By Tom Keifer, Fred Amendola

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The infection control committee should be one of the strongest and most accessible committees in the hospital; committee composition should be carefully considered and limited to active, authoritative participants who have well-defined responsibilities on the committee and who represent major groups within the hospital. The chairperson should be a good communicator with expertise in infection control issues, healthcare epidemiology, and clinical pediatric infectious diseases. An important function of the infection control committee is the regular review of infection control policy and the development of new infection control policies as needed.

3. , MRSA and MSSA, group A streptococcus). 4. , vancomycininsensitive or resistant Staphylococcus aureus (VISA, VRSA), C. difficile). Pathogens associated with HAIs in hospitalized children differ from those in adults. , Bordetella pertussis) have heightened potential for transmission in pediatric facilities. Gram-negative bacilli, including ESBL and other multidrug-resistant isolates, may be more frequent than MRSA and VRE in many PICUs and NICUs. 11 Trends in targeted multidrug-resistant pathogens that have been tracked in the NNIS (now NHS) ICUs are summarized in Figure 2-1.

Concerns about unknown or possible routes of transmission of agents that can cause severe disease and have no known treatment often result in more extreme prevention strategies than may be necessary; therefore, recommended precautions could change as the epidemiology of emerging agents is defined and these controversial issues are resolved. Although transmission of M. 21 Transmission of microbes among children and between children and healthcare personnel is a frequent risk due to the very close contact that occurs during care of infants and young children.

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