SHEA Guidelines and Expert Guidance Documents

SHEA Expert Guidance Documents, Expert Consensus Statements, Guidelines, and White Papers are developed by panels of experts who review the available evidence, and apply their clinical experience and expertise to make practical recommendations. The process for development of the first three types of documents is described in the Handbook for SHEA-Sponsored Expert Guidance, Consensus, and Guideline Documents (pdf). The Handbook does not define the development process for white papers. The Handbook is reviewed and updated periodically by the SHEA Guidelines Committee, and updates are approved by the Board of Trustees.

  • Infection Prevention in the Operating Room Anesthesia Work Area
    Current - CLABSI, Clinical Practice, Hand Hygiene, Infection Prevention, Surgical Site Infections
    SHEA, endorsed by AAAA, AANA, AORN, and ASPF
    December 11, 2018

    This SHEA expert guidance gives infection prevention and control recommendations related to hand hygiene (activities, glove use, alcohol-based hand sanitizer), reusable versus single-use devices, environmental cleaning and management, use of injection ports, barrier precautions, and vials, syringes, and IV bags.

    Authors: Munoz-Price LS, Bowdle A, Johnston BL, Bearman G, Camins BC, Dellinger EP, Geisz-Everson MA, Holzmann-Pazgal G, Murthy R, Pegues D, Prielipp RC, Rubin ZA, Schaffzin J, Yokoe D, Birnbach DJ

  • Evaluation and Management of Penicillin Allergy
    Current - Antibiotic Resistance, Clinical Practice, Infection Prevention
    Shenoy ES, Macy E, Rowe T, Blumenthal KG
    January 19, 2019

    β-Lactam antibiotics are among the safest and most effective antibiotics; however, many patients report allergies to these drugs despite few having clinically significant reactions, resulting in the use of broad-spectrum antibiotics that increase the risk for antimicrobial resistance and adverse events. This review provides recommendations for the evaluation of penicillin allergies to support antimicrobial stewardship.

  • Reliability of Nonlocalizing Signs and Symptoms as Indicators of the Presence of Infection in Residents of Nursing Homes
    Current - Antibiotic Resistance, Clinical Practice, Infection Prevention, Long-Term Care
    SHEA, endorsed by AMDA, AMMI Canada, IDSA, and SIDP
    December 9, 2020

    This SHEA expert guidance provides a framework to guide practitioners in when to evaluate nursing home residents for infection if they exhibit non-specific signs or symptoms, including fever, hypothermia, low blood pressure, high blood sugar, delirium, behavioral changes, functional decline, falls, and anorexia.

    Authors: Rowe TA, Jump RLP, Andersen BM, Banach DB, Bryant KA, Doernberg SB, Loeb M, Morgan DJ, Morris AM, Murthy RK, Nace DA, Crnich CJ

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