April PORTLAND, OREGON

Transcription

1 SHEASPRING.ORG #SHEA2018 SHEA Spring 2018 Conference SCIENCE GUIDING PREVENTION FINAL PROGRAM Downoad the SHEA 2018 Meeting App or Visit the Attendee Porta at Wi-Fi: Compimentary in the Hote Lobby Apri PORTLAND, OREGON Hiton Portand Downtown Share your thoughts at the Engagement Center NEW! Visit the Education Booth to Set Up your Onine LearningCE Profie

2 SHEA Spring 2018 Conference Dear Coeagues, CONTENTS Accreditation Information, 1-2 Financia Discosures, 3 Instructions to Acquire Your Certificate(s), 4-7 Networking Events, 8-9 Genera Information, On behaf of the Society for Heathcare Epidemioogy of America (SHEA), the Panning Committee, and the Board of Trustees, wecome to the SHEA Spring 2018 Conference: Science Guiding Prevention in Portand, OR. We are a excited to wecome you for the next few days to immerse yoursef in education and training reated to infection prevention, heathcare epi and antibiotic stewardship in many different heathcare settings. We are very proud of the sessions and speakers taking part in this conference. We fee strongy that a attendees wi eave Portand with new ideas and methods to impement at your own institutions to make your infection prevention and antibiotic stewardship practices stronger, improving patient outcomes. SHEA beieves education is the basis for fufiing our vision statement safe heathcare for a and is proud to sponsor educationa efforts that so cosey aign with this mission. We understand you have many choices when it comes to meeting your educationa needs for the year and are thankfu you seected SHEA as one of those meetings. SHEA Awards, SHEA Spring 2018 Conference highights you wi not want to miss incude: SHEA Internationa Ambassadors, 12 Focused scientific abstracts reated to heathcare epidemioogy, surveiance, impementation science and patient safety, and prevention strategies in poster form during breakfast and unch breaks and a imited number of ora presentations A the educationa sessions in the genera conference and speciaized tracks but especiay the penaries, which are open to ALL attendees Wednesday, Apri 18, Expanded networking opportunities during breaks Thursday, Apri 19, Mentorship Networking Breakfast on Wednesday, Apri 18 (by invitation ony) Friday, Apri 20, Wecome Reception with SHEA s 2018 President, Keith Kaye, MD on Wednesday, Apri 18 SHEA Epi Project Competition on Thursday, Apri 19 SHEA Education & Research Foundation Dinner on Thursday, Apri 19 (extra ticket purchase) The Women in Epi Networking Breakfast on Friday, Apri 20 Schedue at a Gance, Hiton Portand Downtown Foor Pan, 16 Tuesday, Apri 17, 17 Notes The next few days are jam-packed with education from eading experts in the fied. If you have a spare moment, find us, another member of the panning committee, or Board and et us know how we are doing. We woud ove to have your feedback in rea time. If you are on twitter, use the hashtag #SHEA2018 to hep ampify a the great commentary from the meeting. Pease do not forget to submit your evauations after the meeting as we. Thank you again for joining us. Enjoy the conference! Sincerey, Co-Chairs, Scientific Program Matthew Linam, MD, MS Panning Chair University of Arkansas for Medica Sciences and Arkansas Chidren s Hospita, Litte Rock, AR Judy Guzman-Cottri, DO, FSHEA Panning Vice Chair Oregon Heath and Science University Portand, OR

3 ACCREDITATION INFORMATION SHEA s overa goa for SHEA Spring 2018 is for participants to gain vauabe knowedge about the atest research and science in heathcare epidemioogy, practica skis and strategies to impement this knowedge, and ongoing connections with other professionas in the fied of heathcare epidemioogy and infection prevention. At the Concusion of the course, earners shoud be abe to: Review and critique new scientific evidence reated to epidemioogic methods and prevention of heathcare-associated infections (HAIs). Identify evoving pubic poicy deveopments and their impact on HAI prevention. Compare and contrast differing approaches to controversia aspects of HAI prevention. Transate best methods in heathcare epidemioogy, antibiotic stewardship, surveiance, prevention, and research into practice. Appy and evauate appropriate antibiotic stewardship practices in acute and non-acute heathcare settings. Discuss current best practices in HAI prevention in individua cinica settings incuding Pediatrics and Long-term Care. Appy practica strategies to effectivey communicate heathcare epidemioogy, HAI prevention and antibiotic stewardship knowedge and practices to patients, heathcare personne and poicy makers. TARGET AUDIENCE SHEA/CDC TRAINING CERTIFICATE COURSE IN HEALTHCARE EPIDEMIOLOGY At the concusion of this activity, participants shoud be abe to: Describe the process of surveiance for heathcare-associated infections and how to appy surveiance techniques and methods. Define modes of transmission and approaches to prevention and contro of heathcare-associated infections and antimicrobiaresistant pathogens, as we as other emerging infections in the heathcare setting. Understand the roes that the environment, ceaning, disinfection, and steriization pay in the cyce of transmission of infections to patients. Identify how infection prevention activities aign with the discipines of Heathcare Quaity and Safety. Appy and define outbreak investigation techniques and evidence-based infection prevention strategies. Evauate the unique approaches to infection prevention among specia popuations. Describe the roe of eadership and cinica education in infection prevention efforts. Gain a working knowedge of the roe of the heathcare epidemioogist in antimicrobia stewardship, occupationa heath, epidemioogy research, the microbioogy aboratory, and emergency preparedness. This conference is designed for physicians, infection preventionists, heathcare epidemioogists, infectious disease speciaists, microbioogists, nurses, pharmacists, and other heathcare professionas interested in heathcare epidemioogy, infection prevention, surveiance, research methods, patient safety, environmenta issues and quaity improvement. SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE At the concusion of this activity, participants shoud be abe to: Identify the rationae for antimicrobia stewardship programs in heathcare institutions and communicate this rationae to other heathcare providers. Evauate components of effective antimicrobia stewardship programs and impement interventions in their heathcare setting. Appy strategies for and measuring both process and outcomes measures. Assess avaiabe data, incuding pharmacy and microbioogy data, and the informatics strategies needed to support antimicrobia stewardship in their institution. Identify concepts from improvement science and change theory to enhance impementation of antimicrobia stewardship activities. SHEA/CDC/AMDA INFECTION PREVENTION IN POST-ACUTE AND LONG-TERM CARE CERTIFICATE COURSE At the concusion of this activity, participants shoud be abe to: Describe surveiance definitions and recognize differences in appying them in the post-acute and ong-term care settings. Identify opportunities for infection prevention, incuding those caused by muti-drug resistant organisms, in the post-acute and ong-term care settings. Discuss recognition and response to common outbreaks in the post-acute and ong-term care settings. Appy principes of occupationa heath and safety to heathcare workers and staff in the post-acute and ong-term care settings. Recognize the need for and opportunities to practice antimicrobia stewardship in the post-acute and ong-term care settings. ACCREDITATION INFORMATION SCIENCE GUIDING PREVENTION 1

