Continuous Quality Improvement

Concurrent Education Session - 60 minutes

3402 - Fungal Bloodstream Infections in an Outpatient Oncology Facility that Compounded Parenteral Medications: Management and Regulatory Implications

Friday, June 16
1:30 PM - 2:30 PM
Location: Oregon Convention Center, A 105-106

Oncology care is increasingly shifting from the inpatient setting to the outpatient setting, where more than 600,000 patients with cancer receive outpatient chemotherapy. However, not all outpatient facilities have regular access to infection prevention expertise or dedicated infection prevention policies for patient protection. There is limited federal and state regulatory oversight of outpatient oncology facilities, in spite of the fact that high-risk procedures such as reconstituting and compounding of parenteral medication and infusion to the central vascular system are common practices in these facilities. The speakers will describe a recent outbreak of fungal bloodstream infections associated with nonsterile parenteral medication compounding in a New York City outpatient oncology practice, including the CDC perspective on the magnitude and unusual aspects of the outbreak, the hospital perspective on recognition of the outbreak and the coordinated response with local health department and CDC, and the New York City Department of Health and Mental Hygiene (NYC DOHMH) perspective on the regulatory landscape of infection prevention, including the safe preparation and injection of parenteral medication in outpatient oncology facilities, with emphasis on the NYC DOHMH response to this outbreak.

Learning Objectives:


Joel Ackelsberg

Medical Epidemiologist
NYC Department of Health and Mental Hygiene
Montclair, New Jersey

Joel Ackelsberg, MD, an infectious disease physician and CDC-trained medical epidemiologist, is the New York City Department of Health and Mental Hygiene’s bioterrorism surveillance coordinator. He came to the Health Department’s Bureau of Communicable Disease in 2000 to direct its bioterrorism planning efforts. Since then, Dr. Ackelsberg has been closely involved with all New York City efforts to enhance the effective management of incidents involving biological threat agents. He has participated at a leadership level in all Health Department responses to such incidents, including anthrax in 2001 and 2006, SARS, the pandemic influenza, the Ebola virus disease, Legionnaires’ disease outbreaks in 2015 , and the Zika virus.

Presentation(s):

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Sandra Elkind

Infection Preventionist
Lenox Hill Hospital
New York, New York

Sandra Elkind began her career in infection control in 1985 working in a large acute care medical center in New York City. She was first certified in 1987. Her interest in infection control was an outgrowth of clinical work as a registered nurse in cardiothoracic surgery, general surgical ICU, and oncology. She is passionate about worker safety, developed a second specialty in occupational health, and has worked as a director in both areas. She first became certified in occupational health in 2002. She has presented in the media, radio, and print on infection control topics of interest to the public. Her master’s degree is in nursing education and reflects her interest in teaching and mentoring others.

Presentation(s):

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Amber Vasquez

Epidemic Intelligence Service Officer
Centers for Disease Control and Prevention
Atlanta, Georgia

Amber Vasquez is an infectious diseases physician and epidemiologist working in her second year as an epidemic intelligence service officer at the CDC’s Division of Healthcare Quality Promotion, Prevention and Response Branch.

Presentation(s):

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Janet Haas

Director, Epidemiology
Lenox Hill Hospital
New York, New York

Janet Haas is the director of epidemiology at Lenox Hill Hospital, as well as an associate editor of the American Journal of Infection Control. She has been involved with the APIC Professional Development and Research Committees and the APIC Board of Directors. She’s the author of many peer-reviewed articles, and has been a reviewer for the American Journal of Infection Control for eight years.

