Infection Control in the Outpatient Setting

Infection Control and Hospital Epidemiology

Volumn 19, Issue 1, 1998, Pages 41-74

  Herwaldt, Loreen A ^a,b   Smith, Shanon D ^a   Carter, Cheryl D ^b  

^a Department of Internal Medicine ^*  (United States)

^b UNIVERSITY OF IOWA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CROSS INFECTION; DISEASE TRANSMISSION; EPIDEMIC; EQUIPMENT; HEALTH CARE PERSONNEL; HUMAN; INFECTION CONTROL; METHODOLOGY; OUTPATIENT DEPARTMENT; REVIEW; STANDARD; UNITED STATES;

AMBULATORY CARE FACILITIES; CROSS INFECTION; DISEASE OUTBREAKS; EQUIPMENT CONTAMINATION; HEALTH PERSONNEL; HUMANS; INFECTION CONTROL; UNITED STATES;

EID: 0031607980     PISSN: 0899823X     EISSN: None     Source Type: Journal    
DOI: 10.2307/30141356     Document Type: Article

References (169)

1. Lamkin L. Outpatient oncology settings: a variety of services. Seminars in Oncology Nursing 1994;10:227, 229-235.
2. Perl TM, Stevens D, Roy M-C, Herwaldt LA, Lemke J. Are current surveillance activities keeping pace with changing clinical practices? Infect Control Hosp Epidemiol 1996;17(suppl):P22. Abstract 39.
3. Meier PA. Infection control issues in same-day surgery. In: Wenzel RP, ed. Prevention and Control of Nosocomial Infections. 3rd ed. Philadelphia, PA: Williams & Wilkins; 1997:262-282.
4. Department of Labor, Occupational Safety and Health Administration. 29 CFR Part 1920.1030, Occupational exposure to bloodborne pathogens, final rule. Federal Register December 6, 1991;56:64,004-64,182.
5. Centers for Disease Control and Prevention. Guidelines for preventing the transmission of Mycobacterium tuberculosis in health care facilities, 1994. MMWR 1994;43:1-133.
6. Joint Commission on Accreditation of Healthcare Organizations. Leadership standard. In: Comprehensive Accreditation Manual for Hospital: The Official Handbook. Oakbrook Terrace, IL: JCAHO; 1996:LD-1-LD-52.
7. Wade BH. Outpatient/out of hospital care issues. In: Wenzel RP, ed. Prevention and Control of Nosocomial Infections. 3rd ed. Philadelphia, PA: Williams & Wilkins; 1997:243-259.
8. Smith PW, Roccaforte JS. Epidemiology and prevention of infections in home health care. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control. Philadelphia, PA: Williams & Wilkins; 1996:1171-1176.
9. Molinari JA. Dental office. In: Olmsted RN, ed. APIC Infection Control and Applied Epidemiology: Principles and Practice, Part I Section C, Practice Settings. St Louis, MO: Mosby-Year Book, Inc; 1996:88-1-88-20.
10. Kelen GD, Hansen KN, Green GB, Tang N, Ganguli C. Determinants of emergency department procedure- and condition-specific Universal (barrier) Precaution requirements for optimal provider protection. Ann Emerg Med 1995;25:743-750
11. Kelen GD, Green GB, Purcell RH, et al. Hepatitis B and hepatitis C in emergency department patients. N Engl J Med 1992;326:1399-1404.
12. Kelen GD, Green GB, Hexter DA, et al. Substantial improvement in compliance with Universal Precautions in an emergency department following institution of policy. Arch Intern Med 1991;151:2051-2056.
13. Thurn J, Willenbring K, Crossley K. Needlestick injuries and needle disposal in Minnesota physicians' offices. Am J Med 1989;86:575-579.
14. Miller KE, Krol RA, Losh DP. Universal Precautions in the family physician's office. J Fam Pract 1992;35:163-168.
15. Kent GP, Brondum J, Keenlyside RA, LaFazia LM, Scott HD. A large outbreak of acupuncture-associated hepatitis B. Am J Epidemiol 1988;127:591-598.
16. Stryker WS, Gunn RA, Francis DP. Outbreak of hepatitis B associated with acupuncture. J Fam Pract 1986; 22:155-8.
17. Canter J, Mackey K, Good LS, et al. An outbreak of hepatitis B associated with jet injections in a weight reduction clinic. Arch Intern Med 1990;150:1923-1927.