4 ACCREDITATION INFORMATION ACCREDITATION INFORMATION ACCREDITATION STATEMENT The Society for Heathcare Epidemioogy of America is accredited by the Accreditation Counci for Continuing Medica Education to provide continuing medica education for physicians. PHYSICIANS The Society for Heathcare Epidemioogy of America designates this ive activity for a maximum of 24 AMA PRA Category 1 Credit(s), the core conference sessions are designated for credit hours and the pre-meeting workshop is an additiona 2.25 credit hours. Physicians shoud caim ony the credit commensurate with the extent of their participation in the activity. INTERNATIONAL PHYSICIANS The American Medica Association has determined that physicians not icensed in the United States who participate in this continuing medica education activity are eigibe for AMA PRA Category 1 Credit(s) TM. ABIM MOC: NEW THIS YEAR A CME accredited sessions are aso avaiabe for attendees to earn ABIM MOC Points. ABIM MOC Statement Successfu Competion of this CME activity enabes the participant to earn up to 24 MOC points in the American Board of Interna Medicine s (ABIM) Maintenance of Certification (MOC) Program. Participants wi earn MOC points equivaent to the amount of CME credits caimed for the activity. It is the CME activity provider s responsibiity to submit participant competion information to ACCME for the purpose of granting ABIM MOC credit. More MOC points can be earned through pre-meeting workshop for an additiona fee. SHEA Spring 2018 physician participation information wi be shared with ABIM through ACCME PARS. NURSES This continuing nursing education activity was approved by the Virginia Nurses Association, an accredited approver by the American Nurses Credentiaing Center s Commission on Accreditation. Nurses who compete this activity wi be awarded a maximum of contact hours. Participants wi be awarded continuing education commensurate with their participation in the educationa activity with submission of an evauation. The Pre-Conference Workshop is not eigibe for nursing credits. SUCCESSFUL COMPLETION STATEMENT Participants are expected to caim ony those hours spent in the educationa activities approved for continuing education credit. Certificates of Attendance are provided to registered attendees based upon competion of the onine evauation. To compete the assessment and evauation, attendees wi need to sign into the Attendee Porta/Meeting App. Pease refer to page 4 for additiona information on the evauation. CONTENT VALIDATION STATEMENT The Society for Heathcare Epidemioogy of America accepts the foowing content vaidation statements and expects a persons invoved in its professiona education activities to abide by these statements with regard to any recommendations for cinica care. A recommendations invoving cinica medicine are based on evidence accepted within the profession of medicine as adequate justification for their indications and contradictions in the care of patients; AND/OR A scientific research referred to or reported in support or justification of a patient care recommendation conforms to generay accepted standards of experimenta design, data coection, and anaysis. PHARMACISTS (Credits ony avaiabe for the SHEA Antibiotic Stewardship Training Course) The continuing education activities for pharmacists have been deveoped through a joint providership of ProCE, Inc. and The Society for Heathcare Epidemioogy of America. ProCE is accredited by the Accreditation Counci for Pharmacy Education as a provider of continuing pharmacy education (CPE). Participants attending the conference CPE activities may earn a maximum of contact hours of CPE credit. Note: some of the CPE sessions are being hed concurrenty. The sessions offering ACPE credit are designated in the Program brochure with a UAN (Universa Activity Number) and hours of CPE credit. The reease date for these CPE activities is Apri 18 20, Conference registration fees cover the cost of CPE credit. Statements of competion wi be issued at upon successfu competion of the onine CPE activity earning assessment(s) and activity evauation(s). A earning assessment(s) and activity evauation(s) must be competed no ater than May 18, No partia credit wi be given for any individua session. Confict of interest discosures are required of a facuty and sha be provided to a participants at the conference. COMMERCIAL SUPPORTERS The SHEA Spring 2018 Conference: Science Guiding Prevention is supported in part by educationa grants from the foowing companies: Merck & Co, Inc. Ethicon, Inc Pfizer 2 SHEA Spring 2018 Conference

5 FINANCIAL DISCLOSURES In accordance with the Accreditation Counci for Continuing Medica Education s (ACCME) Standards for Commercia Support for Continuing Medica Education, a facuty and panning partners must discose any financia reationship(s) or other reationship(s) hed within the past 12 months reevant to the content presented. SHEA identifies and manages a conficts of interest prior to deivering the educationa activity to earners. PLANNING COMMITTEE & SPEAKERS Matthew Linam, MD, MS (Panning Chair)* Discosed no reevant financia reationships Judith Guzman-Cottri, DO (Panning Vice-Chair)* Discosed no reevant financia reationships Beinda Ostrowsky, MD, MPH (Past Chair)* Discosed no reevant financia reationships Barbara Braun, PhD* Discosed no reevant financia reationships Gonzao Bearman, MD, MPH* Discosed no reevant financia reationships Eizabeth Dodds-Ashey, PharmD, MHS* Discosed no reevant financia reationships Loretta Litz-Fauberbach, MS, CIC Cinica Advisory Board Member: PDI Sarah Haesser, MD* Discosed no reevant financia reationships Joan Hebden, RN, MS, CIC Saary: PDI, Inc Consuting Fees: ICM Medica - Victus Lauri Hicks, DO* Discosed no reevant financia reationships Joost Hopman, MD* Discosed no reevant financia reationships Robin Jump, MD, PhD* Scientific Advisor; Research Funding: Pfizer Scientific Advisor: Merck Marion Kainer, MD, MPH* Discosed no reevant financia reationships Sarah L. Krein, PhD, RN* Discosed no reevant financia reationships Christopher Pfeiffer, MD* Discosed no reevant financia reationships Thomas J. Sandora, MD, MPH* Discosed no reevant financia reationships Marin Schweizer, PhD* Discosed no reevant financia reationships Kari Simonsen, MD Scientific Advisor: CareFusion Consutant Empoyee Research: Merck, Sharp and Dohme, Asteas, MedImmune, The Medicines Company, Cempra Nimaie Stone, MD, MS* Discosed no reevant financia reationships Kavita Trivedi, MD Corox, Roche STAFF Laure Herzog Discosed no reevant financia reationships Jessica Johnson Discosed no reevant financia reationships SPEAKERS Hiary Babcock, MD, MPH Discosed no reevant financia reationships Jamie Bash, MPH Discosed no reevant Financia Reationships Lynne Batshon, BS Discosed no reevant financia reationships Zintars Bedavs, MS Discosed no reevant financia reationships Michae Be, MD Discosed no reevant financia reationships Kristina Bryant, MD Investigator on cinica trias: Pfizer Whitney Bucke, PharmD Discosed no reevant financia reationships David Cafee, MD, MS Discosed no reevant financia reationships Phiip Caring, MD Consutant Empoyee and Patent License: Ecoab Esther Choo, MD, MPH Discosed no reevant Financia Reationships Susan Coffin, MD, MPH Discosed no reevant financia reationships Mirian Da Ben, MD, Msc, PhD Discosed no reevant financia reationships Brenna Darazs Discosed no reevant financia reationships Margaret Dudeck, BS, MPH Discosed no reevant financia reationships Ghinwa Dumyati, MD Discosed no reevant financia reationships Mike Edmond, MD, MPH, MPA Discosed no reevant Financia Reationships Jonathan R Edwards, MStat Discosed no reevant financia reationships Charesnika T. Evans, PhD, MPH Discosed no reevant financia reationships Mohamad G. Fakih, MD, MPH Discosed no reevant financia reationships Bradford Fitch Discosed no reevant financia reationships Graeme Forrest, MBBS Vaccine Research Study: Pfizer Jon Furuno, PhD Discosed no reevant financia reationships Katheen Gase, MD, MPH Discosed no reevant financia reationships David Ha, PharmD Discosed no reevant financia reationships Janet Haas, PhD, RN, CIC Discosed no reevant financia reationships Moy Hae, MPH, CIC Discosed no reevant financia reationships Keith Hamiton, MD Discosed no reevant financia reationships Waeed Javaid, MD Discosed no reevant financia reationships Juie Ann Justo, PharmD, MS Discosed no reevant financia reationships Sarah Kabbani, MD, MSc Discosed no reevant financia reationships Keith Kaye, MD, MPH Discosed no reevant financia reationships Matthew Kronman, MD, MSCE Discosed no reevant financia reationships Kristi Kuper, PharmD Discosed no reevant financia reationships Ebbing Lautenbach, MD, MPH, MSCE Discosed no reevant financia reationships Grace Lee, MD Discosed no reevant financia reationships James Lewis, PharmD Scientific Advisor: Acceerate Diagnostics, Merck, Paratek Pharmaceuticas, Achaogen Pharmaceuticas Catherine Liu, MD Independent Efficacy Adjudication Committee Member: Theravance Latania Logan, MD Discosed no reevant financia reationships Emiy Lutteroh, MD, MPH Discosed no reevant financia reationships Kaisvar Marimuthu, MBBS, MRCP Discosed no reevant financia reationships L. Cifford McDonad, MD Discosed no reevant financia reationships Jessina McGregor, PhD Discosed no reevant financia reationships Jonathan Modie, BA Discosed no reevant Financia Reationships Danie Morgan, MD, MS Discosed no reevant financia reationships David Nace, MD, MPH Discosed no reevant financia reationships Meinda Neuhauser, PharmD, MPH Discosed no reevant financia reationships Kimbery New, JD, BSN Discosed no reevant financia reationships Jason Newand, MD, MEd Discosed no reevant financia reationships Priya Nori, MD Discosed no reevant financia reationships Deborah Patterson- Burdsa, PhD RN-BC, CIC Discosed no reevant financia reationships Joe Paca, PhD Discosed no reevant Financia Reationships Trish Per, MD, MSc Discosed no reevant financia reationships Joseph Perz, DrPH, MA Discosed no reevant financia reationships Theresa Rowe, DO Discosed no reevant financia reationships Wiiam Rutaa, PhD, MPH Consutant Empoyee Research, Scientific Advisor: PDI Dawn Sievert, PhD, MS Discosed no reevant financia reationships Madeine Sofia, PhD Discosed no reevant Financia Reationships Arjun Srinivasan, MD Discosed no reevant financia reationships Edward Stenehjem, MD, MSc Discosed no reevant financia reationships Thomas Tabot, MD, MPH Spouse: Research Support: Sanofi Pasteur, Medimunne, Giead Pranita Tamma, MD, MHS Discosed no reevant financia reationships John Towns, MD Discosed no reevant financia reationships Barbara Trautner, MD, PhD Consutant Empoyee Research: Zambon Pharmaceuticas, Paratek Pharmaceuticas Maroya J. Waters, PhD, ScM Discosed no reevant Financia Reationships Nora Wong, MPH Discosed no reevant financia reationships Deborah Yokoe, MD, MPH Discosed no reevant financia reationships FINANCIAL DISCLOSURES *Content Reviewers - If a confict of interest has been reported reevant by a speaker, the Content Reviewers conduct a forma review to ensure the presentation is baanced and free of commercia bias. SCIENCE GUIDING PREVENTION 3

