Developing your approach to infection prevention
I spent some more time recently thinking about horizontal strategies for infection prevention in preparation for an upcoming talk. The slide below compares and contrasts the differences between vertical and horizontal approaches.
By the way, this talk is part of a virtual conference on February 15-16 sponsored by Infection Control Today. You can register for free here.
| Vertical | Horizontal |
Goal | Reduce infection or colonization due to specific pathogen(s) [pathogen-based] | Reduce all infections [population-based] |
Application | Selective or universal | Generally universal |
Interventions | Unipotent Application of a technology | Multipotent Modification of HCW behavior |
Resource utilization | Typically high | Lower |
Philosophy | Exceptionalism (some organisms are more important than others) | Utilitarianism |
Values favored | Hospital | Patient |
Temporal orientation/ perspective | Present / short-term | Present & future / long-term |
Examples | MDRO ADI Mandating influenza vaccine for HCWs | Hand hygiene Bare below the elbows Chlorhexidine bathing Care bundles Reducing presenteeism |
By the way, this talk is part of a virtual conference on February 15-16 sponsored by Infection Control Today. You can register for free here.
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