keith Woeltje, MD, PhD is an Associate Professor of Medicine in the Infectious Diseases Division, Department of Medicine, Washington University School of Medicine. He is the Medical Director of the BJC Health System Infection Control and Hospital Epidemiology Consortium. Dr. Woeltje earned his MD and PhD degrees at the University of Texas Southwestern Medical Center at Dallas. He did his Internal Medicine internship and residency at Barnes Hospital, St. Louis, then completed his Infectious Diseases fellowship at Washington University. He then served a year as Medicine Chief Resident at Barnes-Jewish Hospital. Dr. Woeltje was a hospital epidemiologist at the Medical College of Georgia prior to his current position. He is board certified in internal medicine and infectious diseases. Dr. Woeltje's interests are in epidemiology and prevention of nosocomial infections and in medical informatics.

Table of Contents

Dedication	iii
Acknowledgments	vii
About the Editors	viii
Contributing Authors	ix
Section One: Getting Started
Practical Hospital Epidemiology: An Introduction	3	(4)
Ebbing Lautenbach
Keith Woeltje
Educational Needs and Opportunities for the Hospital Epidemiologist	7	(6)
Richard A. Martinello
Louise M. Dembry
How to Get Paid for Healthcare Epidemiology: A Practical Guide	13	(12)
H. Gunner Deery II
Daniel J. Sexton
Ethical Aspects of Infection Control	25	(12)
Loreen A. Herwaldt
Lauris C. Kaldjian
Section Two: Surveillance and Analysis
Epidemiologic Methods in Infection Control	37	(8)
Ebbing Lautenbach
Basics of Surveillance: An Overview	45	(24)
Trish M. Perl
Jean M. Pottinger
Loreen A. Herwaldt
Preventing Nosocomial Pneumonia	69	(10)
Scott A. Flanders
Harold R. Collard
Sanjay Saint
Basics of Surgical Site Infection Surveillance	79	(12)
Lisa L. Maragakis
Trish M. Perl
Surveillance for Infections Associated With Vascular Catheters	91	(8)
Werner Ernst Bischoff
Outbreak Investigations	99	(12)
Consuelo Beck-Sague
Victor Soto-Caceres
William R. Jarvis
Exposure Workups	111	(32)
Loreen A. Herwaldt
Jean M. Pottinger
Stephanie Holley
Isolation	143	(10)
Gonzalo M. L. Bearman
Michael Edmond
Section Three: Support Functions
Clinical Microbiology Laboratory Support for Healthcare Epidemiology	153	(10)
Lance R. Peterson
Patrick A. Hymel
Molecular Typing Systems	163	(8)
Carolyn V. Gould
Joel Maslow
Computers for Healthcare Epidemiology	171	(8)
Keith Woeltje
Section Four: Antimicrobial Resistance
Control of Gram-Positive Multidrug-Resistant Pathogens	179	(10)
Mark E. Rupp
Antibiotic-Resistant Gram-Negative Infections	189	(10)
David L. Paterson
Mesut Yilmaz
Antimicrobial Stewardship	199	(14)
Robert A. Duncan
Kenneth R. Lawrence
Section Five: Special Topics
Improving Hand Hygiene in Healthcare Settings	213	(10)
John M. Boyce
Didier Pittet
The Role of Infection Control in Bioterrorism	223	(18)
Mary L. Fornek
Kelly J. Henning
Employee Health/Occupational Medicine	241	(18)
David K. Henderson
Tuberculosis Infection Control in Healthcare Settings	259	(16)
Henry M. Blumberg
Infection Control in Long-Term Care Facilities	275	(6)
Lindsay E. Nicolle
Richard A. Garibaldi
Infection Control in the Outpatient Setting	281	(16)
Deborah M. Nihill
Loreen A. Herwaldt
Shanon Smith
Cheryl D. Carter
Tammy Lundstrom
Infection Control and Patient Safety	297	(10)
Darren R. Linkin
PJ Brennan
Section Six: Administrative Issues
The Infection Control Committee	307	(4)
Virginia R. Roth
Mark Loeb
Developing Infection Control Policies and Guidelines	311	(6)
Young S. Kim
PJ Brennan
Elias Abrutyn
The Occupational Safety and Health Administration's Regulatory Role	317	(8)
Judene Bartley
Gina Pugliese
Tammy Lundstrom
Preparing for and Surviving a Joint Commission on Accreditation of Healthcare Organizations Inspection	325	(4)
Mary D. Nettleman
Product Evaluation	329	(8)
Lynn Slonim Fine
William M. Valenti
Infection Control Issues in Construction and Renovation	337	(24)
Sherry A. David
Jose A. Fernandez
Loreen A. Herwaldt
Appendix A Abbreviations	361	(4)
Index	365