6 ACQUIRE YOUR CERTIFICATES ACQUIRE YOUR CERTIFICATES PHYSICIANS AND NURSES CME, ABIM MOC, CNE, and Attendee Certificates are provided to a registered attendees based upon the competion of the onine evauation. To obtain AMA PRA Category 1 Credit, ABIM MOC or CEU credits, attendees wi need to downoad the Conference Meeting App or visit the attendee porta at attendeeporta. Attendees wi need to sign in with the same emai used to register for the conference. Once ogged in, cick on either Course Agenda or Sessions By Day and foow the steps beow. You cannot caim credit unti after a session has ended. The deadine for caiming credit is June 23, Seect the session you wish to caim credit for. You wi need to evauate each session you attend to receive credit. Cick the Evauate Button Certify that you attended the session by cicking the checkbox at the top of the page. Compete the evauation form provided, and cick the SUBMIT EVALUATION button. Once you have evauated a sessions you attended, cick on the Overa Meeting Evauation ink in the eft-hand navigation page. When you are finished with the Overa Meeting Evauation and caiming your credit hours, you can print, view and emai your certificates from the Review Caimed Credit tab in the eft-hand navigation pane. Once seected, your printed Training Course Certificate of competion wi be maied post event. PHARMACISTS CE Activity Evauation and Credit Instructions 1. To receive CE credit for the activities at this conference, you must compete the post-tests and evauations onine no ater than Friday, May 18, Visit evauation. 3. Cick on the Evauation button which is isted with the SHEA Spring 2018 Conference Apri 18 20, 2018 CE activity. 4. Login to the ProCE CE Center. NOTE: You wi need to sign up for a new account if you have not previousy used the ProCE CE Center. 5. Enter the Attendance Codes for a of the CE sessions you attended. NOTE: Each session has a unique attendance code. 6. Take the post-test, compete the evauation, and caim CE credit. NOTE: Compete the post-tests, evauations, and caim CE credit ony for the sessions you attended. 7. If you need assistance or have questions, pease contact ProCE at or via emai at info@proce.com. SHARE YOUR THOUGHTS IN THE SHEA SPRING 2018 ENGAGEMENT CENTERS Share your thoughts with SHEA onsite at our Engagement Centers. These are the arge signs ocated near SHEA Registration where you can share any thoughts or feedback on Post-it notes in response to core questions that headine the signs. A your responses wi be shared with SHEA Leadership and represent an important way for you to provide vauabe feedback for future SHEA pans. Thanks in advance for your thoughtfu participation! EXCLUSIVE LAUNCH OF THE NEW SHEA ONLINE LEARNING CENTER Ony at SHEA Spring 2018, you can stop by the Education Booth in the Grand Baroom Foyer and be one of the first to sign onto the new SHEA Onine Learning Center. ACCESS PRESENTATIONS ONLINE As a registrant, you wi be abe to access a presentations within the meeting app. Pease note: Presentations wi be upoaded by presenters. In some cases, this wi be after the conference. Some presenters have aso chosen not to have their presentation avaiabe to attendees. TRACK CERTIFICATE Within the Overa Meeting Evauation, a attendees wi be asked if they participated in one of the three Training Courses during the Conference: SHEA/CDC Training Certificate Course in Heathcare Epidemioogy SHEA Antibiotic Stewardship Training Course SHEA/CDC/AMDA Infection Prevention in Post-Acute and Long-Term Care Certificate Course ATTENDEE MEETING APP Downoad the SHEA Spring 2018 Meeting App today. The app contains everything you need to know about the meeting, at your fingertips: A Session Presentations Ora Abstract Presentations Poster Abstract Presentations Presenter/Speaker Information Daiy Agenda for you to create your own schedue Specia Events during the conference Foor Pans to ocate a sessions and events Genera Conference Information Access and compete your Conference and Session Evauations to downoad your CME, CNE, ABIM MOC and Attendance Certificates. You can aso view the same information onine through the SHEA Spring 2018 Attendee Porta at 4 SHEA Spring 2018 Conference