Presentation(s):

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Assets

3402 - Fungal Bloodstream Infections in an Outpatient Oncology Facility that Compounded Parenteral Medications: Management and Regulatory Implications

MP3 Audio Slides Presentation + Audio

Attendees who have favorited this

  • RAUL ALAVEZ
    EMQ
  • Mirza Ali
    Infection Control Manager
    Franciscan Health
  • JAMIE ALMASY
    INFECTION CONTROL COORDINATOR
    OSF SAINT FRANCIS MEDICAL CENTER
  • DORAMARIE AROCHA
    DIRECTOR INFECTION PREVENTION
    UT SOUTHWESTERN MEDICAL CENTER UNIVERSITY HOSPITAL
  • JANETTE ATKINS
    SAFETY OPERATIONS DIRECTOR
    COMPLIANCE ALLIANCE
  • NANCY BARAN
    INFECTION PREVENTIONIST II
    DETROIT MEDICAL CENTER
  • WENDY BERG
    INFECTION PREVENTIONIST
    CHILDREN'S MINNESOTA
  • SHARYL BERGERUD
    DIRECTOR OF INFECTION CONTROL
    DEACONESS MEDICAL CENTER
  • DOUG BLOMBERG
    INFECTION PREVENTION MANAGER
    PIEDMONT ATHENS REGIONAL MEDICAL CENTER
  • TRUDI BRYANT
    MS
    BOWEN HOSPITAL
  • HOLLY BYALL
    INFECTION PREVENTION COORDINATOR
    AKRON CHILDREN'S HOSPITAL
  • STEPHANIE CARRAWAY
    INFECTION PREVENTIONIST
    MOFFITT CANCER CENTER
  • CHRISTINE CHAPMAN
    INFECTION PREVENTIONIST III
    UNIVERSITY OF CALIFORNIA AT SAN DIEGO
  • LYDIA CHENOWETH
    INFECTION PREVENTIONIST
    VA MEDICAL CENTER-ZABLOCKI
  • ERIN COKE
    INFECTION PREVENTION
    ASANTE ASHLAND COMMUNITY HOSPITAL
  • ASHLEY CONLEY
    INFECTION PREVENTIONIST
    ST. JOSEPH HOSPITAL
  • MARGARET CULLATHER
    SAFETY SPECIALIST
    AMAZON.COM
  • Annmarie Dickie
    Infection Control
    GrandRiver Hospital
  • DENNIS DRAPIZA
    REGIONAL MANAGER, INFECTION PREVENTION & CONTROL
    KAISER PERMANENTE NORTHWEST
  • CARMEN DUKE
    INFECTION PREVENTIONIST
    FAIRBANKS MEMORIAL HOSPITAL
  • JULIAN ESCOBAR AVILA
    HOSPITAL MILITAR CENTRAL
  • Sheryl Ferrier
    Infection Preventionist
    Florida Hospital Tampa
  • SHERYL FERRIER
    INFECTION PREVENTIONIST
    FLORIDA HOSPITAL TAMPA
  • ASHLEY FRYE
    RN-INFECTION PREVENTIONIST
    MINDEN MEDICAL CENTER
  • ROBERT GEIST
    ADVANCED EPIDEMIOLOGIST, HAI/AR PROGRAM
    KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT
  • ALLISON GOSBIN
    PUBLIC HEALTH NURSE
    EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT
  • LISA HINES
    INFECTION PREVENTIONIST
    OSU JAMES CANCER HOSPITAL
  • MARY HORKAY
    Infection Preventionist
    UCLA-SANTA MONICA
  • MARIE KASSAI
    INFECTION PREVENTION CONSULTANT
    MRK CONSULTING LLC
  • JANET KNESEK
    INFECTION CONTROL/NURSE EDUCATOR
    SIERRA VISTA HOSPITAL
  • PATRICIA KOPP
    INFECTION PREVENTIONIST
    SC DHEC
  • DIANNE LAVELLE-DEGARMO
    FEDERAL/STATE LICENSING SURVEYOR
    AZ DEPT OF HEALTH SERVICES
