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OutbreakInvestigationResponse
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Healthcare-Associated Infections (HAI)
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HAI Advisory Committee Members List
CA Campaign To Prevent BSI in Hemodialysis Patients
2-Day Basics IP Course
C. difficile (C. diff, CDI)
Central Line-associated Blood Stream Infection (CLABSI)
Methicillin-Resistant Staphylococcus aureus Bloodstream Infection (MRSA BSI)
Vancomycin Resistant Enterococci Bloodstream Infection (VRE BSI)
healthcare-Associated Infections (HAI) programā
Outbreak Investigation & Response
The CDPH HAI Program has assembled a list of resources to assist LHDs and healthcare facilities (HCF) conducting an HAI Investigation. These resources have been developed by the Centers for Diseases Control and Prevention (CDC), the California Department of Public Healthās Healthcare-Associated Infections (CDPH HAI) Program, national professional societies (e.g., the Society for Healthcare Epidemiology of America (SHEA), and the Council for Outbreak Response: Healthcare-Associated Infections and Antimicrobial-Resistant (AR) Pathogens (CORHA).
These resources can be used by health departments and healthcare facilities working to build, standardize or improve capacities and practices related to HAI/AR outbreak detection, reporting, investigation, and control and prevention activities. The CDPH HAI Program is available to provide technical assistance and consult on HAI infections and outbreaks.
Resources
Public health authority
AFL 23-08. Requirements to Report Outbreaks and Unusual Infectious Disease Occurrences Includes definitions, examples, and links to CORHA definitions.
Title 42 Code of Federal Regulations (CFR) section 482.42
: Condition of Participation: Infection prevention and control and antibiotic stewardship programs
Title 17 California Code of Regulations (CCR) sections 2500-2502
: Healthcare Providers and Laboratories must report to LHD
Title 22 CCR sections 70737
,
70739
,
72523
,
72539
, and
72541
: Healthcare Facilities must report to LHD and their
CDPH L&C District Office
CDPH Reportable Diseases and Conditions
General approach to HAI investigations: Sentinel Cases, Clusters, Outbreaks, Infection Control Breaches
CDC TRAIN Healthcare Outbreak Response Training Course
CDC Steps for Evaluating an Infection Control Breach
CORHA Principles and Practices of Outbreak Response
;
Suppl B: Infection Control Breach Investigations
(PDF);
Toolkits for HAI Investigations
SHEA Outbreak Response and Incident Management: SHEA Guidance and Resources for Healthcare Epidemiologists in United States Acute-Care Hospitals. Infect Control Hosp Epidemiol. 2017 Dec; 38(12): 1393ā1419.doi: 10.1017/ice.2017.212
CDPH HAI Program Quicksheets and Guidance
C. auris
Investigation and Response Quicksheet
(PDF)
Printable Version
(PDF)
Carbapenemase-Producing Organisms Quicksheet
ā (PDF)
C. difficile
Infection (CDI) Quicksheet
(PDF)
Healthcare-Associated Hepatitis B and C (HBV/HCV) Investigation Quicksheet Algorithm
(PDF)
Healthcare-Associated Legionnairesā Disease Investigation Quicksheet
(PDF)
CDPH Recommendations for Prevention and Control of COVID-19, Influenza, and Other Respiratory Viral Infections in California Skilled Nursing Facilities - 2023-24
(PDF)
Guidance for Face Coverings as Source Control in Healthcare Settings
Please visit
CDPH Immunization Branch
for more Disease Information and Report
Healthcare-Associated Pathogens, Clusters, and Outbreaks
CDC Diseases and Organisms in Healthcare Settings
CORHA Resources and Products
;
Toolkits for HAI Investigations
CDPH AR pathogens
Acute Viral Respiratory Outbreaks (influenza, SARS CoV-2, RSV)
CDPH Recommendations for Prevention and Control of COVID-19, Influenza, and Other Respiratory Viral Infections in California Skilled Nursing Facilities- 2023-24
(PDF)
CDC Preventing Transmission of Viral Respiratory Pathogens in Healthcare Settings | Infection Control
CDC Interim Guidance for Influenza Outbreak Management in Long-Term Care and Post-Acute Care Facilities
CDC Testing and Management Considerations for Nursing Home Residents with Acute Respiratory Illness Symptoms when SARS-CoV-2 and Influenza Viruses are Co-circulating
CDC Viral Respiratory Pathogens Toolkit for Nursing Homes