7 CREDIT TRACKER Pre-Conference Workshop Pease note: Pre-Conference Workshop is not eigibe for CNE Credits Time Tite CME, ABIM MOC Tuesday, Apri 18 2:00-2:50 p.m. Communicating Science to the Pubic :50-3:40 p.m. Bogs and Socia Media :00-4:50 p.m. 5:00-6:00 p.m. SHEA/CDC/AMDA Infection Prevention in Post-Acute & Long-Term Care Certificate Course Time 10:15-11:15 a.m. 11:15-12:00 p.m. 1:30-2:30 p.m. Tite Wednesday, Apri 18 Joint Session: Heathcare Epidemioogy: Introduction to an Emerging Fied Joint Session: Transmission of Infectious Agents In Heathcare Settings Introduction of the Post-Acute in Long-Term Care Setting CME, ABIM MOC, CNE :45-3:15 p.m. Managing Outbreaks 0.5 3:15-4:00 p.m. Occupationa Heath and Safety :15-5:30 p.m. 8:00 9:30 a.m. Strengthening IP/Stewardship at Care Transitions Thursday, Apri 19 Strategies to Prevent Infections & MDROS :00-11:15 a.m. Changing Approaches in Surveiance :15-12:00 p.m. CDI Management :45-3:45 p.m. 3:45-4:45 p.m. Crisis Communication with the Media and Pubic Work Group Breakout: Become Part of NPR s Science Communication Team Work Group Breakout: Tips on Becoming a Bogger or Setting up your Twitter Account Work Group Breakout: Crash Course in Media Training Joint Session: Post-Acute Care and Long-Term Care: Changing The Nationa Landscape and Infection Prevention Joint Session: Antibiotic Stewardship in Skied Nursing Faciities and Long-Term Care :00-5:45 p.m. Chaenging Situations Credits Earned Credits Earned Fu Conference Sessions Time 8:00-9:30 a.m. Tite Wednesday, Apri 18 Opening Penary: Crossing the Communication Chasm CME, ABIM MOC, CNE Chaenging Cases in Infection Prevention 10:00 12:00 p.m. Preparing for the Next Emergency: Improving Readiness in Hospitas, Labs 2 and Communities 1:30 2:30 p.m. The Neede and the Damage Done: The Infection Contro Impications of Opiate Diversion by Heathcare Workers 1 2:45 4:00 p.m. Hands On Vs. Hands Off Surveiance Pro/Con: Carrot or Stick :15 5:45 p.m. Joint Session: Stewardship of the Future 1.5 Thursday, Apri 19 8:00 9:30 a.m. HAI Prevention in Pediatrics :00 12:00 a.m. HAI Prevention in 2018: Best Practices Infection Prevention: Buiding Goba 2 Capacity and View 1:30 2:30 p.m. Penary: It s Not What You Say, It s How You Say It R2D2 vs Ebow Grease: Environmenta :45 4:00 p.m. Looking Beyond Our Patients: OneHeath Perspective 4:15 5:45 p.m. It s Not an Isoated Issue 1.5 Friday, Apri 20 I m Here to See the Baby 8:00 9:30 a.m. LTC: Shoud I Stay or Shoud I Go 1.5 Is Stewardship or Infection Prevention the Key to Reduction? Beauty and the Beasts: Taes from the 10:00 12:00 p.m. Front Lines of Response to Emerging Threats 2. How to Pubish What We Do 1:30 2:30 p.m. 2:45 4:00 p.m. 4:15 5:45 p.m. Interrupting the Sippery Sope of Over-Testing to Over-Treating the Urine Leveraging the Synergy of Antimicrobia Stewardship and Infection Prevention and Contro Programs Heathcare Associated Viruses Joint Session: Ask the Antibiotic Stewardship Experts How Much is Truy Preventabe and How Hard Shoud We Try Cosing Penary: Changing the Word Through Better Communication Credits Earned SCIENCE GUIDING PREVENTION 5

8 CREDIT TRACKER (CONTINUED) SHEA/CDC Training Course in Heathcare Epidemioogy Time Tite CME, ABIM MOC, CNE Credits Earned 10:15-11:15 a.m. 11:15-12:00 p.m. Wednesday, Apri 18 Joint Session: Heathcare Epidemioogy: Introduction To An Emerging Fied Joint Session: Transmission Of Infectious Agents In Heathcare Settings 1:30-2:30 p.m. The Compendium Strategies For Preventing HAIs 1 2:45-3:15 p.m. Practica Strategies for Surveiance 0.5 3:15-4:00 p.m. Environment and Ceaning :15-4:45 p.m. Steriization & Disinfection 0.5 4:45-5:45 p.m. The Science of Safety 1 8:00 9:30 a.m. Thursday, Apri 19 NHSN Measures: Learning Risk Adjustment and Assessing Prevention Impact 10:00-10:45 a.m. Approach to Epidemic/Outbreak Investigation :45-11:15 a.m. Probem Session: Outbreak in the OR :15-12:00 p.m. Unique Aspects of Pediatric Infection Contro :45-3:45 p.m. Joint Session: Post-Acute Care and Long-Term Care: Changing The Nationa Landscape and Infection Prevention 3:45-4:45 p.m. Overview of Antibiotic Stewardship 1 5:00-5:45 p.m. Specia Popuations: Immunocompromised, Diaysis & Burn Patients Friday, Apri 20 8:00-8:45 a.m. Leadership and Communication Skis :45-9:30 a.m. The Hospita Epidemioogist as A Cinica Educator :00-11:00 a.m. Occupationa Infection Prevention 1 11:00 12:00 p.m. The Roe of The Laboratory In Heathcare Epidemioogy 1 1:30-2:00 p.m. How to Read a Study & Perform Research 0.5 2:00-2:30 p.m. Business of Infection Prevention 0.5 2:45-3:15 p.m. Reguatory & Emergency Preparedness 0.5 3:15-4:00 p.m. Putting It A Together SHEA Spring 2018 Conference

9 CREDIT TRACKER (CONTINUED) SHEA Antibiotic Stewardship Training Course CE Time Tite CPE, CME, ABIM MOC, CNE Wednesday, Apri 18 ACPE UAN Breakout Session: Using Data to Drive Decisions L04-P 10:00 12:00 p.m. Breakout Session: Stewardship Intervention: From 2 Bundes to Timeouts L04-P 1:30 2:00 p.m. What Every Steward Shoud Know About Pharmacokinetics - Pharmacodynamics L01-P 2:00 2:30 p.m. Aergies, Interactions and Adverse Events, Oh My! L01-P 2:45 3:15 p.m. An Update on Duration of Therapy and Therapeutic Monitoring: Our Roe as Stewards L01-P 3:15 4:00 p.m. Tacking Liabiity Issues in Antibiotic Stewardship L03-P 4:15 5:45 p.m. Joint Session: Stewardship of the Future L01-P Thursday, Apri 19 8:00 8:45 a.m. Diagnostic Stewardship: Beginning Concepts L01-P 8:45 9:30 a.m. Case Study #1: Management of Resistant Gram Negative Infections L01-P 10:00 10:45 a.m. Case Study #2: Management of Resistant Gram Positive Infections L01-P 10:45 11:30 a.m. Rapid Diagnostic Tests and How to Impement Their Use: Mini-Lecture & Case Study # L04-P 11:30-12:00 p.m. How to Find Resources at Your Institution of Heath System L04-P 2:45-3:15 p.m. The Never Events: Managing Provider and Patient Expectations L01-P 3:15-3:45 p.m. Managing Outier Physicians: The Reuctant Steward L04-P 3:45 4:45 p.m. Joint Session: Antibiotic Stewardship in Skied Nursing Faciities and Long-Term Care L04-P 5:00-5:45 p.m. Teemedicine: Opportunities in Stewardship L04-P Friday, Apri 20 8:00 9:00 a.m. Case Study #4: Stewardship and C. Difficie Infection L01-P 9:00-9:30 a.m. Case Study #5: Pediatric Case Intervention to Improve Antibiotic Use in Pediatrics and the NICU L01-P 10:00-10:45 a.m. Case Study #6: Adut Case Intervention to Improve Management of Community Acquired Pneumonia L01-P 10:45-11:15 a.m. Stewardship at the Bedside: Engaging Front-Line Providers L04-P 11:15-12:00 p.m. Stewardship and Informatics L04-P 1:30-2:00 p.m. Deveoping an Antibiotic Stewardship Program in Ambuatory Care L04-P 2:00-2:30 p.m. Case Study #7: Adut Case Intervention to Improve Antibiotic Use in the Immunocompromised L01-P 2:45-4:00 p.m. Joint Session: Ask the Antibiotic Stewardship Experts L04-P Attendance Code (Ony required for CPE) Credits Earned SCIENCE GUIDING PREVENTION 7

