Infection Prevention On-Call Pager (available 24/7 to VUMC employees and faculty):
NEW Urinary Catheter Management Guidelines:
In order to reduce infections due to urinary catheters in adult inpatients, a new policy that emphasizes evidence-based care and maintenance of these devices will be effective April 1. As part of this policy, all adult patients admitted to VUH will be placed on the nurse-directed Foley discontinuation protocol unless specifically excluded by a provider order. Pilot testing of this policy has been met with very positive reviews from both nursing personal and physician and NP providers.
To help with this policy change, all providers should
Click for more information:
NOVEL CORONAVIRUS and H7N9 AVIAN INFLUENZA INFECTIONS:
Information for Providers
Recently, international public health authorities have reported infections due to two types of novel respiratory viruses in patients outside of the United States. The first virus is a novel coronavirus that was first identified in humans in April 2012. Since then, 17 people from the Middle East and the United Kingdom have been infected with this new virus, 11 of whom died. The second virus is a novel avian influenza virus of the H7N9 subtype. The first human cases of H7N9 influenza infection were reported earlier this month, and as of April 16, 2013, all 63 cases (including 11deaths) of H7N9 influenza infection have occurred in China.
To date, limited human-to-human transmission of the novel coronavirus has been reported in a single family cluster, while no human-to-human transmission of H7N9 influenza has been identified. At present, there have been no reports of either virus causing infection in patients in the United States.
We remind all clinicians to be vigilant to ensure early identification of potential cases of these infections presenting at VUMC. This includes the following:
We are hopeful that sustained human-to-human transmission of these viruses will not occur, but we appreciate your help in remaining prepared for this possibility and alerting the Department of Infection Prevention of any suspect cases.
Fungal Aspergillus Outbreak Related to Spinal Injection Procedures:
****For up-to-date information on the outbreak from the CDC website-- click HERE ****
Updated: Multistate Fungal Meningitis Outbreak Investigation: Clinician Guidance – November 21 (CDC)
CDC Guidance on Management of Asymptomatic Patients (10/24/12)
UPDATED Interim Treatment Options – Outbreak of Fungal Meningitis (10/16/12)
Interim Treatment Options: Septic Arthritis Related to Contaminated Product (10/16/12)
Diagnostic Testing for Septic Arthritis Related to Contaminated Product (10/16/12)
Instructions for Clinical Teams Regarding Diagnostic Testing – Outbreak of Unknown Meningitis (10/4/12)
Specimen Submission Guidelines for:
For Referral to CDC (10/19/12)
Pathologic Evaluation of CNS Infections (10/4/12)
Unexplained Illness due to Possibly Infectious Etiology (10/4/12)
Tennessee Health Alert Network: Adverse Events Following Epidural Steroid Injections of Methylprednisolone from NECC - Including Guidance to Providers on Evaluaiton of Patients (10/3/2012)
VUMC EPI Alert on Fungal Meningitis (10/2/2012)
The Department of Emergency Preparedness in conjunction with the Department of Infection Prevention and the Occupation Health Clinic has developed an online education lecture that provides information on personal and institutional preparedness for pandemic influenza. The lecture may be accessed on the Department of Emergency Preparedness website (link).
The Vanderbilt University Medical Center Department of Infection Prevention is primarily responsible for conducting surveillance of hospital-acquired infections and investigating and controlling outbreaks or infection clusters among patients and health care personnel. Infection Prevention personnel also evaluate new and existing products, examine the latest innovations in personal protective equipment and safe needle devices, and conduct detailed special projects that investigate infection control issues at VUMC and the Monroe Carell Jr. Children's Hospital at Vanderbilt. The Infection Preventionists have educational programs to assure quality of patient care as well as developing infection surveillance policies and procedures.
The department calculates rates of healthcare-associated infections, collates antibiotic susceptibility data, performs analysis of aggregated infection data and provides comparative data to national benchmarks over time. These data are provided to various boards and committees on a routine basis. Working with various physicians and departments, the Department of Infection Prevention also provides data for research and publications. We work closely with the Occupational Health Clinic and Vanderbilt Environmental Health and Safety, the Center for Clinical Improvement, and Risk Management, as well as state and local health departments.
Please use the menu at left to learn more about our department's functions and activities.
PREVENT THE SPREAD OF INFLUENZA!!
NEW for the 2013-14 influenza season:
VUMC policy now requires annual influenza vaccination or exemption. Exemptions may be for religious or personal/philosophical beliefs or for medical contraindications. Those who wish to be exempted from receiving the flu vaccine must complete an exemption form, available on the OHC website beginning in September.
Do you never get an annual influenza vaccination?
Do you come to work with a "cold?"
If you answered "yes," you could be spreading infleunza to
your patients and colleagues (even when you don't feel sick!)
It's influenza season again -- find out how you can protect yourself,
your colleagues, and your patients from influenza.
CLICK HERE FOR MORE INFO