CDPH Influenza and Respiratory Illness Outbreak Quicksheet
(PDF)
Acute Gastrointestinal Outbreaks (norovirus)
CDC Norovirus Prevention and Control Guidelines for Healthcare Settings, ā2011
and
2017 Updatesā
āā
Key Infection Control for Norovirus āin Healthcare Settings
(PDF)
LA County Norovirus toolkit for SNF 2ā023ā
(PDF)
Acute Gastrointestinal (GI) - Illness and Outbreaks in healthcare (not norovirus)
CD
C
C. difficile
CDPH
C. difficile
Infection (CDI) Quicksheet
(PDF)
SHEA Strategies to prevent
C. difficile
infections in acute-care hospitals: 2022 Update
Acute Viral Hepatitis B and C: Healthcare-Associated Outbreak Investigations
Healthcare-Associated Hepatitis B and C (HBV/HCV) Investigation Quicksheet Algorithm
(PDF)
CDC HBV and HCV Associated Outbreak Investigations (guide, tools, and checklist)
CDC Reporting HBV and HCV Infections in Repeat Blood Donors
CDC Drug Diversion
Scabies
CDPH Prevention and Control of Scabies in California Health Care Settings, August 2020
(PDF)
CDPH Scabies
CDC Scabies in Institutional Settings
LA County Scabies Toolkit: Healthcare Settings
For other ectoparasites infections refer to
CDPH Vector-Born Disease Branch
Invasive Group A Streptococcal Disease (iGAS) Post-Partum, Post-Surgical, and in Long-Term Care
CDPH Invasive Group A Streptococcus (iGAS)
(PDF)
CDC Invasive Group A Streptococcus Infection in Long-Term Care Facilities
Prevention of Invasive Group A Streptococcal Disease Among Household Contact of Case Patients and among Postpartum and Postsurgical Patients: Recommendations from the Centers for Disease Control and Prevention.
Clin Infect Dis 2002; 35(8): 950-59.
Water-Associated Pathogens in Healthcare (Legionella, Pseudomonas, Non-Tuberculous Mycobacterium (NTM), and others)
Healthcare-Associated Legionnairesā Disease Investigation Quicksheet
(PDF)
Legionella - Healthcare Investigation Resources
CDC HAI Reduce Risk from Water
(See links to tools including: Water Infection Control Risk Assessment (WICRA), Water Management Plan checklists)
CORHA Water Associated Organisms
, including
Burkholderia
and
Nontuberculous Mycobacteria (NTM)
Environmental Fungi in Healthcare Settings
CDC Investigating Fungal Disease Outbreaks
CDC Healthcare-Associated Mold Outbreaks
Sample line list for
investigating healthcare-associated mold outbreaks
(Excel)
A Guide to Investigating Suspected Outbreaks of Mucormycosis in Healthcare
Targeted Environmental Investigation Checklist for Environmental Molds (e.g., Aspergillus, Mucormycetes)
(PDF)
Keeping health care linens clean: Underrecognized hazards and critical control points to avoid contamination of laundered health care textiles.
CORHA
Environmental Molds
Occupational Health Resources
CDC Infection Control in Healthcare Personnel
Infrastructure and Routine Practices for Occupational Infection Prevention and Control Services
Epidemiology and Control of Selected Infections Transmitted Among Healthcare Personnel and Patients
Healthcare Provider Vaccinations
ACIP recommendations: Immunization of Healthcare Personnel
CDPH Immunization Recommendations for Healthcare Personnel
(PDF)
Occupationally Acquired Infections in Healthcare Settings
Cal-OSHA, Title 8, Section 5193, California Code of Regulations
Exposure Control Plan for Blood Borne Pathogens
(PDF)
Cal-OSHA, Title 8, Section 5199, California Code of Regulations
Workplace Guide to Aerosol Transmissible Diseases
(PDF)
Management of HCP Occupational Exposures to HIV, HBV, and HCV:
National Clinician Consultation Center: Post-Exposure Prophylaxis
Other HAI Investigation Resources
CDPH Core Infection Prevention Strategies and SHEA Compendium
CDPH resources and tools for investigating HAI outbreaks in different healthcare settings
Medical products -
CORHA Considerations for Medical Product-Related Infections
Patient notification resources from
CDC
and
CORHA
CDC-led Outbreak Investigations in Healthcare Settings: Recent examples and Safety Alerts
Other Communicable Diseases in Healthcare Settings
Tuberculosis
CDPH Tuberculosis
CDC Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, MMWR 2005
(PDF)
Measles
CDC Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings
Please visit
CDPH Immunization Branch Disease Information and Report
Learn More
Interactive
Reports
HAI Program
Newsletters
Antimicrobial
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