The need to expand the infection prevention workforce in home infusion therapy

doi:10.1016/j.ajic.2022.11.008

. 2023 May;51(5):594-596.

doi: 10.1016/j.ajic.2022.11.008. Epub 2023 Jan 12.

The need to expand the infection prevention workforce in home infusion therapy

Opeyemi Oladapo-Shittu¹, Susan M Hannum², Alejandra B Salinas¹, Kimberly Weems³, Jill Marsteller⁴, Ayse P Gurses⁵, Sara E Cosgrove⁶, Sara C Keller⁷

Affiliations

¹ Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
² Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
³ Department of Hospital Epidemiology and Infection Control, Johns Hopkins Health System, Baltimore, MD.
⁴ Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Armstrong Institute of Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD.
⁵ Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Armstrong Institute of Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD; Malone Center for Engineering in Health Care, Johns Hopkins Whiting School of Engineering, Baltimore, MD.
⁶ Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Hospital Epidemiology and Infection Control, Johns Hopkins Health System, Baltimore, MD; Armstrong Institute of Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD.
⁷ Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Armstrong Institute of Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD. Electronic address: skeller9@jhmi.edu.

PMID: 36642577
PMCID: PMC11046438
DOI: 10.1016/j.ajic.2022.11.008

The need to expand the infection prevention workforce in home infusion therapy

Opeyemi Oladapo-Shittu et al. Am J Infect Control. 2023 May.

. 2023 May;51(5):594-596.

doi: 10.1016/j.ajic.2022.11.008. Epub 2023 Jan 12.

Authors

Opeyemi Oladapo-Shittu¹, Susan M Hannum², Alejandra B Salinas¹, Kimberly Weems³, Jill Marsteller⁴, Ayse P Gurses⁵, Sara E Cosgrove⁶, Sara C Keller⁷

Affiliations

¹ Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
² Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
³ Department of Hospital Epidemiology and Infection Control, Johns Hopkins Health System, Baltimore, MD.
⁴ Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Armstrong Institute of Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD.
⁵ Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Armstrong Institute of Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD; Malone Center for Engineering in Health Care, Johns Hopkins Whiting School of Engineering, Baltimore, MD.
⁶ Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Hospital Epidemiology and Infection Control, Johns Hopkins Health System, Baltimore, MD; Armstrong Institute of Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD.
⁷ Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Armstrong Institute of Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD. Electronic address: skeller9@jhmi.edu.

PMID: 36642577
PMCID: PMC11046438
DOI: 10.1016/j.ajic.2022.11.008

Abstract

Infection prevention and surveillance training approaches for home infusion therapy have not been well defined. We interviewed home infusion staff who perform surveillance activities about barriers to and facilitators for central line-associated bloodstream infection (CLABSI) surveillance and identified barriers to training in CLABSI surveillance. Our findings show a lack of formal surveillance training for staff. This gap can be addressed by adapting existing training resources to the home infusion setting.

Keywords: CLABSI; Home care; Surveillance; Training.

PubMed Disclaimer

Conflict of interest statement

Conflicts of interest:

Opeyemi Oladapo-Shittu, MBBS, MPH, CPH¹ - None

Susan M. Hannum, Ph.D.² - None

Alejandra B. Salinas, BS¹ - None

Kimberly Weems, MPH, CIC³ - None

Jill Marsteller, Ph.D., MPP^4,5 - None

Ayse P Gurses, PhD, MPH, MS^{1, 4, 5, 6,7} - None

Sara E. Cosgrove, MD, MS^1,3,5 - None

Sara C. Keller, MD, MSHP, MPH^1,5 – None

Cited by

CLABSIs aren't just for inpatients: the need to identify CLABSI burden among outpatients.
Oladapo-Shittu O, Cosgrove SE, Rock C, Hsu YJ, Klein E, Harris AD, Mejia Chew C, Saunders H, Ching PR, Gadala A, Mayoryk S, Pineles L, Maragakis LL, Salinas AB, Helsel T, Keller SC; Centers for Disease Control and Prevention’s Prevention Epicenters Program. Oladapo-Shittu O, et al. Antimicrob Steward Healthc Epidemiol. 2024 Sep 12;4(1):e132. doi: 10.1017/ash.2024.384. eCollection 2024. Antimicrob Steward Healthc Epidemiol. 2024. PMID: 39290627 Free PMC article. No abstract available.
Controlling the chaos: Information management in home-infusion central-line-associated bloodstream infection (CLABSI) surveillance.
Hannum SM, Oladapo-Shittu O, Salinas AB, Weems K, Marsteller J, Gurses AP, Shpitser I, Klein E, Cosgrove SE, Keller SC. Hannum SM, et al. Antimicrob Steward Healthc Epidemiol. 2023 Apr 11;3(1):e69. doi: 10.1017/ash.2023.134. eCollection 2023. Antimicrob Steward Healthc Epidemiol. 2023. PMID: 37113198 Free PMC article.
Implementing and validating a home-infusion central-line-associated bloodstream infection surveillance definition.
Keller SC, Hannum SM, Weems K, Oladapo-Shittu O, Salinas AB, Marsteller JA, Gurses AP, Klein EY, Shpitser I, Crnich CJ, Bhanot N, Rock C, Cosgrove SE; Home Infusion CLABSI Prevention Collaborative. Keller SC, et al. Infect Control Hosp Epidemiol. 2023 Nov;44(11):1748-1759. doi: 10.1017/ice.2023.70. Epub 2023 Apr 20. Infect Control Hosp Epidemiol. 2023. PMID: 37078467 Free PMC article.

