Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-14T04:31:53.059Z Has data issue: false hasContentIssue false

Outbreak Investigations

Published online by Cambridge University Press:  02 January 2015

Consuelo Beck-Sague
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
William R. Jarvis
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
William J. Martone
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

Abstract

Epidemic nosocomial infections are defined as hospital-acquired infections that represent an increase in incidence over expected rates. Epidemic-associated infections usually are clustered temporally or geographically, suggesting that the infections are from a common source or are secondary to increased person-to-person transmission. Epidemics are important, because they account for a substantial percentage of nosocomial infections. Furthermore, if infection control personnel thoroughly investigate outbreaks of nosocomial infections, they may identify new agents, reservoirs, or modes of transmission.

Type
Practical Healthcare Epidemiology
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Wenzel, RP, Thompson, RL, Lundry, SM, et al. Hospital-acquired infections in intensive care unit patients: an overview with emphasis on epidemics. Infect Control 1983;4:371375.CrossRefGoogle ScholarPubMed
2. Doebbeling, BN. Epidemics: identification and management. In: Wenzel, RP, ed. Prevention and Control of Nosocomial Infections. Baltimore, MD: Williams & Wilkins; 1992:177206.Google ScholarPubMed
3. Jarvis, WR. Nosocomial outbreaks: the Centers for Disease Control's Hospital Infections Program Experience, 1980-1990. Am J Med 1991;91(suppl 3B):101S106S.CrossRefGoogle ScholarPubMed
4. Beck-Sague, CM, Jarvis, WR. The epidemiology and prevention of nosocomial infections. In: Block, SS, ed. Disinfection, Sterilization and Preservation. 4th ed. Philadelphia, PA: Lea & Febiger; 1991:663675.Google Scholar
5. Haley, RW, Gaynes, RP, Aber, RC, Bennett, JV. Surveillance of nosocomial infections. In: Bennett, JV, Brachman, PS, eds. Hospital Infections. Boston, MA: Little, Brown and Co; 1992:79108.Google Scholar
6. Dixon, RE. Investigation of endemic and epidemic nosocomial infections. In: Bennett, JV, Brachman, PS, eds. Hospital Infections. Boston, MA: Little, Brown and Co; 1992:109113.Google Scholar
7. Garner, JS, Favero, MS. Guideline for handwashing and hospital environmental control, 1985. In: Guidelines for the Prevention and Control of Nosocomial Infections. Atlanta, GA: Centers for Disease Control; 1985:418.Google Scholar
8. Rotham, KJ. Types of epidemiologic study. In: Rotham, KJ, ed. Modern Epidemiology. Boston, MA: Little, Brown and Co; 1986:5176.Google Scholar
9. Dean, AG, Dean, JA, Coulombier, D, et al. Epi Info, Version 6: A Word Processing, Database and Statistics Program for Epidemiology on Microcomputers. Stone Mountain, GA: USD, Inc; 1994.Google Scholar
10. Mastro, TD, Farley, TA, Elliott, JA, et al. An outbreak of surgical wound infection due to group A streptococcus carried on the scalp. N Engl J Med 1990;323:368372.CrossRefGoogle ScholarPubMed
11. Association for the Advancement of Medical Instrumentation. American National Standard for Hemodialysis Systems. Arlington, VA: AAMI; 1981.Google Scholar
12. Pittet, D, Monod, M, Filthuth, I, Frenk, E, Suter, PM, Auckenthaler, R. Contour-clamped homogeneous electric field gel electrophoresis as a powerful epidemiologic tool in yeast infections. Am J Med 1991;91(suppl 3B):256S263S.Google Scholar