  • SUSAN LEMON
    IP PROGRAM MANAGER
    CHI FRANCISCAN HEALTH
  • SHANNON LIGON
    INFECTION CONTROL COORDINATOR
    KMCWC
  • CHARITY LOVE
    NURSE EPIDEMIOLOGIST
    MOUNT SINAI MEDICAL CENTER
  • DIANA LUCAS
    EPIDEMIOLOGIST
    NEW JERSEY DEPT OF HEALTH
  • JOHN MARTINELLI
    HEALTHCARE PRACTICE DIRECTOR
    FORENSIC ANALYTICAL CONSULTING SERVICES
  • NORMA MARTINEZ
    MRS.
    HOSPICARE S.A.
  • SARAH MEGINLEY
    INFECTION CONTROL COORDINATOR
    MERCY HEALTH
  • NANCY MENDICINO
    INFECTION PREVENTIONIST
    UT HEALTH SAN ANTONIO
  • MARSHA MEYER
    EPIDEMIOLOGY/INFECTION PREVENTION
    ST MARKS HOSPITAL
  • SUSAN OTTOSEN
    INFECTION CONTROL SPECIALIST
    BEAUMONT HOSPITAL - TRENTON
  • ELLEN PERSI
    RN, BSN, CIC
    HOAG HOSPITAL
  • KAREN PETERSON
    INFECTION PREVENTION
    FAIRVIEW RANGE MEDICAL CENTER
  • ANGELA PROVENCHER
    INFECTION PREVENTIONIST
    NORTON HEALTHCARE
  • sandra Queally
    Ethicon nurse educator
    Johnson n Johnson
  • jessica radicke
    Administrative Charge RN
    Thomas Jefferson University Hospital
  • PAULA RAMSAMMY
    INFECTION PREVENTIONIST
    JACKSON HEALTH SYSTEM
  • MAY M. RILEY
    Infection Control Consultant
    STANFORD HEALTH CARE
  • DON ROCK
    INFECTION PREVENTION PRACTITIONER
    ST. LUKE'S MAGIC VALLEY
  • ELIZABETH ROWAN
    INFECTION PREVENTIONIST
    KAISER PERMANENTE WASHINGTON REGION
  • MARY SABER
    INFECTION PREVENTIONIST
    AURORA ST. LUKE'S MED CTR
  • KAY SAMS
    INFECTION PREVENTIONIST
    MOFFITT CANCER CENTER
  • APRIL SANDERS
    SOUTHERN OHIO MEDICAL CENTER
  • DAWN SNIDER
    Infection Control Coordinator
    MEDICAL CITY FORT WORTH
  • DEBRA STROUT
    INFECTION PREVENTIONIST
    MAINE MEDICAL CENTER
  • SUZETTE SWANSON
    INFECTION PREVENTION
    OSF ST FRANCIS MEDICAL CENTER
  • AMY SWITZER-ARNETT
    QUALITY IMPROVEMENT/INFECTION PREVENTION MANAGER
    PARIS COMMUNITY HOSPITAL
  • PANNA TAILOR
    INFECTION PREVENTIONIST/EMPLOYEE HEALTH NURSE/RN
    WASHINGTON OUTPATIENT SURGERY CENTER
  • LIN TANG
    INFECTION PREVENTIONIST
    ST. MICHAEL'S HOSPITAL
  • JESSICA TARABAY
    Infection Preventionist
    UCLA HEALTH
  • THORDIS TOMASDOTTIR
    Nurse
    UNIVERSITY HOSPITAL OF ICELAND
  • Kim Townsend
    Staff Rn/infection Prevention
    MICHIGAN SURGICAL CENTER
  • SARA TOWNSEND
    INFECTION PREVENTIONIST
    CHOP
  • ROSEMARY TUCKER
    INFECTION PREVENTIONIST
    ELMENDORF AFB HOSPITAL
  • JULIANA VIROLLI
    NURSE
    HOSPITAL A.C.CAMARGO
  • GWEN WESTERLING
    INFECTION PREVENTIONIST
    HELEN DEVOS CHILDREN'S HOSPITAL
  • STACEY WOOD
    CE/IP/EH
    CABINET PEAKS MEDICAL CENTER
  • CHERYL WRIGHT
    Infection Prevention Specialist
    MEMORIAL HOSPITAL EAST

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