Outbreaks in Health Care Settings

Geeta Sood; Trish M Perl

doi:10.1016/j.idc.2016.04.003

Outbreaks in Health Care Settings

Infect Dis Clin North Am. 2016 Sep;30(3):661-87. doi: 10.1016/j.idc.2016.04.003.

Authors

Geeta Sood¹, Trish M Perl²

Affiliations

¹ Division of Infectious Diseases, Johns Hopkins University School of Medicine, Johns Hopkins Bayview Medical Center, Mason F. Lord Building Center Tower, 3rd Floor, 5200 Eastern Avenue, Baltimore, MD 21224, USA. Electronic address: gsood1@jhmi.edu.
² Bloomberg School of Public Health, Johns Hopkins School of Medicine, 725 North Wolfe Street, Suite 228 PCTB, Baltimore, MD 21205, USA.

Abstract

Outbreaks and pseudo-outbreaks in health care settings can be complex and should be evaluated systematically using epidemiologic tools. Laboratory testing is an important part of an outbreak evaluation. Health care personnel, equipment, supplies, water, ventilation systems, and the hospital environment have been associated with health care outbreaks. Settings including the neonatal intensive care unit, endoscopy, oncology, and transplant units are areas that have specific issues which impact the approach to outbreak investigation and control. Certain organisms have a predilection for health care settings because of the illnesses of patients, the procedures performed, and the care provided.

Keywords: Evaluation; Health care settings; Outbreaks; Review; Sources of outbreaks.

Publication types

Review

MeSH terms

Cross Infection*
Disease Outbreaks*
Endoscopes
Health Facilities*
Health Personnel
Humans
Infection Control
Intensive Care Units, Neonatal