Outpatient Infection Prevention: A Practical Primer

Steinkuller, Fozia; Harris, Kristofer; Vigil, Karen J.; Ostrosky-Zeichner, Luis

doi:10.1093/ofid/ofy053

Cited by 12 publications

(12 citation statements)

References 22 publications

(23 reference statements)

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“…Clinics should create a simple screening algorithm or questionnaire for early detection of potentially infectious persons. Travel advisory posters can be displayed to facilitate the screening process by prompting patients to be proactive by self‐reporting travel history . Individuals who meet criteria for highly communicable diseases requiring isolation, such as the novel COVID‐19 or other emerging respiratory infections, should be provided a mask and placed in a private exam room as soon as possible as per the infectious control guidance found on the WHO and Centers for Disease Control and Prevention (CDC) websites .…”

Section: Cancer Patients In the Outpatient Settingmentioning

confidence: 99%

A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID-19) Pandemic: An International Collaborative Group

et al. 2020

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The outbreak of coronavirus disease 2019 (COVID‐19) has rapidly spread globally since being identified as a public health emergency of major international concern and has now been declared a pandemic by the World Health Organization (WHO). In December 2019, an outbreak of atypical pneumonia, known as COVID‐19, was identified in Wuhan, China. The newly identified zoonotic coronavirus, severe acute respiratory syndrome coronavirus‐2 (SARS‐CoV‐2), is characterized by rapid human‐to‐human transmission. Many cancer patients frequently visit the hospital for treatment and disease surveillance. They may be immunocompromised due to the underlying malignancy or anticancer therapy and are at higher risk of developing infections. Several factors increase the risk of infection, and cancer patients commonly have multiple risk factors. Cancer patients appear to have an estimated twofold increased risk of contracting SARS‐CoV‐2 than the general population. With the WHO declaring the novel coronavirus outbreak a pandemic, there is an urgent need to address the impact of such a pandemic on cancer patients. This include changes to resource allocation, clinical care, and the consent process during a pandemic. Currently and due to limited data, there are no international guidelines to address the management of cancer patients in any infectious pandemic. In this review, the potential challenges associated with managing cancer patients during the COVID‐19 infection pandemic will be addressed, with suggestions of some practical approaches. Implications for Practice The main management strategies for treating cancer patients during the COVID‐19 epidemic include clear communication and education about hand hygiene, infection control measures, high‐risk exposure, and the signs and symptoms of COVID‐19. Consideration of risk and benefit for active intervention in the cancer population must be individualized. Postponing elective surgery or adjuvant chemotherapy for cancer patients with low risk of progression should be considered on a case‐by‐case basis. Minimizing outpatient visits can help to mitigate exposure and possible further transmission. Telemedicine may be used to support patients to minimize number of visits and risk of exposure. More research is needed to better understand SARS‐CoV‐2 virology and epidemiology.

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Section: Cancer Patients In the Outpatient Settingmentioning

confidence: 99%

A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID-19) Pandemic: An International Collaborative Group

et al. 2020

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“…When measles virus exposures occur in health care facilities, identifying and notifying nonimmune exposed persons and offering postexposure prophylaxis, when indicated, can be time- and human resource–intensive ( 5 ). Although most hospitals have infection control protocols that include use of negative pressure rooms, most outpatient facilities do not ( 6 ). No surveyed facility in this evaluation had a negative pressure room, the lack of which could make controlling airborne measles virus transmission in outpatient settings difficult ( 6 ).…”

mentioning

confidence: 99%

“…Although most hospitals have infection control protocols that include use of negative pressure rooms, most outpatient facilities do not ( 6 ). No surveyed facility in this evaluation had a negative pressure room, the lack of which could make controlling airborne measles virus transmission in outpatient settings difficult ( 6 ). However, if they lacked a negative pressure room, most surveyed health care facilities used strategies to attempt to reduce exposures to measles and other airborne-transmitted pathogens, save time and human resources, and minimize health care–associated transmission of measles.…”

mentioning

confidence: 99%

Notes from the Field: Interventions to Reduce Measles Virus Exposures in Outpatient Health Care Facilities — New York City, 2018

Alroy¹,

Vora²,

Arciuolo³

et al. 2019

MMWR Morb. Mortal. Wkly. Rep.

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“…While there are resources providing guidance on implementing EP and IPC best practices in outpatient facilities, 16,[19][20][21] many UCCs have limited resources and few incentives to fully do so. There is a need to develop UCC focused consensus guidelines, easy-to-use implementation tools and modifiable templates to better meet the needs of this unique practice type.…”

Section: Discussionmentioning

confidence: 99%

Assessment of New York City Urgent Care Centers’ Emergency Preparedness and Infection Prevention and Control Practices, 2016–2017

Jacobs-Wingo

Beatty

Jang

et al. 2021

Disaster med. public health prep.

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Background: Urgent care centers (UCCs) have become frontline healthcare facilities for individuals with acute infectious diseases. Additionally, UCCs could potentially support the healthcare system response during a public health emergency. Investigators sought to assess NYC UCCs’ implementation of nationally-recommended IPC and EP practices. Methods: Investigators identified 199 eligible UCCs based on criteria defined by the Urgent Care Association of America. Multiple facilities under the same ownership were considered a network. As part of a cross-sectional analysis, an electronic survey was sent to UCC representatives assessing their respective facilities’ IPC and EP practices. Representatives of urgent care networks responded on behalf of all UCCs within the network if all sites within the network used the same policies and procedures. Results: Of the respondents, 18 representing 144 UCCs completed the survey. Of these, 8 of them (44.4% of the respondents) represented more than 1 facility that utilized standardized practices (range = 2-60 facilities). Overall, 81.3% have written IPC policies, 75.0% have EP policies, 80.6% require staff to train on IPC, and 75.7% train staff on EP. Conclusion: Most UCCs reported implementation of IPC and EP practices; however, the comprehensiveness of these activities varied across UCCs. Public health can better prepare the healthcare system by engaging UCCs in planning and executing of IPC and EP-related initiatives.

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Outpatient Infection Prevention: A Practical Primer

Cited by 12 publications

References 22 publications

A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID-19) Pandemic: An International Collaborative Group

A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID-19) Pandemic: An International Collaborative Group

Notes from the Field: Interventions to Reduce Measles Virus Exposures in Outpatient Health Care Facilities — New York City, 2018

Assessment of New York City Urgent Care Centers’ Emergency Preparedness and Infection Prevention and Control Practices, 2016–2017

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