10 NETWORKING EVENTS SHEA EPI COMPETITION BREAKFAST Thursday, Apri 19, 6:30 7:50 a.m., Grand Baroom I Join us on Thursday morning for the annua SHEA Epi Project Competition. Funded by the SHEA Research and Education Foundation, this competition wi award up to $20,000 in grants to eary investigators in the fied of heathcare epidemioogy research. Winning proposas wi be carefuy chosen among a poo of finaists competitivey seected prior to the competition. These finaists wi deiver ora presentations based on their proposas. An anonymous pane of judges wi evauate and score the finaists presentations based on how the proposed research project wi shape our understanding of transmission of heathcare-associated infections, and identify the best prevention methods and impementation science. The judges wi deiberate and the winner wi be announced at the Apri 19 afternoon penary session. POSTER LUNCH PRESENTATIONS Seected abstract posters wi be presented, during unch, each day of the conference from noon to 1:30 p.m. in the Exhibit/Poster Ha. There wi be time during these unch sessions to expore the posters and meet with the authors. The top twentyseven abstracts seected by the review committee are identified with a SHEA Abstract Award ribbons. POSTER TOPICS Wednesday, Apri 18 CAUTI CLABSI Disinfection/Steriization Environmenta Ceaning SSI Long-Term Acute Care Pediatrics Respiratory Virus VAE Thursday, Apri 19 Antibiotic Stewardship C. diff Impantation Science Diagnostic/Microbioogy Friday, Apri 20 Hand Hygiene MDR-GNR MRSA/VRE Outbreaks Occupationa Heath Surveiance/Pubic Heath SHEA MENTORSHIP BREAKFAST Wednesday, Apri 18, 7:00 7:50 a.m., Paviion Baroom SHEA Mentors and Mentees wi gather as the kickoff to the SHEA Mentorship Program. This Program is designed to create a strong networking community; providing, and enhancing the SHEA membership experience at a eves (e.g. student, feow, junior facuty and practitioners). The goa is to form reationships that can be carried forward beyond SHEA Spring The mentoring program seeks to cutivate supportive and mutuay rewarding reationships between the mentee and the mentor. As the mentee seeks advice and support with career deveopment and goa achievement, the mentor wi provide guidance and hep the mentee set and attain goas, as we as offer encouragement. Mentors have the satisfaction of sharing their experience and wisdom. As in any teaching reationship, the teacher often benefits from new insights and rejuvenated enthusiasm. This breakfast is open ony to registered SHEA Mentors, SHEA Mentees, and SHEA Leaders. Mentors Mayar A Mohajer Maria Amedida David Banach, MD Michae Ben-Aderet, MD Mike Brown, RN, CIC Whitney Bucke, PharmD Michae Caderwood, MD MPH Dave Cafee Susan Coffin, MD, MPH Marci Drees, MD, MS Jehan E Khoy, MD Scott Fridkin, MD JJ Furuno, PhD Shruti Gohi, MD, MPH Joost Hopman, MD Vincent Hsu, MD MPH Jesse Jacob Robin Jump, MD, PhD Marion Kainer, MD MPH Dieudonne Magoire Kamga Nei Ku, M.D. Kristi Kuper, PharmD, BCPS Grace Lee, MD, MPH Surbhi Leekha, MBBS, MPH Matt Linam, MD, MS Eric Lofgren, PhD Anu Maani, MD Larissa May, MD Jessina C. McGregor, PhD Michae Oji Michee Ordoveza, MD Trish Per, MD, MSc Chris Pfeiffer, MD, MHS Michae Phiips, MD Michae Rubin, MD, PhD Ed Septimus, MD Mamta Sharma, MD Pranavi Sreeramoju, MD, MPH Eddie Stenehjem, MD, MSc Mike Stevens, MD, MPH Scott Stienecker, MD Michae L Tapper, MD Zemedu Mehamed, MPH Kavita Trivedi, MD David J. Weber, MD, MPH Mentees Sonai Advani MD, MPH Ibukun Akinboyo, MD Meg Adrich, MD Antonie Auguste, MD Sarah Baron, MD Kesey Baubie, MS, MPH Heather Benson, BScN RN CIC Jena Bumentha, MD Harry Boamah, MD Michae Bozzea, DO Choe Bryson-Cahn, MD Patrick Burke Key Cawcutt, MD, MS Jessica Chen, Pharm.D. Khami Chokani, MD Angea Chow, MBBS, MPH, PhD Caroine Ciofi-Siva Carmen T, Cortes Ramos, MT (ASCP) SM CIC Mirian Da Ben Patricia Dandache, MD Rupak Datta, MD PhD Shandra Day, MD Anaia De Cristofano Joseph Devin Tara Leigh Donovan, MSc Saumi Doshi Lauren Dutcher, MD Andrew Dysangco, MD Misti Esworth, DO Kimbery Erukunuakpor, MPH Caroee D. Estee, MD Nicoe Fitzpatrick, MPH, RN Susan Fetcher-Gutowski, MS, BSMT, CIC Nikkiah Forbes Xiaodong Gao, BS Katherine Goodman, JD Swathi Gowtham, MD Hana Hakim, MD Carrie Haney, PhD, MPH Emiy Heenan, MSN, RN, CIC Haey Homer Heather Hsu, MD MPH Pau Jacob, MD MPH Nkwan Jacob Gobte Katheen Jharie, IPC (RN) Rashonda Kennedy, RN, BS, MBA, JD Hong Bin Kim, MD, FIDSA Jo-anne Saangsang Kein, MD, MS John Kopsidas Seetha Lakshmi, MD Lee Yew Fong Hannah Leeman James Lewis Beth Lewis, MBA, BSN, CPHQ Gregory Madden, MD Jasmine Marcein, MD Poppy Markwe, MD, MPH Lucia Martinez M. Nae Mhaissen, MD Shyam Kumar Ryo Miyakawa, MD Rima Moghnieh Muhanad Mohamed SaraLee Moinari, PharmD Meissa Morgan Martha Muer, MD Neha Nanda, MD Bhagy Navakee, MD Peggy Newman, MD Rany Octaria Stea Okoye, MD Sean O Maey Apri Pamer, MD Deborah Passey, PhD Deb Burdsa Jeff Pearson, PharmD Mariangea Pena-Gonzaez Pave Prusakov, PharmD Mireia Puig-Asensio S. Sonia Qasba, MD, MPH Rosa Ravariere-Seaman Ashey Richter, MPH, CIC Sara Eoisa Rivera Moina Tashina Robinson Priscia Rupai Jorge L Sainas, MD Maie Sater Smita Sarma Michae Schweikert, MPH, M(ASCP) CM, CIC Saranya Seetharaman, MBBS, MPH Emiy Shing, MPH Matt Simon, MD Miranda Smith, MPH Pavithra Srinivas, PharmD Stephanie Stering, MD, MPH Naresh Sunkara, PhD Roza Tammer Patricia Teez Watson, MD Dat Tran Scott Troppy Ana Vaughan, MD, MPH Vaerie Vaughn, MD, MSc Mitch Vaughn, PharmD Ravi K Vemuri, MD Neethi Venkatappa, MD Roberto Viau Coindres Eizabeth Waters Matthew Washam, MD MPH Zach Wiis, MD, MPH Jennifer Yim, BSN, RN, CIC Mariam Younas, MD Hui Zhang 8 SHEA Spring 2018 Conference

