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Bibliographic Details
Main Author:	Arias, Kathleen Meehan
Corporate Author:	Association for Professionals in Infection Control and Epidemiology
Format:	Book
Language:	English
Published:	Gaithersburg, Md. : Aspen Publishers, 2000.
Subjects:	Health Facilities > Handbooks. Infection Control > methods > Handbooks. Disease Outbreaks > Handbooks. Epidemiologic Methods > Handbooks. Cross Infection > prevention & control > Handbooks.

Table of Contents:

An introduction to epidemiology / Kathleen Meehan Arias
Definitions used in health care epidemiology
A historical perspective: some epidemiological tidbits
The multifactorial nature of disease
Study methods used in epidemiology: the five w's-what, who, where, when, and why
The epidemiology of infectious diseases
Routine surveillance programs for health care facilities / Kathleen Meehan Arias and Lorraine Messinger Harkavy
Introduction
Surveillance: what is it and why do it?
Surveillance methods
Guidelines for developing and evaluating a surveillance program
Regulations and accrediting requirements affecting surveillance programs
Public health service
Conclusion
Outbreaks reported in acute care facilities / Kathleen Meehan Arias
Introduction
Endemic versus epidemic infections
Organisms responsible for hospital-associated outbreaks
Outbreaks associated with products, devices, and procedures (common source outbreaks)
Outbreaks associated with human carriers or disseminators
Outbreaks spread from person to person by airborne and droplet transmission
Outbreaks of disease that have environmental reservoirs
Outbreaks of nosocomial pneumonia in intensive care units
Outbreaks of sick building syndrome and building-related illness
Newly recognized agents and sources for health care-associated outbreaks
Additional sources of information on outbreaks in hospitals
Outbreaks reported in the long-term care setting / Kathleen Meehan Arias
Introduction
Endemic infections
Epidemic infections
Recognizing and confirming an outbreak in the long-term care setting
Outbreaks of respiratory disease
Outbreaks of gastrointestinal disease
Outbreaks of conjunctivitis
Outbreaks caused by group A streptococcus
Summary
Outbreaks reported in the ambulatory care setting / Kathleen Meehan Arias
Introduction
Physicians' offices and outpatient clinics
Dental offices
Hemodialysis and peritoneal dialysis centers
Ophthalmology offices and clinics
Gastrointestinal endoscopy and bronchoscopy procedure suites
Ambulatory surgery centers
Conclusions
Additional information on outbreaks and infection control in the ambulatory care setting
Pseudo-outbreaks reported in health care facilities / Kathleen Meehan Arias
Introduction
Pseudo-outbreaks involving mycobacterium species
Pseudo-outbreaks of noninfectious etiology
Recognizing a pseudo-outbreak
Verifying the diagnosis and verifying the existence of an outbreak
Preventing pseudo-outbreaks
Organisms and diseases associated with outbreaks in various health care settings / Kathleen Meehan Arias
Introduction
Organisms associated with nosocomial outbreaks
Disease syndromes - gastrointestinal illness
Investigation and control of outbreaks in the health care setting / Kathleen Meehan Arias
Recognizing a potential outbreak
Initiating an outbreak investigation
Steps in conducting an outbreak investigation
Publishing an article on an outbreak investigation
Risk management issues
Outbreak investigation skills
Public health issues
Using technology to aid in outbreak investigation
Additional information
Conducting a literature search / Georgia Phelps Dash
Searching medical literature - search services
What is "MeSH" and why is it important?
MEDLINE database
U.S. governmental agency resources
World Health Organization
Other nongovernmental electronic resources for outbreak investigation
Web directories and search engines
Statistical methods used in outbreak investigation / Deborah Y. Phillips and Kathleen Meehan Arias
Introduction
Descriptive statistics
Analytic studies
Hypothesis testing (inferential statistics)
Tests of statistical significance
Using computers to make life easier
Interpreting results: the meaning of statistical significance
Summary
The role of the laboratory in outbreak investigation / Robert L. Sautter
The role of the laboratory in the surveillance and recognition of outbreaks
The role of the laboratory in the investigation of an outbreak
Pseudo-outbreaks
Laboratory preparedness for investigating acts of biological warfare and bioterrorism
Conclusion
Collecting, organizing, and displaying epidemiologic data / Kathleen Meehan Arias
Collecting and organizing epidemiologic data
Displaying epidemiologic data
Appendix A: Glossary
Appendix B: Sample data collection forms for routine surveillance and outbreak investigation in health care facilities
Appendix C: Case definitions for infectious conditions under public health surveillance
Appendix D: Guidelines for measles case investigation and outbreak control
Appendix E: Immunization of health care workers
Appendix F: Suggested work restrictions for personnel
Appendix G: Recommendations for infection control precautions and Hepatitis B vaccination and serologic surveillance for dialysis units
Appendix H: Maryland Department of Health and Mental Hygiene, Epidemiology and Disease Control Program. Guidelines for the Prevention and Control of Upper and Lower Acute Respiratory Illnesses (Including Influenza and Pneumonia) in Long-Term Care Facilities. December 1997
Appendix I: Maryland Department of Health and Mental Hygiene, Epidemiology and Disease Control Program. Guidelines for the Epidemiological Investigation of Gastroenteritis Outbreaks in Long-Term Care Facilities. November 1996
Appendix J: Maryland Department of Health and Mental Hygiene, Epidemiology and Disease Control Program. Guidelines for Control of Scabies in Long-Term Care Facilities. September 1996
Appendix K: Alphabetical reference of resources for literature searching and outbreak investigation.