18. Alter MJ, Ahtone J, Maynard JE. Hepatitis B virus transmission associated with a multiple-dose vial in a hemodialysis unit. Ann Intern Med 1983;99:330-333.
19. Danzig LE, Tormey MP, Sinha SD, et al. Common source transmission of hepatitis B virus infection in a hemodialysis unit. Infect Control Hosp Epidemiol 1995;16(suppl):P19. Abstract 24.
20. Rosenberg J, Gilliss DL, Moyer L, Vugia D. A double outbreak of hepatitis B in a dialysis center. Infect Control Hosp Epidemiol 1995;16(suppl):P19. Abstract 23.
21. Hlady WG, Hopkins RS, Ogilby TE, Allen ST. Patient-to-patient transmission of hepatitis B in a dermatology practice. Am J Public Health 1993;83:1689-1693.
22. Drescher J, Wagner D, Haverich A, et al. Nosocomial hepatitis B virus infections in cardiac transplant recipients transmitted during transvenous endomyocardial biopsy. J Hosp Infect 1994;26:81-92.
23. Reingold AL, Kane MA, Murphy BL, Checko P, Francis DP, Maynard JE. Transmission of hepatitis B by an oral surgeon. J Infect Dis 1982;145:262-268.
24. Ciesielski C, Marianos D, Ou CY, et al. Transmission of human immunodeficiency virus in a dental practice. Ann Intern Med 1992;116:798-805.
25. Velandia M, Fridkin SK, Cardenas V, et al. Transmission of HIV in dialysis centre. Lancet 1995;345:1417-1422.
26. Chant K, Lowe D, Rubin G, et al. Patient-to-patient transmission of HIV in private surgical consultating rooms. Lancet 1993;342:1548-1549. Letter.
27. Haley CE, McDonald RC, Rossi L, Jones WD, Haley RW, Luby JP. Tuberculosis epidemic among hospital personnel. Infect Control Hosp Epidemiol 1989:10:204-210.
28. Centers for Disease Control. Mycobacterium tuberculosis transmission in a health clinic - Florida, 1988. MMWR 1989;38:256-258, 263-264.
29. Calder RA, Duclos P, Wilder MH, Pryor VL, Scheel WJ. Mycobacterium tuberculosis transmission in a health clinic. Bulletin of the International Union Against Tuberculosis and Lung Disease 1991;66:103-106.
30. Fischl MA, Uttamchandani RB, Daikos GL, et al. An outbreak of tuberculosis caused by multiple-drug-resistant tubercle bacilli among patients with HIV infection. Ann Intern Med 1992;117:177-183.
31. Couldwell DL, Dore GJ, Harkness JL, et al. Nosocomial outbreak of tuberculosis in an outpatient HIV treatment room. AIDS 1996;10:521-525.
32. Moore M, the Investigative Team. Evaluation of transmission of tuberculosis in a pediatric setting - Pennsylvania. Presented at the 46th Annual Epidemic Intelligence Service Conference; April 14-18, 1997; Atlanta, GA; p 53.
33. Agerton TB, Valway S, Gore B, Poszik C, Onorato I. Transmission of multidrug-resistant tuberculosis via bronchoscopy. Presented at the 46th Annual Epidemic Intelligence Service Conference; April 14-18, 1997; Atlanta, GA; p 54.
34. Griffith DE, Hardeman JL, Zhang Y, Wallace RJ, Mazurek GH. Tuberculosis outbreak among healthcare workers in a community hospital. Am J Respir Crit Care Med 1995;152:808-811.
35. Sokolove PE, Mackey D, Wiles J, Lewis RJ. Exposure of emergency department personnel to tuberculosis: PPD testing during an epidemic in the community. Ann Emerg Med 1994;24:418-421.
36. Sepkowitz KA. AIDS, tuberculosis, and the health care worker. Clin Infect Dis 1995;20:232-242.
37. Moran GJ, McCabe F, Morgan MT, Talan DA. Delayed recognition and infection control for tuberculosis patients in the emergency department. Ann Emerg Med 1995;26:290-295.
38. Moran GJ, Fuchs MA, Jarvis WR, Talan DA. Tuberculosis infection-control practices in United States emergency departments. Ann Emerg Med 1995;26:283-289.
39. Davis RM, Orenstein WA, Frank JA, et al. Transmission of measles in medical settings: 1980 through 1984. JAMA 1986;255:1295-1298.
40. Istre GR, McKee PA, West GR, et al. Measles spread in medical settings: an important focus of disease transmission? Pediatrics 1987;79:356-358.
