Infection control in correctional facilities: A new challenge

Prevalence and Risk Factors for Bloodborne Exposure and Infection in Correctional Healthcare Workers

“…To address these issues, we conducted the United States, 6 " 10 but also because numerous challenges a cross-sectional risk assessment study of CHCWs to deto the implementation of standard infection control prac-termine the prevalence of and risk factors for both bloodtices in the correctional setting have been identified. 11 " 14 borne infection exposure and markers for hepatitis B virus Likewise, although risk reduction recommendations to pre-(HBV) and hepatitis C virus (HCV) infection. The results vent the transmission of bloodborne pathogens in hospitals can contribute information to infection control practitionhave been promulgated and evaluated, 15 " 17 the degree of im-ers in the correctional setting, as well as others more gen-erally interested in the occupational risk of bloodborne infections for HCWs.…”

Correlates of HIV, HBV, HCV and syphilis infections among prison inmates and officers in Ghana: A national multicenter study

“…Numerous studies have estimated the occupational risk of exposure and infection with bloodborne pathogens for hospital-based and correctional healthcare workers (category I workers with regular or frequent exposure potential) [ 9 - 14 ], but similar data are sparse for prison officers not employed in healthcare delivery (PONEIHD, Category II workers with intermittent exposure potential). This is a concern not only because of high prevalence rates of bloodborne and sexually transmitted infectious diseases among prison inmates, but also because numerous challenges to the implementation of standard infection control practices in the correctional setting have been identified [ 15 - 17 ]. Additionally, although risk reduction recommendations to prevent the transmission of bloodborne pathogens in hospitals have been promulgated and evaluated, the degree of implementation and effectiveness of similar recommendations targeting correctional facilities remains largely unknown [ 18 ].…”

Infection Control in Jails and Prisons: A Two-Tiered Intervention

“…One large correctional complex in New York City already has an ICP in place (Chisolm, 1988;Johnsen, 1990). Based on the public health model of host, agent, and environment, and guided by an interagency committee made up of prison and health department staff with public health taking the lead role, the ICP incorporates many of the components suggested in Intervention #2.…”

“…Given the environment within which they work, this is a legitimate concern. In addition, inmate unrest increases under conditions of poor health care and fear of infection (Chisolm, 1988). Inmate unrest contributes to prison uprisings in which staff safety may be seriously jeopardized.…”

“…For example, as many as 50 percent are released within 48 hours at a large New York City correctional complex (Chisolm, 1988). In the community, high-risk or infected individuals often escape public health outreach efforts (Glaser & Greifinger, 1993;Cohen et al, 1992).…”