2319. Survey of Infection Prevention and Control (IPAC) Practices among Kidney and Liver Transplant Centers
Session: Poster Abstract Session: Transplants: Infection Epidemiology and Outcome in Solid Organ Transplantation
Saturday, October 29, 2016
Room: Poster Hall
Background: There is a perceived lack of standardized practice on IPAC strategies among abdominal (kidney and liver) transplant (tx) centers.

Methods: A survey was performed of members of the American Society of Transplantation Infectious Diseases Community of Practice in 11/14 and 2/15 on IPAC policies after kidney and liver transplantation.

Results: 

A total of 35 centers from the United States (27), Canada (2), Switzerland (2), South Korea (1), Turkey (1), India (1), and China (1) participated in this survey.  31 were liver tx centers and 35 were kidney tx centers. Only a minority use HEPA filtered rooms during hospitalizations (19.7 % at all times and 9.7 % immediate post-liver tx; 18.6 % at all times, and 8.6 % immediate post-kidney tx). Even fewer centers use positive pressure rooms (9.7% immediately post-tx and 3.2 % as clinically indicated in liver tx; 8.6% immediately post-tx and 5.7% as clinically indicated among kidney tx centers). Majority (94.3%) of centers do not have a policy beyond standard hand hygiene. One fifth of liver and kidney centers employ measures beyond standard room cleaning. Dedicated medical equipment such as stethoscope is used when caring for patients in 61.3% of liver tx and 62.5% of kidney tx centers, but only when there is a clinically indication. Only slightly over half (54.3%) do not allow live plants or flowers in tx units (54.3%). Likewise, the majority (74.3%) does not prohibit the use of personal belongings in patient rooms. However, majority does not allow animal companions (75%). Visitor age restriction, when enforced, varies from <5 years to <15 years. A third of kidney tx centers (34.3%) and liver tx centers (29%) recommend use of respiratory masks for patients leaving hospital rooms. Only 17.2% of kidney tx and 12.9% liver tx centers recommend respiratory mask use outside of the hospital; and duration of recommended mask use varied from immediately to 6 months post-tx.

Conclusion:  This survey highlights differences in IPAC strategies among kidney and liver tx centers.  Evidence-based guidelines addressing these practices are needed in an effort to standardize the approach in the care of this vulnerable population.

Elena Beam, MD, Infectious Disease, Mayo School of Graduate Medical Education, Rochester, MN, Michael Keating, MD, FIDSA, Infectious Diseases, Mayo Clinic Rochester, Rochester, MN and Raymund R. Razonable, MD, FIDSA, Division of Infectious Diseases, Department of Medicine, Mayo Clinic, Rochester, MN

Disclosures:

E. Beam, None

M. Keating, None

R. R. Razonable, None

Findings in the abstracts are embargoed until 12:01 a.m. CDT, Wednesday Oct. 26th with the exception of research findings presented at the IDWeek press conferences.