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The 'Zero' Mentality: Is It Good for Infection Control?
Date:4/7/2008

Experts Debate Pros and Cons of Approach to Eliminating HAIs

ORLANDO, Fla., April 7, 2008 /PRNewswire-USNewswire/ -- "Getting to zero" - the emerging drive to eliminate infections acquired in hospitals - is provoking much discussion in the healthcare community, ranging from concern that the approach is overly simplistic and potentially dangerous to praise that it is a motivating and worthy goal. Healthcare experts will discuss the hot-button issue at the Annual Meeting of the Society for Healthcare Epidemiology of America (SHEA) in Orlando, April 5-8.

"Like it or not, the concept of 'getting to zero' is here," said Patrick J. Brennan, M.D., president of SHEA and chief medical officer for the University of Pennsylvania Health System, Philadelphia. "As infection control specialists, our job is to recognize the policy implications as well as the unintended consequences."

Michael Edmond, M.D., hospital epidemiologist for the Virginia Commonwealth University Medical Center, Richmond, asks "Getting to Zero: Is it Safe?" and examines the genesis of the concept as well as the forces that are driving it. He discusses concerns that "zero tolerance" regulations could lead to unintended consequences and is setting people up not to deliver.

For example, some healthcare experts worry that putting an imbalanced amount of weight on the elimination of one pathogen in the hospital in response to legislation may contribute to conditions where another pathogen could flourish. Dr. Edmond proposes that all hospitals should be putting reasonable measures in place to prevent infection.

Arguing in favor of adopting the term "zero" as aggressive target to motivate people and institutions to move in the right direction, Victoria Fraser, M.D., co-director of the Infectious Diseases Division of Washington University School of Medicine in St. Louis, addresses using the term "zero." even though we do not yet know what fraction of infections is p
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SOURCE Society for Healthcare Epidemiology of America
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