Infection control in physicians' offices

Infection control is an integral part of pediatric practice in outpatient s ettings as well as in hospitals. All employees should be educated regarding the routes of transmission and techniques used to prevent transmission of infectious agents. Policies for infection control and prevention should be written, readily available, updated annually, and enforced. The Centers for Disease Control and Prevention standard precautions for hospitalized patie nts with modifications from the American Academy of Pediatrics are appropri ate for most patient encounters. As employers, pediatricians are required b y the Occupational Safety and Health Administration (OSHA) to take precauti ons to protect staff likely to be exposed to blood or other potentially inf ectious materials while on the job. Key principles of infection control inc lude the following: hand-washing before and after every patient contact, se paration of infected, contagious children from uninfected children, safe ha ndling and disposal of needles and other sharp medical devices, appropriate use of personal protection equipment such as gloves, appropriate steriliza tion, disinfection and antisepsis, and judicious use of antibiotics.