infection-prevention

Ventilator-Associated Pneumonia — Part 4: Specific Pathogens, Surveillance & Quality Metrics

Pathogen-directed therapy for MRSA, Pseudomonas aeruginosa, Acinetobacter baumannii, ESBL-producing Enterobacterales, and Stenotrophomonas maltophilia with dosing tables, VAE versus traditional VAP surveillance reporting, NHSN definitions and algorithms, quality metrics including VAE rates and bundle compliance, and antibiotic stewardship considerations.

Part 4: Special Populations, Surveillance & Implementation Science

CLABSI prevention in neonates, immunocompromised patients, hemodialysis catheters, and long-term catheters; NHSN surveillance methodology; SIR calculation; CUSP framework; daily goals checklist; nurse empowerment; zero CLABSI sustainability.

Ventilator-Associated Pneumonia — Part 3: Diagnosis & Antimicrobial Treatment

Clinical diagnostic criteria, CPIS scoring table, microbiologic sampling strategies (ETA, BAL, mini-BAL) with quantitative thresholds, biomarker guidance, empiric antibiotic selection stratified by MDR risk with complete dosing tables and renal adjustments, de-escalation principles, short-course duration evidence, inhaled antibiotics, and treatment failure evaluation.

Part 3: Supplemental Prevention Strategies, Diagnosis & Management of CRBSI

Antimicrobial-impregnated catheters, antimicrobial lock therapy, CHG-impregnated dressings, antibiotic ointments, diagnosis of CRBSI (paired blood cultures, differential time to positivity, catheter tip culture), empiric therapy, catheter removal vs salvage, duration of therapy by organism, and suppurative thrombophlebitis.

Ventilator-Associated Pneumonia — Part 2: Prevention Bundles & Supplemental Strategies

Comprehensive evidence review of VAP prevention bundle components including head-of-bed elevation, sedation management, oral care and chlorhexidine controversy, subglottic secretion drainage, ETT cuff pressure, suctioning, circuit management, early mobility, stress ulcer prophylaxis, and supplemental strategies including SDD/SOD, silver-coated ETTs, and probiotics.

Part 2: Insertion Bundle & Maintenance Bundle

Evidence-based insertion bundle components (hand hygiene, maximal sterile barriers, chlorhexidine antisepsis, site selection, daily necessity review) and maintenance bundle components (hub disinfection, CHG bathing, dressing management, needleless connectors, administration set changes) with supporting evidence.

Part 1: Definitions, Epidemiology & Pathogenesis

CLABSI and CRBSI definitions, NHSN surveillance criteria, mucosal barrier injury CLABSI, epidemiology by ICU type, attributable mortality and costs, pathogenesis of catheter colonization, microbiology, and risk factors.

Febrile Neutropenia — Part 2: Empiric Antibiotic Therapy & Outpatient Management

Empiric intravenous antibiotic monotherapy and combination regimens with complete dosing, indications for vancomycin and anti-gram-positive agents, antibiotic de-escalation and duration criteria, outpatient eligibility for low-risk febrile neutropenia, oral antibiotic regimens, and monitoring requirements.

CLABSI Prevention: The Complete Evidence-Based Bundle

The complete evidence-based CLABSI prevention guide: CDC/NHSN definitions, insertion bundle, maintenance bundle, CHG bathing, antimicrobial strategies, surveillance, and Zero CLABSI implementation.

Vascular Access Safety for Immunocompromised Patients

Vascular access safety guidance for immunocompromised patients — those receiving chemotherapy, transplant recipients, patients on immunosuppressants or biologics — including why infection risk is higher, stricter fever thresholds, enhanced precautions, and when to seek care immediately.

Keeping Your IV Safe: Infection Prevention

How patients and families can help prevent IV-related infections, what hand hygiene means at the bedside, when to alert your care team, and what your nurses are doing to keep your catheter safe.

Vascular Access Site Preparation and Skin Antisepsis

Establishes requirements for skin antisepsis and site preparation prior to vascular access device insertion, including antiseptic selection, application technique, and neonatal-specific precautions.

Handbook for Infection Prevention Guideline Development

A comprehensive methodology handbook for developing clinical guidelines, expert guidance documents, consensus statements, and practice statements in infection prevention and healthcare epidemiology. Covers proposal processes, systematic literature review, evidence grading, consensus methods, and development timelines.

Vascular Access Device Post-Insertion Care

Establishes standards for post-insertion care of all vascular access devices, including systematic assessment protocols, dressing selection and change intervals, skin antisepsis, site protection, infection prevention strategies, documentation requirements, and population-specific considerations.

Neuraxial Access Devices

Evidence-based standards for the safe insertion, management, medication administration, and complication prevention of neuraxial access devices including epidural and intrathecal catheters, implanted neuraxial ports, and intrathecal drug delivery (ITDD) systems across acute care, outpatient, and home care settings.

Administration Set Management

Establishes requirements for the appropriate selection, use, configuration, labeling, and replacement of primary and secondary administration sets for all infusion types, including standard solutions, parenteral nutrition, lipids, blood products, propofol, and hemodynamic monitoring systems.

Umbilical Catheter Management in Neonates

Establishes standards for umbilical arterial catheter (UAC) and umbilical venous catheter (UVC) indications, antisepsis, tip positioning, imaging confirmation, securement, complication surveillance, and removal in neonatal patients.

Flushing and Locking of Vascular Access Devices

Establishes standards and requirements for flushing and locking all vascular access devices to maintain catheter patency, prevent occlusion, reduce catheter-associated bloodstream infection risk, and ensure safe medication delivery across all device types and patient populations.

Vascular Access for Hemodialysis

Establishes standards for hemodialysis vascular access device selection, vessel health and preservation, access hierarchy, infection prevention, hub care, AVF/AVG cannulation, catheter locking solutions, and patient education for patients receiving or anticipated to receive hemodialysis.

Needleless Connectors for Vascular Access Devices

Establishes requirements for selection, disinfection, flushing and clamping sequences, replacement intervals, and infection prevention practices for all needleless connectors used on peripheral and central vascular access devices.