National Guidelines for the Prevention of Nosocomial Invasive Aspergillosis During Construction/Renovation Activities (2002)
Best practice, Care guideline, Review
Abstract:
This documents aim is to act as guidance for healthcare staff to ensure that construction and renovation activities in hospitals are undertaken in a safe and appropriate manner so that the risk to patients who are vulnerable to invasive Aspergillosis is reduced as far as possible. The guidelines are mainly consensus based with evidence used where available and include feedback from a wide consultation exercise in April 2001. The guidelines include information on: - · Construction associated Nosocomial invasive Aspergillosis with a literature review of of outbreaks in hospitals · Classification of at-risk patients and risk factors · Preventive measures to control Aspergillosis including construction and ventilation measures, infection control measures, chemoprophylaxis and diagnosis and surveillance. · Organisation duties and responsibilities · National reference laboratory facilities · Appendices include sample construction permit, information leaflet on Aspergillosis during construction, recommended method for sampling of aspergillus species spores and notes on preparation of requirements for protection against invasive Aspergillosis The protection of vulnerable patients will depend on effective infection control and engineering measures
Category:
Control
Epidemiology
Management
Prevention
Treatment
Expert Review
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Summary:
This documents aim is to act as guidance for healthcare staff to ensure that construction and renovation activities in hospitals are undertaken in a safe and appropriate manner so that the risk to patients who are vulnerable to invasive Aspergillosis is reduced as far as possible.The guidelines are mainly consensus based with evidence used where available and include feedback from a wide consultation exercise in April 2001.The guidelines include information on: -· Construction associated Nosocomial invasive Aspergillosis with a literature review of of outbreaks in hospitals· Classification of at-risk patients and risk factors· Preventive measures to control Aspergillosis including construction and ventilation measures, infection control measures, chemoprophylaxis and diagnosis and surveillance.· Organisation duties and responsibilities· National reference laboratory facilities· Appendices include sample construction permit, information leaflet on Aspergillosis during construction, recommended method for sampling of aspergillus species spores and notes on preparation of requirements for protection against invasive Aspergillosis The protection of vulnerable patients will depend on effective infection control and engineering measures
Questions Addressed:
The document includes the guidance necessary for healthcare staff to ensure that construction and renovation activities in hospitals are undertaken in a safe and appropriate manner so that the risk to patients who are vulnerable to invasive Aspergillosis is reduced as far as possible.
Type of Study:
Review and best practice guidance
Methods Valid:
Yes
Methods Valid Detail:
outbreaks of invasive Aspergillosis have become a well recognised complication of construction, demolition or renovation activities in or near healthcare establishments housing immune-compromised patients.
Results Reliability:
Yes: recommendations based on a literature review of previous construction related aspergillus outbreaks in hospitals
Problems or Biases:
No
Relevant Studies:
Keywords:
Invasive Aspergillosis construction renovation environment
Reviewer Name:
Sue Wiseman
Reviewer Post:
Nurse Consultant –Infection Control, DH
Reviewer Affiliations:
Member Advisory Committee on Dangerous Pathogens Health Protection Adviser Royal College of Nursing P/T Member Infection Control Nurses Association