References

1. Billings C, Bernard H, Caffery L, et al. Advancing the profession: An updated future-oriented competency model for professional development in infection prevention and control. Am J Infect Control. 2019;47(6):602–614. doi:10.1016/j.ajic.2019.04.003 - DOI - PubMed
1. Home infusion therapy | Home care providers | NHIA. National Home Infusion Association Web site. https://nhia.org/about-infusion-therapy/. Accessed Nov 8, 2022
1. Weber DJ, Brown V, Huslage K, Sickbert-Bennett E, Rutala WA. Device-related infections in home health care and hospice: infection rates, 1998–2008. Infect Control Hosp Epidemiol. 2009;30(10):1022–1024. doi:10.1086/605641 - DOI - PubMed
1. Keller SC, Williams D, Gavgani M, et al. Environmental Exposures and the Risk of Central Venous Catheter Complications and Readmissions in Home Infusion Therapy Patients. Infect Control Hosp Epidemiol. 2017;38(1):68–75. doi:10.1017/ice.2016.223 - DOI - PMC - PubMed
1. Keller SC, Williams D, Rock C, Deol S, Trexler P, Cosgrove SE. A new frontier: Central line-associated bloodstream infection surveillance in home infusion therapy. Am J Infect Control. 2018;46(12):1419–1421. doi:10.1016/j.ajic.2018.05.016 - DOI - PMC - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions

Grants and funding

R01 HS027819/HS/AHRQ HHS/United States

LinkOut - more resources

Full Text Sources
Miscellaneous
- NCI CPTAC Assay Portal

[1] Billings C, Bernard H, Caffery L, et al. Advancing the profession: An updated future-oriented competency model for professional development in infection prevention and control. Am J Infect Control. 2019;47(6):602–614. doi:10.1016/j.ajic.2019.04.003 - DOI - PubMed

[2] Billings C, Bernard H, Caffery L, et al. Advancing the profession: An updated future-oriented competency model for professional development in infection prevention and control. Am J Infect Control. 2019;47(6):602–614. doi:10.1016/j.ajic.2019.04.003 - DOI - PubMed

[3] Home infusion therapy | Home care providers | NHIA. National Home Infusion Association Web site. https://nhia.org/about-infusion-therapy/. Accessed Nov 8, 2022

[4] Home infusion therapy | Home care providers | NHIA. National Home Infusion Association Web site. https://nhia.org/about-infusion-therapy/. Accessed Nov 8, 2022

[5] Weber DJ, Brown V, Huslage K, Sickbert-Bennett E, Rutala WA. Device-related infections in home health care and hospice: infection rates, 1998–2008. Infect Control Hosp Epidemiol. 2009;30(10):1022–1024. doi:10.1086/605641 - DOI - PubMed

[6] Weber DJ, Brown V, Huslage K, Sickbert-Bennett E, Rutala WA. Device-related infections in home health care and hospice: infection rates, 1998–2008. Infect Control Hosp Epidemiol. 2009;30(10):1022–1024. doi:10.1086/605641 - DOI - PubMed

[7] Keller SC, Williams D, Gavgani M, et al. Environmental Exposures and the Risk of Central Venous Catheter Complications and Readmissions in Home Infusion Therapy Patients. Infect Control Hosp Epidemiol. 2017;38(1):68–75. doi:10.1017/ice.2016.223 - DOI - PMC - PubMed

[8] Keller SC, Williams D, Gavgani M, et al. Environmental Exposures and the Risk of Central Venous Catheter Complications and Readmissions in Home Infusion Therapy Patients. Infect Control Hosp Epidemiol. 2017;38(1):68–75. doi:10.1017/ice.2016.223 - DOI - PMC - PubMed

[9] Keller SC, Williams D, Rock C, Deol S, Trexler P, Cosgrove SE. A new frontier: Central line-associated bloodstream infection surveillance in home infusion therapy. Am J Infect Control. 2018;46(12):1419–1421. doi:10.1016/j.ajic.2018.05.016 - DOI - PMC - PubMed

[10] Keller SC, Williams D, Rock C, Deol S, Trexler P, Cosgrove SE. A new frontier: Central line-associated bloodstream infection surveillance in home infusion therapy. Am J Infect Control. 2018;46(12):1419–1421. doi:10.1016/j.ajic.2018.05.016 - DOI - PMC - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

The need to expand the infection prevention workforce in home infusion therapy

Affiliations

The need to expand the infection prevention workforce in home infusion therapy

Authors

Affiliations

Abstract

Conflict of interest statement

Similar articles

Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Miscellaneous

Abstract

Conflict of interest statement

Similar articles

Cited by

References

Publication types

MeSH terms

Related information

Grants and funding

LinkOut - more resources

Full Text Sources

Miscellaneous