11 NETWORKING EVENTS Paca Cardo Crozier 4 TH ANNUAL SHEA EDUCATION AND RESEARCH FOUNDATION DINNER (ticketed event) Thursday, Apri 19, 6:00 9:30 p.m., Word Forestry Center The SHEA Education & Research Foundation is hosting the annua Foundation Dinner during SHEA Spring We invite you to come and participate in this fireside chat with a candid discussion moderated by NPR s Joe Paca, PhD, featuring Denise Cardo, MD, Director of the Division of Heathcare Quaity Promotion (DHQP), Nationa Center for Emerging and Zoonotic Infectious Diseases (NCEZID) at the Centers for Disease Contro and Prevention (CDC), and Ian Crozier, MD, Infectious Disease Speciaist and Eboa Survivor. We hope you wi consider joining us for this memorabe event! This is a ticketed event. If you did not purchase a ticket in advance, a imited number of tickets are avaiabe for purchase at Registration unti 5:00 p.m. Wednesday, Apri 18. Pease note: Transportation wi be provided for this event. Pease meet outside the Hiton Portand Downtown Lobby starting at 5:30. SHEA WOMEN IN EPI BREAKFAST Friday, Apri 20, 6:30 7:50 a.m. Atrium Baroom Women in the fied of heathcare epidemioogy are encouraged to attend this women s ony eadership breakfast. Women are increasingy entering the fied of heathcare epidemioogy, but have had few opportunities to meet and discuss the chaenges. This event is designed to faciitate networking and mentoring among women with extensive careers in heathcare epidemioogy and those sti in training or starting out in the fied.. CONSIDER A DONATION TO SHEA S EDUCATION & RESEARCH FOUNDAION SHEA is committed to providing members what they need to be eaders in their faciities now and into the future. Membership dues cover ony a sma percentage of what SHEA needs to provide these vauabe toos and opportunities. We need the hep and commitment from a members to continue to recruit and transform SHEA members into SHEA eaders, and to hep train the next generation of heathcare epidemioogists. Pease visit Donate.aspx to find out how to make an onine tax-deductibe donation or emai brady@shea-onine.org to make your donation. SCIENCE GUIDING PREVENTION 9

12 SHEA AWARDS GINA PUGLIESE SCHOLARSHIP AWARDEES The Gina Pugiese Schoarship was estabished by SHEA to promote the training of a non-physician infection preventionist (IP) who has shown outstanding interest and eadership in the fied or works in a resource imited setting. SHEA estabished this schoarship in honor of Gina Pugiese, RN, MS, a prominent IP and eader in the fied of heathcare epidemioogy. Ms. Pugiese was a founding facuty member of the SHEA/CDC Training Certificate Course in Heathcare Epidemioogy and co-chair for fifteen years. BILL RUTALA SCHOLARSHIP AWARDEES The Bi Rutaa Schoarship was estabished by SHEA to promote the training of a non-physician interested in the research of heathcare-associated infections. SHEA estabished this schoarship in honor of Wiiam Rutaa, MS, MPH, PhD a prominent SHEA eader the fied of heathcare epidemioogy research. Dr. Rutaa was the SHEA Lectureship awardee in 2012 and has worked tireessy researching areas such as disinfection, steriization, cross-infection, heathcare-associated infections, outbreaks, antibiotic-resistant pathogens. JOHNATHAN FREEMAN SCHOLARSHIP AWARDEES The Jonathan Freeman Schoarship was estabished by SHEA to promote the training of outstanding infectious disease feows who demonstrate interest in the fied of heathcare epidemioogy. The society estabished the schoarship in the memory of Jonathan Freeman, MD, MPH, a teacher and researcher in fied of heathcare epidemioogy dedicated to improving the deivery of heathcare through the prevention of nosocomia infections. Dr. Freeman was a founding facuty member who for a decade taught the epidemioogy and statistics track of the course. Caroine Siva Meissa Morgan Eizabeth Waters Haey Homer Ibukunouwa Akinboyo Rupak Datta Mireia Puig- Asensio Teppei Shimasaki Anna Sick- Samues GENERAL INFORMATION SPEAKER READY ROOM Counci Suite Tuesday, Apri 17, 2:30 5:30 p.m. Wednesday Apri 18, 6:30 a.m. 5:30 p.m. Thursday, Apri 19, 6:30 a.m. 5:30 p.m. Friday, Apri 20, 6:30 a.m. 4:15 p.m. The Counci Suite serves as the speaker ready room for presenters to review presentations as we as check for any ast-minute issues. Professiona audiovisua staff wi be avaiabe in the speaker ready room to provide assistance. Speakers are required to arrive at the room they 10 SHEA Spring 2018 Conference are presenting in 15 minutes before their session starts to meet with the moderator of the session. Pease note: Any changes made to your presentation needs to be upoaded one day before your session in the Speaker Ready Room. We recommend any changes made day of to be mentioned verbay during your presentation. INTERNET CONNECTION Wireess internet connection wi not be provided in the meeting rooms. Compimentary WiFi connection wi be avaiabe in the hote obby and guest seeping rooms. SESSION CHANGES SHEA wi dispay a message board in the registration area (Grand Baroom Foyer), which wi dispay daiy session changes.

13 SHEA AWARDS SHEA PUBLIC HEALTH SCHOLARSHIPS AWARDEES In 2018, the SHEA Education & Research Foundation (SHEA/ERF) estabished SHEA/ ERF Pubic Heath Schoarships to promote the training and advancement of pubic heath professionas who work in various capacities reated to infection prevention and antibiotic stewardship within pubic heath systems. The creation of these schoarships demonstrates a commitment by SHEA/ERF to strengthen reationships between SHEA members who serve as eaders heathcare infection prevention/ antibiotic stewardship teams and pubic heath professionas. Additionay, SHEA/ ERF is committed to improving awareness and expertise on infection prevention, HAIs, and antibiotic stewardship of professionas who serve at the pubic heath eve. The schoarships are a part of a arger investment the SHEA/ERF is making in 2018 to focus on Pubic Heath and the roe they pay in both infection and antibiotic stewardship. Rany Octaria, MD, MPH Tennessee Tashina Robinson IWashington Mara Sievers New Mexico Roza Tammer Oregon Brian Hart Michigan Tiina Peritz, RN, BSN, MS Pennsyvania Dat Tran, MD, MS Oregon Scott Troppy Massachusetts Not Pictured: Ahmed Hassabaa, Iinois Maureen Cassidy, Oregon Sean O Maey, Caifornia Hannah Leeman, BA, New Hampshire REGISTRATION Grand Baroom Foyer Tuesday, Apri 17, 1:00 6:15 p.m. Wednesday Apri 18, 6:00 a.m. 6:00 p.m. Thursday, Apri 19, 6:30 a.m. 5:30 p.m. Friday, Apri 20, 6:30 a.m. 4:15 p.m. EDUCATION AND MEMBERSHIP BOOTHS Grand Baroom Foyer Wednesday, Apri 18, 6:00 a.m. - 6:00 p.m. Thursday, Apri 19, 6:30 a.m. - 5:30 p.m. Friday, Apri 20, 6:30 a.m.- 4:15 p.m. POSTER VIEWING HOURS Posters are avaiabe for viewing in the Exhibit/Poster Ha. Viewing hours are isted beow. Wednesday Apri 18, 11:30 a.m. 7:15 p.m. Thursday, Apri 19, 7:00 a.m. 6:00 p.m. Friday, Apri 20, 7:00 a.m. 1:30 p.m. Posters wi ony have presentations during unch Wednesday - Friday from 12:00 1:30 p.m. INTERNATIONAL LOUNGE Park Room New this year, on the Paza Leve in the Park Room, there is a ounge for Internationa attendees to minge and get acquainted with one another. Lounge hours are beow. Wednesday Apri 18, 9:00 a.m. 4:00 p.m. Thursday, Apri 19, 9:00 a.m. 4:00 p.m. Friday, Apri 20, 9:00 a.m. 4:00 p.m. SCIENCE GUIDING PREVENTION 11 GENERAL INFORMATION

14 SHEA INTERNATIONAL AMBASSADORS INTERNATIONAL AMBASSADORS PROGRAM WINNERS In its tenth year, the Internationa Ambassadors Program (IAP) buids coaborative reationships between U.S. and internationa heathcare professionas with expertise in heathcare epidemioogy and infection prevention. The Internationa Ambassadors Program seeks candidates with 5 to 20 years of experience in order to aow for those more advanced in their career to attend as we. Since 2009, SHEA has partnered with 3M to benefit the internationa community of heathcare professionas dedicated to infection prevention through our Internationa Ambassadors Program. Rupai Priscia India Forbes Nikkiah Bahamas Cheng Chi Chung Vincent Hong Kong Kopsidas Ioannis Greece Lee Yew Fong Maaysia E Khoy Jehan Ai Egypt Chow Angea Singapore Sarma Smita India Ravariere-Seaman Rosa British Virgin Isands Gobte Nkwan Jacob Cameroon Jharie - Kuisch Katheen Deborah Manoita Suriname Zhang Hui China Kanamori Hajime Japan Mishra Baishnab Shyam Kumar Nepa Gao Xiaodong China De Cristofano Anaia Argentina Rivera Sara Honduras Moghnieh Rima Lebanon 12 SHEA Spring 2018 Conference

15 SCHEDULE AT A GLANCE TUESDAY, APRIL 17 1:30 1:50 p.m. Registration Open Grand Baroom Foyer 2:00 6:00 p.m. Pre-Conference Workshop: Spreading Information Not Infection: Making Infection Prevention and Hospita Epidemioogy Digestibe for the Pubic Paviion Baroom 2:30 5:30 p.m. Speaker Ready Room Counci Suite WEDNESDAY, APRIL 18 6:00 a.m. 6:00 p.m. Registration Open Grand Foyer Baroom 6:30 a.m. 5:30 p.m. Speaker Ready Room Counci Suite 9:00 am. 4:00 p.m. Internationa Lounge Park Room 7:00 7:50 a.m. Mentorship Breakfast (by invitation ony) Paviion Baroom 8:00 9:30 a.m. Opening Penary: Crossing the Communication Chasm Grand Baroom I 9:30 10:00 a.m. Networking Break Grand Baroom Foyer 10:00 10:15 a.m. Joint Session: Course Overview Paviion Baroom 10:00 12:00 p.m. Chaenging Cases in Infection Prevention Grand Baroom I Preparing for the Next Emergency: Improving Readiness in Hospitas, 10:00 12:00 p.m. Labs and Communities Grand Baroom II 10:15 11:15 a.m. Joint Session: Heathcare Epidemioogy: Introduction To An Emerging Fied Paviion Baroom 11:15 12:00 p.m. Joint Session: Transmission Of Infectious Agents In Heathcare Settings Paviion Baroom Ready, Set Go: Antimicrobia Stewardship in Action Using Data to Drive 10:00 12:00 p.m. Decisions Broadway Room Ready, Set Go: Antimicrobia Stewardship in Action Stewardship 10:00 12:00 p.m. Interventions: From Bundes to Time Outs Gaeria 12:00 1:30 p.m. Networking Lunch with Poster Presentations Exhibit/Poster Ha The Neede and the Damage Done: The Infection Contro Impications of 1:30 2:30 p.m. Opiate Diversion by Heathcare Workers Grand Baroom I 1:30 2:30 p.m. Ora Abstracts: MRSA: New Prevention for an Od Probem Grand Baroom II 1:30 2:30 p.m. The Compendium Strategies For Preventing HAIs Paviion Baroom 1:30 2:30 p.m. Introduction to the Post-Acute and Long-Term Care Setting Broadway Room What Every Steward Shoud Know About Pharmacokinetics 1:30 2:00 p.m. Gaeria - Pharmacodynamics 2:00 2:30 p.m. Aergies, Interactions and Adverse Events, Oh My! Gaeria 2:30 2:45 p.m. Networking Break Grand Baroom Foyer 2:45 3:15 p.m. Practica Strategies for Surveiance Paviion Baroom 2:45 4:00 p.m. Hands On Vs. Hands Off Surveiance Grand Baroom II 2:45 4:00 p.m. Pro/Con: Carrot or Stick Grand Baroom I 2:45 3:15 p.m. Managing Outbreaks Broadway Room 2:45 3:15 p.m. An Update on Duration of Therapy: Our Roe as Stewards Gaeria 3:15 4:00 p.m. Environment and Ceaning Paviion Baroom 3:15 4:00 p.m. Occupationa Heath and Safety Broadway Room 3:15 4:00 p.m. Tacking Liabiity Issues in Antibiotic Stewardship Gaeria 4:15 5:45 p.m. Ora Abstracts: A Fresh Look at the Fundamentas Grand Baroom II 4:15 5:45 p.m. Joint Session: Stewardship of the Future Grand Baroom I 4:15 4:45 p.m. Steriization & Disinfection Paviion Baroom 4:15 5:30 p.m. Strengthening IP/Stewardship at Care Transitions Broadway Room 4:45 5:45 p.m. The Science of Safety Paviion Baroom 6:00 8:00 p.m. Wecome Reception #SHEAMembershipMatters Exhibit/Poster Ha Penaries Ora Abstract Sessions Fu Conference Sessions SHEA/CDC Training Certificate Course in Heathcare Epidemioogy SHEA Antibiotic Stewardship Training Course Meas/Networking Beaks Other SCIENCE GUIDING PREVENTION 13

16 SCHEDULE AT A GLANCE THURSDAY, APRIL 19 6:30 a.m. 6:00 p.m. Registration Open Grand Foyer Baroom 6:30 a.m. 5:30 p.m. Speaker Ready Room Counci Suite 9:00 am. 4:00 p.m. Internationa Lounge Park Room 6:30 7:50 a.m. SHEA Epi Competition Breakfast Grand Baroom I 8:00 9:30 a.m. HAI Prevention in Pediatrics 2018 Grand Baroom II 8:00 9:30 a.m. Ora Abstracts: The Daiy Report Grand Baroom I NHSN Measures: Learning Risk Adjustment and Assessing Prevention 8:00 9:30 a.m. Paviion Baroom Impact 8:00 9:30 a.m. Strategies to Prevent Infections & MDRO Broadway Room 8:00 8:45 a.m. Diagnostic Stewardship: Beginning Concepts Gaeria 8:45 9:30 a.m. Case Study #1: Management of Resistant Gram Negative Infections Gaeria 9:30 10:00 a.m. Networking Break Grand Baroom Foyer 10:00 12:00 p.m. HAI Prevention in 2018: Best Practices Grand Baroom I 10:00 12:00 p.m. Infection Prevention: Buiding Goba Capacity and View Grand Baroom II 10:00 10:45 a.m. Approach to Epidemic/Outbreak Investigation Paviion Baroom 10:00 11:15 a.m. Changing Approaches in Surveiance Broadway Room 10:00 10:45 a.m. Case Study #2: Management of Resistant Gram Positive Infections Gaeria 10:45 11:15 a.m. Probem Session: Outbreak in the OR Paviion Baroom Rapid Diagnostic Tests and How to Impement Their Use: Mini-Lecture & 10:45 11:30 a.m. Gaeria Case Study #3 11:15 12:00 p.m. Unique Aspects of Pediatric Infection Contro Paviion Baroom 11:15 12:00 p.m. CDI Management Broadway Room 11:30 12:00 p.m. How to Find Resources at Your Institution of Heath System Gaeria 12:00 1:30 p.m. Networking Lunch with Poster Presentations Exhibit/Poster Ha 1:30 2:30 p.m. Penary: It s Not What You Say, It s How You Say It Grand Baroom I 2:30 2:45 p.m. Networking Break Grand Baroom Foyer 2:45 4:00 p.m. R2D2 vs. Ebow Grease: Environmenta Grand Baroom I 2:45 4:00 p.m. Looking Beyond Our Patients: OneHeath Perspective Grand Baroom II 2:45 3:45 p.m. Joint Session: Post-Acute Care and Long-Term Care: Changing The Nationa Landscape and Infection Prevention Paviion Baroom 2:45 3:15 p.m. The Never Events: Managing Provider and Patient Expectations Gaeria 3:15 3:45 p.m. Managing Outier Physicians: The Reuctant Steward Gaeria 3:45 4:45 p.m. Overview of Antibiotic Stewardship Paviion Baroom 3:45 4:45 p.m. Joint Session: Antibiotic Stewardship in Skied Nursing Faciities and Long-Term Care Gaeria 4:15 5:45 p.m. It s Not an Isoated Issue Grand Baroom I 4:15 5:45 p.m. Ora Abstracts: Microbes on the Move Grand Baroom II 5:00 5:45 p.m. Specia Popuations: Immunocompromised, Diaysis & Burn Patients Paviion Baroom 5:00 5:45 p.m. Chaenging Situations Broadway Room 5:00 5:45 p.m. Teemedicine: Opportunities in Stewardship Gaeria 6:00 9:30 p.m. Foundation Dinner (advanced purchase required) Word Forestry Museum Penaries Ora Abstract Sessions Fu Conference Sessions SHEA/CDC Training Certificate Course in Heathcare Epidemioogy SHEA Antibiotic Stewardship Training Course Meas/Networking Beaks 14 SHEA Spring 2018 Conference Other

17 SCHEDULE AT A GLANCE FRIDAY, APRIL 20 6:00 a.m. 4:15 p.m. Registration Open Grand Foyer Baroom 6:30 a.m. 4:15 p.m. Speaker Ready Room Counci Suite 9:00 am. 4:00 p.m. Internationa Lounge Park Room 6:30 7:50 a.m. Women in Epi Breakfast Atrium Baroom 7:00 7:50 a.m. Breakfast with Poster Viewing Exhibit/Poster Ha 8:00 9:30 a.m. I m Here to See the Baby Grand Baroom II 8:00 9:30 a.m. LTC: Shoud I Stay or Shoud I Go Broadway Room 8:00 9:30 a.m. Pro/Con: Switching It up: Costridium difficie Infection Prevention. Is Stewardship or Infection Prevention the Key to Reduction? Grand Baroom I 8:00 8:45 a.m. Leadership and Communication Skis Paviion Baroom 8:00 9:00 a.m. Case Study #4: Stewardship and C. Difficie Infection Gaeria 8:45 9:30 a.m. The Hospita Epidemioogist as a Cinica Educator Paviion Baroom Case Study #5: Pediatric Case Intervention to Improve Antibiotic Use in 9:00 9:30 a.m. Pediatrics and the NICU Gaeria 9:30 10:00 a.m. Networking Break Grand Baroom Foyer 10:00 11:00 a.m. Occupationa Infection Prevention Paviion Baroom Beauty and the Beasts: Taes from the Front Lines of Response to 10:00 12:00 p.m. Grand Baroom I Emerging Threats 10:00 12:00 p.m. How to Pubish What We Do Grand Baroom II 10:00 12:00 p.m. Ora Abstracts: At the Intersection of Antibiotics and Resistance Broadway Room Case Study #6: Adut Case Intervention to Improve Management of 10:00 10:45 a.m. Gaeria Community Acquired Pneumonia 10:45 11:15 a.m. Stewardship at the Bedside: Engaging Front-Line Providers Gaeria 11:00 12:00 p.m. The Roe of the Laboratory in Heathcare Epidemioogy Paviion Baroom 11:15 12:00 p.m. Stewardship and Informatics Gaeria 12:00 1:30 p.m. Networking Lunch With Poster Presentations Exhibit/Poster Ha 1:30 2:30 p.m. Interrupting the Sippery Sope of Over-Testing to Over-Treating the Urine Grand Baroom II Joint APIC Session: Leveraging the Synergy of Antimicrobia Stewardship 1:30 2:30 p.m. Grand Baroom I and Infection Prevention and Contro Programs 1:30 2:30 p.m. Pro/Con: Heathcare Associated Viruses Broadway Room 1:30 2:00 p.m. How to Read a Study & Perform Research Paviion Baroom 1:30 2:00 p.m. Deveoping and Antibiotic Stewardship Program in Ambuatory Care Gaeria 2:00 2:30 p.m. Business of Infection Prevention: Promoting Growth of a Program Paviion Baroom Case Study #7: Adut Case Intervention to Improve Antibiotic Use in the 2:00 2:30 p.m. Gaeria Immunocompromised 2:30 2:45 p.m. Networking Break Grand Baroom Foyer 2:45 4:00 p.m. Joint Session: Ask the Antibiotic Stewardship Experts Gaeria 2:45 4:00 p.m. Best Ora Abstract Session Grand Baroom II 2:45 4:00 p.m. How Much is Truy Preventabe and How Hard Shoud We Try? Grand Baroom I 2:45 3:15 p.m. Reguatory & