SHEA and its collaborators work to provide guidance to put the science of healthcare epidemiology and infection prevention into practice through evidence-based guidelines, expert guidance papers (EGs), white papers, and other resources on infection prevention for hospitals, long-term care centers, and other healthcare facilities.

SHEA Handbook for SHEA-Sponsored Guidelines and Expert Guidance Documents

Copyright:

These papers are provided as a professional courtesy by SHEA and Cambridge University to be used for educational purposes only. They may not be reproduced or used for commercial purposes without written permission from SHEA.

Oversight:

SHEA guidelines and EGs are overseen by the SHEA Guidelines Committee. Current guidelines and EGs are reviewed periodically per the process described in the Handbook.

Guidelines and Expert Guidance Documents

Current

Sample Report icon
Abstract:

This expert guidance provides a framework to guide practitioners in when to evaluate a nursing home resident for infection when a resident exhibits non-specific signs or symptoms, including: fever, hypothermia, low blood pressure, high blood sugar, and delirium. The authors also discuss symptoms, including behavioral changes, functional decline, falls, and anorexia, which own should not prompt further evaluation for infection but should be considered in full context of the patient’s condition.

Full text: https://doi.org/10.1017/ice.2020.1282

Press release: Guidance on Non-Specific Symptoms of Infection Aims to Reduce Inappropriate Antibiotic Use in Nursing Homes

Pocket card: Nursing Home Infections: Reliability of Non-Localizing Signs and Symptoms in Evaluating for Infection

Sample Report icon
Sample Report icon
Sample Report icon
Sample Report icon
Abstract:

https://doi.org/10.1017/ice.2018.303

Resources:

  • Webinars:
    • New Guidance for OR Anesthesia – Recommendations for Preventing Infections
    • Infection Prevention in Anesthesia Q&A
    • Implementing Changes for Infection Prevention in Anesthesia
  • Pocket Card
  • ASA Statement 
Sample Report icon
Sample Report icon
Sample Report icon
Sample Report icon
Abstract:

https://doi.org/10.1017/ice.2017.212

Tool Kits: https://ortp.guidelinecentral.com 

  • Incident Management
  • Horizontal Strategies
  • Emerging Pathogens
  • Communication, Negotiation, and Implementation

SHEA/CDC Outbreak Response Training Program: http://ortp.shea-online.org/ 

 

Sample Report icon
Sample Report icon
Sample Report icon
Sample Report icon
Abstract:

https://doi.org/10.1086/676882

In 2003, the Cystic Fibrosis (CF) Foundation published recommendations for infection prevention and control (IP&C) in an effort to reduce the risk of acquisition and transmission of pathogens among people with CF.1 However, both IP&C and CF are dynamic disciplines, and during the past decade new knowledge and new challenges necessitated the development of updated IP&C strategies for this unique population.

Reviewed August 2018.

Sample Report icon

Sample Report icon
Abstract:

https://doi.org/10.1086/675066

 

Reviewed June 2018.

Sample Report icon
Abstract:

http://journals.cambridge.org/abstract_S0195941700033907

Three family education guides focusing on hand hygiene, respiratory etiquette, and safe handling of blood and body fluids were also created as part of this guideline but are not contained in this document. These guides are tools to educate families about how to help with minimizing the risk of pathogen transmission. These guides can be found at Patient Guides on Healthcare-Associated Infections.

Reviewed November 2018.

Sample Report icon
Abstract:

The guidelines are intended to provide practitioners with a standardized approach to the rational, safe, and effective use of antimicrobial agents for the prevention of surgical-site infections (SSIs) based on currently available clinical evidence and emerging issues.

Press Release
Read more

Reviewed March 2018.

Sample Report icon
Abstract:

Creutzfeldt‐Jakob disease (CJD) is a degenerative neurologic disorder of humans. CJD is caused by a proteinaceous infectious agent. Prion diseases elicit no immune response, result in a noninflammatory pathologic process confined to the central nervous system, have an incubation period of years, and usually are fatal within 1 year after diagnosis.

HTML

Reviewed 2014.

Under Review

Sample Report icon

Retired

SHEA retires guidelines based on new evidence or if revisions have occurred replacing the original document; however, they still may be accessed as a resource.

Sample Report icon
Abstract:

In their recent Clinical Practice Guideline ‘Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures’, the American Academy of Orthopaedic Surgeons (AAOS) reversed their 2009 informational statement, which asserted that “given the potential adverse outcomes and cost of treating an infected joint replacement, the AAOS recommends that clinicians consider antibiotic prophylaxis for all total joint replacement patients prior to any invasive procedure that may cause bacteremia.” After a comprehensive literature review by the work group, this statement was replaced with a recommendation that acknowledges the lack of evidence to support this practice. In deciding whether to endorse the most recent AAOS guideline, the SHEA Board expressed concern about the potentially confusing language of the recommendation: “The practitioner might consider discontinuing the practice of routinely prescribing prophylactic antibiotics for patients with hip and knee prosthetic joint implants undergoing dental procedures;” however, the Board ultimately voted to endorse the guideline because it overrides the 2009 guideline. SHEA’s position on the use of antimicrobial prophylaxis before dental work in patients who have prosthetic joints is that the evidence does not support its routine use.