41. Centers for Disease Control. Measles - Washington, 1990. MMWR 1990;39:473476.
42. Bloch AB, Orenstein WA, Ewing WM, et al. Measles outbreak in a pediatric practice: airborne transmission in an office setting. Pediatrics 1985;75:676-683.
43. Centers for Disease Control. Measles - Hawaii. MMWR 1984;33:702, 707-711.
44. Miranda AC, Falcao JM, Dias JA. Measles transmission in health facilities during outbreaks. Int J Epidemiol 1994;23:843-848.
45. Measles among children of migrant workers - Florida. MMWR 1983;32:471-472, 477-478.
46. Remington PL, Hall WN, Davis IH, Herald A, Gunn RA. Airborne transmission of measles in a physician's office. JAMA 1985;253:1574-1577.
47. Krause PJ, Gross PA, Barrett TL, et al. Quality standard for assurance of measles immunity among health care workers. Clin Infect Dis 1994;18:431-436.
48. Gladstone JL, Millian SJ. Rubella exposure in an obstetric clinic. Obstet Gynecol 1981;57:182-186.
49. Fliegel PE, Weinstein WM. Rubella outbreak in a prenatal clinic: management and prevention. Am J Infect Control 1982;10:29-33.
50. Exposure of patients to rubella by medical personnel - California. MMWR 1978;27:123.
51. Pellitteri OJ, Fried JJ. Epidemic keratoconjunctivitis report of a small office outbreak. Am J Ophthalmol 1950;33:1596-1599.
52. Thygeson P. Office and dispensary transmissions of epidemic keratoconjunctivitis. Am J Ophthalmol 1957;43:98-101.
53. Dawson C, Darrell R. Infections due to adenovirus type 8 in the United States, I: an outbreak of epidemic keratoconjunctivitis originating in a physician's office. N Engl J Med 1963;68:1031-1034.
54. D'Angelo LJ, Hierholzer JC, Holman RC, Smith JD. Epidemic keratoconjunctivitis caused by adenovirus type 8: epidemiologic and laboratory aspects of a large outbreak. Am J Epidemiol 1981;113:44-49.
55. Keenlyside RA, Hierholzer JC, D'Angelo LJ. Keratoconjunctivitis associated with adenovirus type 37: an extended outbreak in an ophthalmologist's office. J Infect Dis 1983;147:191-198.
56. Buehler JW, Finton RJ, Goodman RA, et al. Epidemic keratoconjunctivitis: report of an outbreak in an ophthalmology practice and recommendations for prevention. Infect Control 1984;5:390-394.
57. Craven ER, Butler SL, McCulley JP, Luby JP. Applanation tonometer tip sterilization for adenovirus type 8. Ophthalmology 1987;94:1538-1540.
58. Koo D, Bouvier B, Wesley M, Courtright P, Reingold A. Epidemic keratoconjunctivitis in a university medical center ophthalmology clinic; need for re-evaluation of the design and disinfection of instruments. Infect Control Hosp Epidemiol 1989;10:547-552.
59. Epidemic keratoconjunctivitis in an ophthalmology clinic - California. MMWR 1990;39:598-601.
60. Warren D, Nelson KE, Farrar JA, et al. A large outbreak of epidemic keratoconjunctivitis: problems in controlling nosocomial spread. J Infect Dis 1989;160:938-943.
61. Colon LE. Keratoconjunctivitis due to adenovirus type 8: report on a large outbreak. Annals of Ophthalmology 1991;23:63-65.
62. Jernigan JA, Lowry BS, Hayden FG, et al. Adenovirus type 8 epidemic keratoconjunctivitis in an eye clinic: risk factors and control. J Infect Dis 1993;167:1307-1313.
63. Smith D, Gottsch J, Froggatt J, Dwyer D, Karanfil L, Groves C. Performance improvement process to control epidemic keratoconjunctivitis transmission. Infect Control Hosp Epidemiol 1996;17(suppl):P36. Abstract S52.
64. American Academy of Ophthalmology. Updated recommendations for Ophthalmic Practice in Relation to the Human Immunodeficiency Virus and Other Infectious Agents. San Francisco, CA: AAO; 1992.
65. Dailey JR, Parnes RE, Aminlari A. Glutaraldehyde keratopathy. Am J Ophthal 1993;115:256-258.
66. Christie CDC, Marx ML, Marchant CD, Reising SF. The 1993 epidemic of pertussis in Cincinnati. Resurgence of disease in a highly immunized population of children. N Engl J Med 1994;331:16-21.
67. Hardy IRB, Strebel PM, Wharton M, Orenstein WA. The 1993 pertussis epidemic in Cincinnati. N Engl J Med 1994;331:1455-1455.
68. American Society for Gastrointestinal Endoscopy. Infection control during gastrointestinal endoscopy: guidelines for clinical application. Gastrointest Endosc 1988;34(suppl):37S-40S.
69. Members of the American Society for Gastrointestinal Endoscopy Ad Hoc Committee on Disinfection. Position statement. Reprocessing of flexible gastrointestinal endoscopes. Gastrointest Endosc 1996;43:540-546.
70. Rutala WA. APIC guideline for selection and use of disinfectants. Am J Infect Control 1996;24:313-342.
71. Spach DH, Silverstein FE, Stamm WE. Transmission of infection by gastrointestinal endoscopy and bronchoscopy. Ann Intern Med 1993;118:117-128.
72. Ayliffe GA. Nosocomial infections associated with endoscopy. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control. Philadelphia, PA: Williams & Wilkins; 1996:680-693.
73. Weber DJ, Rutala WA. Nosocomial infections associated with respiratory therapy. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control. Philadelphia, PA: Williams & Wilkins; 1996:748-758.
74. Muscarella LF. Advantages and limitations of automatic flexible endoscope reprocessors. Am J Infect Control 1996;24:304-309.
75. Reynolds CD, Rhinehart E, Dreyer P, Goldmann DA. Variability in reprocessing policies and procedures for flexible fiberoptic endoscopes in Massachusetts hospitals. Am J Infect Control 1992;20:283-290.
76. Foss D, Monagan D. A national survey of physicians' and nurses' attitudes toward endoscope cleaning and the potential for cross-infection. Gastroenterology Nursing 1992;15:59-65.
77. Beecham JH III, Cohen ML, Parkin WE. Salmonella typhimurium: transmission by fiberoptic upper gastrointestinal endoscopy. JAMA 1979;241:1013-1015.
78. Dwyer DM, Klein EG, Istre GR, Robinson MG, Neumann DA, McCoy GA. Salmonella newport infections transmitted by fiberoptic colonoscopy. Gastrointest Endosc 1987;33:84-87.
79. Struelens MJ, Rost F, Deplano A, et al. Pseudomonas aeruginosa and Enterobacteriaceae bacteremia after biliary endoscopy: an outbreak investigation using DNA macrorestriction analysis. Am J Med 1993;95:489-498.
80. Classen DC, Jacobson JA, Burke JP, Jacobson JT, Evans RS. Serious Pseudomonas infections associated with endoscopic retrograde cholangiopancreatography. Am J Med 1988;84:590-596.
81. Low DE, Micflikier AB, Kennedy JK, Stiver HG. Infectious complications of endoscopic retrograde cholangiopancreatography: a prospective assessment. Arch Intern Med 1980;140:1076-1077.
82. Earnsbaw JJ, Clark AW, Thom BT. Outbreak of Pseudomonas aeruginosa following endoscopic retrograde cholangiopancreatography. J Hosp Infect 1985;6:95-97.
83. Langenberg W, Rauws EAJ, Oudbier JH, Tytgat GNJ. Patient-to-patient transmission of Campylobacter pylori infection by fiberoptic gastroduodenoscopy and biopsy. J Infect Dis 1990;161:507-511.
84. Akamatsu T, Tabata K, Hironga M, Kawakami H, Uyeda M. Transmission of Helicobacter pylori infection via flexible fiberoptic endoscopy. Am J Infect Control 1996;24:396401.
85. Birnie GG, Quigley EM, Clements GB, Follet EAC, Watkinson G. Endoscopic transmission of hepatitis B virus. Gut 1983;24:171-174.
86. Singh S, Singh N, Kochhar R, Mehta SK, Talwar P. Contamination of an endoscope due to Trichosporon beigelii. J Hosp Infect 1989;14:49-53.
87. Wheeler PW, Lancaster D, Kaiser AB. Bronchopulmonary cross-colonization and infection related to mycobacterial contamination of suction valves of bronchoscopes. J Infect Dis 1989;159:954-985.
88. Wang H-C, Uaw Y-S, Yang P-C, Kuo S-H, Luh K-T. A pseudoepidemic of Mycobacterium chelonae infection caused by contamination of a fibreoptic bronchoscope suction channel. Eur Respir J 1995;8:1259-1262.
89. Nye K, Shadha DK, Hodgkin P, Bradley C, Hancox J, Wise R. Mycobacterium chelonei isolation from broncho-alveolar lavage fluid and its practical implications. J Hosp Infect 1990;16:257-261.
90. Pappas SA, Schaaff DM, DiCostanzo MB, King FW Jr, Sharp JT. Contamination of flexible fiberoptic bronchoscopes. Am Rev Respir Dis 1983;127:391392. Letter.
91. Steere AC, Corrales J, von Graevenitz A. A cluster of Mycobacterium gordonae isolates from bronchoscopy specimens. Am Rev Respir Dis 1979;120:214-416.
92. Kolmos HJ, Lerche A, Kristoffersen K, Rosdahl VT. Pseudo-outbreak of Pseudomonas aeruginosa in HIV-infected patients undergoing fiberoptic bronchoscopy. Scand J Infect Dis 1994;26:653-657.
93. Umphrey J, Raad I, Tarrand J, Hill LA. Bronchoscopes as a contamination source of Pseudomonas putida. Infect Control Hosp Epidemiol 1996;17(suppl):P42. Abstract M2.
94. Hoffmann KK, Weber DJ, Rutala WA. Pseudo-outbreak of Rhodotorula rubra in patients undergoing fiberoptic bronchoscopy. Am J Infect Control 1989;17:99. Abstract.
95. Reeves DS, Brown NM. Mycobacterial contamination of fibreoptic bronchoscopes. J Hosp Infect 1995;30(suppl):531-536.
96. Van Gossum A, Loriers M, Serruys E, Cremer M. Methods of disinfecting endoscopic material: results of an international survey. Endoscopy 1989;21:247-250.
97. Kaczmarek RG, Moore RM, McCrohan J, et al. Multi-state investigation of the actual disinfection/sterilization of endoscopes in health care facilities. Am J Med 1992;92:257-261.
98. Axon ATR, Cockel R, Banks J, Deverill CEA, Newmann C. Disinfection in upper-digestive-tract endoscopy in Britain. Lancet 1981;1:1093-1094
99. Rutala WA, Clontz EP, Weber DJ, Hoffmann KK. Disinfection practices for endoscopes and other semicritical items. Infect Control Hosp Epidemiol 1991;12:282-288.
100. Gorse GJ, Messner RL. Infection control practices in gastrointestinal endoscopy in the United States: a national survey. Infect Control Hosp Epidemiol 1991;12:289-296.
101. Favero MS. Strategies for disinfection and sterilization of endoscopes: the gap between basic principles and actual practice. Infect Control Hosp Epidemiol 1991;12:279-281.
102. Rutala WA. Disinfection, sterilization, and waste disposal. In: Wenzel RP, ed. Prevention and Control of Nosocomial Infections. 3rd ed. Philadelphia, PA: Williams & Wilkins; 1997:539-593.
103. Alfa MJ, DeGagne P, Olson N, Puchalski T. Comparison of ion plasma, vaporized hydrogen peroxide, and 100% ethylene oxide sterilizers to the 12/88 ethylene oxide gas sterilizer. Infect Control Hosp Epidemiol 1996;17:92-100.
104. Rutala WA, Weber DJ. Low-temperature sterilization technologies: do we need to redefine "sterilization"? Infect Control Hosp Epidemiol 1996;17:87-91.
105. Food and Drug Administration. Compliance policy guide 7124.16. 9/24/87. Available from FDA Kansas City Regional Office.
106. Greene VW. Reuse of disposable devices. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control. Philadelphia, PA: Williams & Wilkins; 1996:946-954.
107. Association for the Advancement of Medical Instrumentation. AAMI -Good Hospital Practice: Flash Sterilization - Steam Sterilization of Patient Care Items for Immediate Use (ST37). Arlington, VA: AAMI Steam Sterilization Hospital Practices Working Group, AAMI Sterilization Standards Committee; 1996.
108. Association for the Advancement of Medical Instrumentation. AAMI - Good Hospital Practice: Guidelines for the Selection and Use of-Reusable Rigid Sterilization Container Systems (ST33). Arlington, VA: AAMI Steam Sterilization Hospital Practices Working Group of the Thermal Sterilization Subcommittee, AAMI Sterilization Standards Committee; 1996.
109. Longfield R, Longfield J, Smith LP, Hyams KC, Strohmer ME. Multidose medication vial sterility: an in-use study and a review of the literature. Infect Control 1984;5:165-169.
110. Melnyk PS, Shevchuk YM, Conly JM, Richardson CJ. Contamination study of multiple-dose vials. Ann Pharmacother 1993;27:274-277.
111. Hospital Infection Control Practices Advisory Committee, Centers for Disease Control and Prevention. Recommendations for preventing the spread of vancomycin resistance. Infect Control Hosp Epidemiol 1995;16:105-113.
112. Morrison AJ Jr. Infection control in the outpatient setting. In: Wenzel RP, ed. Prevention and Control of Nosocomial Infections. 2nd ed. Philadelphia, PA: Williams & Wilkins; 1993:89-92.
113. Reinhardt PA, Gordon JG, Alvarado CJ. Medical waste management. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control. Philadelphia, PA: Williams & Wilkins; 1996:1099-1108.
114. Favero MS, Alter MJ, Bland LE. Nosocomial infections associated with hemodialysis. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control. Philadelphia, PA: Williams & Wilkins; 1996:693-714.
115. Alter MJ, Favero MS, Moyer LA, Bland LA. National surveillance of dialysis-associated diseases in the United States, 1989. Transactions American Society for Artificial Internal Organs 1991;37:97-109.
116. Band JD. Nosocomial infections associated with peritoneal dialysis. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control. Philadelphia, PA: Williams & Wilkins; 1996:714-725.
117. Garcia-Houchins S. Dialysis. In: Olmsted RN, ed. APIC Infection Control and Applied Epidemiology: Principles and Practice, Part I Section C, Practice Settings. St Louis, MO: Mosby-Year Book, Inc; 1996:89-1-89-15.
118. Niu MT, Alter JM, Kristensen C, Margolis HS. Outbreak of hemodialysis-associated non-A, non-B hepatitis and correlation with antibody to hepatitis C virus. Am J Kidney Dis 1992;19:345-352.
119. Yu VL, Goetz A, Wagener M, Smith PB, et al. Staphylococcus aureus nasal carriage and infection in patients on hemodialysis: efficacy of antibiotic prophylaxis. N Engl J Med 1986;315:91-96.
120. Luzar MA, Coles GA, Faller B, et al. Staphylococcus aureus nasal carriage and infection in patients on continuous ambulatory peritoneal dialysis. N Engl J Med 1990;322:505-509.
121. Ena J, Boelaert JR, Boyken L, Van Landuyt HW, Godard CA, Herwaldt LA. Epidemiology of Staphylococcus aureus infections in patients on hemodialysis. Infect Control Hosp Epidemiol 1994;15;78-81.
122. Pignatari A, Pfaller M, Hollis R, Sesso R, Lerne I, Herwaldt L. Staphylococcus aureus colonization and infection in patients on continuous ambulatory peritoneal dialysis. J Clin Microbiol 1990;28:1898-1902.
123. Boelaert JR, Van Landuyt HW, Godard CA, et al. Nasal mupirocin ointment decreases the incidence of Staphylococcus aureus bacteraemias in haemodialysis patients. Nephrol Dial Transplant 1993;8:235-239.
124. The Mupirocin Study Group. Nasal mupirocin prevents Staphylococcus aureus exit-site infection during peritoneal dialysis. J Am Soc Nephrol 1996;7:2403-2408.
125. Dryden MS, McCann M, Phillips I. Housewife peritonitis: conjugal transfer of a pathogen. J Hosp Infect 1991;17:69-70. Letter.
126. Herwaldt LA, Boyken LD, Coffman S. Epidemiology of S aureus nasal carriage in patients on continuous ambulatory peritoneal dialysis who were in a multicenter trial of mupirocin. Presented at the 36th Interscience Conference on Antimicrobial Agents and Chemotherapy; September 15-18, 1996; New Orleans, LA; p 233. Abstract J78.
127. Temple RS. Physical medicine and rehabilitation/occupational therapy/speech. In: Olmsted RN, ed. APIC Infection Control and Applied Epidemiology: Principles and Practice, Part I Section D, Support Services and Facilities Management. St Louis, MO: Mosby-Year Book, Inc; 1996:114-1-114-5.
128. Linnemann CC. Nosocomial infections associated with physical therapy, including hydrotherapy. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control. Philadelphia, PA: Williams & Wilkins: 1996:725-730.
129. Goodman RA, Solomon Sl. Transmission of infectious diseases in outpatient health care settings. JAMA 1991;265:2377-2381.
130. Zuber TJ, Geddie JE. Occupational safety and health administration regulations for the physician's office. J Fam Pract 1993;36:540-550.
131. Favero MS, Sadovsky R. Office infection control, OSHA, and you. Patient Care 1993;27:117-121.
132. Inman PM, Beck A, Brown AE, Stanford JL. Outbreak of injection abscesses due to Mycobacterium abscessus. Arch Dermatol 1969;100:141-147.
133. Borghans JGA, Stanford JL. Mycobacterium chelonei in abscesses after injection of diphtheria-pertussis-tetanus-polio vaccine. Am Rev Respir Dis 1973;107:1-8.
134. Jackson PG, Keen H, Noble CJ, Simmons NA. Injection abscesses in a diabetic due to Mycobacterium chelonei var abscessus. BMJ 1980;281:1105-1106.
135. Newman PE, Goodman RA, Waring GO III, et al. A cluster of cases of Mycobacterium chelonei keratitis associated with outpatient office procedures. Am J Ophthalmol 1984;97:344-348.
136. Lowry PW, Jarvis WR, Oberle AD, et al. Mycobacterium chelonae causing otitis media in an ear-nose-and-throat practice. New Engl J Med 1988;319:978-982.
137. Wenger JD, Spika JS, Smithwick RW, et al. Outbreak of Mycobacterium chelonae infection associated with use of jet injectors. JAMA 1990; 264:373-376.
138. Weems JJ Jr, Usry G, Schwab U. Infection due to rapidly-growing mycobacteria associated with ultrasound directed prostrate biopsy. Infect Control Hosp Epidemiol 1996;17(suppl):P50. Abstract M67.
139. Centers for Disease Control and Prevention. Infection with Mycobacterium abscessus associated with intramuscular injection of adrenal cortex extract - Colorado and Wyoming, 1995-1996. MMWR 1996; 45:713-715.
140. Kothari T, Reyes MP, Brooks N, Brown WJ, Lerner AM. Pseudomonas cepacia septic arthritis due to intra-articular injections of methylprednisolone. Can Med Assoc J 1977;116:1230-1232. Letter.
141. Huang A, Stamler D, Edelstein P, Skalina D, Brennan PJ. Isolation of Pseudomonas pickettii in a sinus clinic. Program of the Third Annual Meeting of the Society for Hospital Epidemiology of America; April 18-20, 1993; Chicago, IL; p A29. Abstract M18.
142. Pegues DA, Carson LA, Anderson Rl, et al. Outbreak of Pseudomonas cepacia bacteremia in oncology patients. Clin Infect Dis 1993;16:407-411.
143. Climo M, Pastor A, Wong E. Outbreak of P aeruginosa infections related to contaminated urodynamic testing equipment. Infect Control Hosp Epidemiol 1996;17(suppl):P48. Abstract M58.
144. Arsan AK, Adisen A, Duman S, Asian B, Kocak I. Acute endophthalmitis outbreak after cataract surgery. J Cataract Refract Surg 1996;22:1116-1120.
145. Ginsburg CM, Henle G, Henle W. An outbreak of infectious mononucleosis among the personnel of an outpatient clinic. Am J Epidemiol 1976;104:571-575.
146. Istre GR, Kreiss K, Hopkins RS, et al. An outbreak of amebiasis spread by colonic irrigation at a chiropractic clinic. N Engl J Med 1982;307:339-342.
147. Greaves WL, Hinman AR, Facklam RR, Allman KC, Barrett CL, Stetler HC. Streptococcal abscesses following diphtheria-tetanus toxoid-pertussis vaccination. Pediatr Infect Dis J 1982;1:388-390.
148. Kantor RJ, Carson LA, Graham DR, Petersen NJ, Favero MS. Outbreak of pyrogenic reactions at a dialysis center: association with infusion of heparinized saline solution. Am J Med 1983;74:449456.
149. Stetler HC, Garbe PL, Dwyer DM, et al. Outbreaks of group A streptococcal abscesses following diphtheria-tetanus toxoid-pertussis vaccination. Pediatrics 1985;75:299-303.
150. Rutala WA, Weber DJ, Thomann CA. Outbreak of wound infections following outpatient podiatric surgery due to contaminated bone drills. Foot Ankle Int 1987;7:350-354.
151. Nakashima AK, McCarthy MA, Martone MJ, Anderson RL. Epidemic septic arthritis caused by Serratia marcescens and associated with a benzalkonium chloride antiseptic. J Clin Microbiol 1987;25:1014-1018.
152. O'Mahony MC, Stanwell-Smith RE, Tillett HE, et al. The Stafford outbreak of legionnaires' disease. Epidemiol Infect 1990;104:361-380.
153. Gordon SM, Drachman J, Bland LA, Reid MH, Favero M, Jarvis WR. Epidemic hypotension in a dialysis center caused by sodium azide. Kidney Int 1990;37:110-115.
154. Longfield RN, Wortham WG, Fletcher LL, Nauscheutz WF. Clustered bacteremias in a hemodiatysis unit cross-contamination of blood tubing from ultrafiltrate waste. Infect Control Hosp Epidemiol 1992;13:160-164.
155. Flaherty JP, Garcia-Houchins S, Chudy R, Arnow PM. An outbreak of gram-negative bacteremia traced to contaminated O-rings and reprocessed dialyzers. Ann Intern Med 1993;119:1072-1078.
156. Beck-Sague CM, Jarvis WR, Bland LA, Arduino MJ, Aguero SM, Verosic G. Outbreak of gram-negative bacteremia and pyrogenic reactions in a hemodialysis center. Am J Nephrol 1990;10:397-403.
157. Fridkin SK, Kremer FB, Bland LA, Padhye A, McNeil MM, Jarvis W. Acremonium kiliense endophthalmitis that occurred after cataract extraction in an ambulatory surgical center and was traced to an environmental source. Clin Infect Dis 1996;22:222-227.
158. Hopkins DP, Cicirello H, Dievendorf G, Kondracki S, Morse D. An outbreak of culture-negative peritonitis in dialysis patients - New York. Presented at the 46th Annual Epidemic Intelligence Service Conference; April 14-18, 1997; Atlanta, GA; p 40.
159. The American Society of Gastrointestinal Endoscopy (ASGE) and the Society of Gastroenterology Nurses and Associates. Reprocessing of Flexible Gastrointestinal Endoscopes. A white paper publication, December 1995. This document may be accessed through the ASGE home page http://www.asge.org/. Select position papers, then select this title. Original copies may be obtained by writing to ASGE or by calling 508-526-8330.
160. The American Academy of Ophthalmology's Updated Recommendations for Ophthalmic Practice in Relation to the Human Immunodeficiency Virus and Other Infectious Agents may be obtained from that society at 655 Beach St, PO Box 7424, San Francisco, CA 94120-7424; telephone, 415-561-8500; fax, 415-561-8533; web site, www.eyenet.org/.
161. Heroux DL. Ambulatory care. In: Olmsted RN, ed. APIC Infection Control and Applied Epidemiology: Principles and Practice, Part I Section C, Practice Settings. St Louis, MO: Mosby-Year Book, Inc; 1996:83-1-83-15.
162. Heroux D, Garris J, Nahan J, Vivolo P. Ambulatory Care Infection Control Manual. © 1993, Group Health Cooperative, Group Health Cooperative of Puget Sound, 1809 Seventh Ave, Suite 1003, Seattle, WA 98101. Publishing coordination and production by Laing Communications Inc., Redmond, Washington.
163. ECRI Special Report. Reuse of Single-Use Medical Devices. 1997, ECRI 5200 Butler Pike, Plymouth Meeting, PA 19462; telephone 610-825-6000; fax, 610-834-1275; e-mail ecri@hslc.org.
164. The Reuse of Single-Use Medical Devices. 1996, Canadian Healthcare Association, CHA Press, 17 York St, Suite 100, Ottawa, Ontario K1N 9J6, Canada.
165. Association for the Advancement of Medical Instrumentation, 3330 Washington Blvd, Suite 400, Arlington, VA 222014598.
166. Centers for Disease Control. (CDC). Guidelines for preventing the transmission of tuberculosis in health-care settings, with special focus on HIV-related issues. MMWR 1990;39.
167. Core Curriculum On Tuberculosis. What The Clinician Should Know. 3rd ed. CDC, National Center for Prevention Services, Division of Tuberculosis Elimination, US Department of Health and Human Services, Atlanta GA; 1994.
168. Diosegy AJ, MC Lord. What physicians need to know about OSHA: how to avoid tough new penalties. North Carolina Medical Journal 1993;54:251-254.
169. Department of Labor, Occupational Safety and Health Administration. Proposed rulemaking on occupational exposure to tuberculosis. 29 CFR Part 1910. Federal Register October 17, 1997;62:54160-54308.