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.



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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