Healthcare outbreaks: risk assessment and mitigation based on pathogen, population, and environmental factors : the P2E concept

Healthcare outbreaks: risk assessment and mitigation based on pathogen, population, and environmental factors : the P2E concept

Collection:
Health Policy and Services Research
Series Title(s):
Pennsylvania patient safety advisory
Contributor(s):
Davis, James
Torso, Lauren.
Paoline, Julie.
Pennsylvania. Patient Safety Authority.
ECRI (Organization)
Institute for Safe Medication Practices.
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2013
Language(s):
English
Format:
Text
Subject(s):
Communicable Disease Control
Communicable Diseases -- epidemiology
Disease Outbreaks -- prevention & control
Environment
Population Surveillance -- methods
Risk Assessment
United States
Genre(s):
Technical Report
Abstract:
Beginning in 2009, Pennsylvania experienced one of the largest and most prolonged outbreaks of invasive group A streptococcus (GAS) within a nursing facility to date. The only known reservoirs for GAS in nature are the skin and mucous membranes of the human host. Therefore, one of the highest-risk patient populations is those who have nonintact skin. In the case example from Pennsylvania, the patient population, at any given time, had several known GAS risk factors (including nonintact skin). Such an observation may indicate that outbreak risk can be assessed, and initiation of proactive intervention may provide opportunities to mitigate risk in order to decrease the probability of an outbreak. Presented herein is a novel framework describing proactive outbreak prevention based on pathogen, population, and environment (P2E) risk assessment. Pennsylvania GAS outbreak facts are used as an example, and the framework is expanded to include carbapenem-resistant Enterobacteriaceae, demonstrating the framework's applicability to a multitude of outbreak scenarios.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
Extent:
1 online resource (1 PDF file (pages 27-33))
Illustrations:
Illustrations
NLM Unique ID:
101603557 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101603557