320. Infection Control Guidance for Ronald McDonald Houses: A Needs Assessment
Session: Poster Abstract Session: Assessing and Reducing Infection Risk
Friday, October 21, 2011
Room: Poster Hall B1
Background: Ronald McDonald Houses (RMH) serve as a “home away from home” for families while their children receive care at a medical facility. Thus, the family’s health status and exposures may affect the healthcare epidemiology of both facilities.  Despite this relationship with healthcare, no standardized infection prevention and control (IPC) guideline exists.  We sought to determine the populations served by RMH, the IPC topics encountered by RMH staff, and the resources currently used to manage IPC issues.

Methods: An electronic survey was distributed to all 302 RMH worldwide. This analysis was restricted to US sites (n=180).

Results: 106 (59%) sites responded; 37 states plus Puerto Rico were represented. RMH capacity ranged from 4 to 400 persons (median 65, mean 88). The populations served include premature infants or high-risk pregnancy (40%), general medical (20%), non-transplant cancer (10%), surgical (9%), bone marrow transplantation (3%), solid organ transplantation (2%), other immunocompromised host (2%), and other (17%). 90 (85%) RMH have their own IPC policy; 92 (87%) thought a national standardized guideline would be useful. 64 (34%) sites have IPC training for staff upon hire. 8 (8%) RMH reported ever having an infectious disease outbreak. Sites prioritized IPC topics to address in a guideline; each response was given a score of 1 point. The 10 highest scoring topics (total points) were: influenza (45), screening or restricting ill family members (39), food preparation (37), RSV (34), hand hygiene (31), family members exposed to an infectious disease (24), MRSA (14), diarrhea & vomiting (11), general hygiene (9), bedbugs and coughs & colds (each 8 points). The commonest resources for IPC consultation included the affiliated hospital’s infection prevention program, the child’s attending physician, an infectious disease physician, or a physician on the local RMH chapter’s board.

Conclusion: RMH staff encounter a wide variety of IPC topics. Consultation is often sought from several sources, increasing opportunities for inconsistent practices. RMH would benefit from a standardized IPC guideline. This data provides a foundation for building such a guideline, which would be helpful for RMH and other facilities serving as “homes away from home.”


Subject Category: N. Hospital-acquired and surgical infections, infection control, and health outcomes including general public health and health services research

Judith Guzman-Cottrill, DO, Oregon Health and Science University, Portland, OR, Kristina Bryant, MD, University of Louisville, Louisville, KY, Danielle Zerr, MD, MPH, University of Washington, Seattle, WA, Alan Harris, MD, Rush University Medical Center, Chicago, IL, Erin Rose Alexander, MPA-HSM, Pediatrics, Oregon Health and Science University, Portland, OR, Zak Boone, MPA, Ronald McDonald House Charities of Central Oregon, Bend, OR and Jane D. Siegel, MD, University of Texas Southwestern Medical Center, Dallas, TX

Disclosures:

J. Guzman-Cottrill, None

K. Bryant, GSK: Consultant and Investigator, Consulting fee and Research support
Sanofi pasteur: Consultant, Consulting fee
MedImmune: Investigator, Research support
Novartis: Investigator, Research support
Pfizer: Investigator, Research support

D. Zerr, Sage products, Inc.: , Research grant
Vioguard, Ltd.: , Research grant

A. Harris, None

E. R. Alexander, None

Z. Boone, Ronald McDonald House Charities: Employee, Salary

J. D. Siegel, None

Findings in the abstracts are embargoed until 12:01 a.m. EST Thursday, Oct. 20 with the exception of research findings presented at IDSA press conferences.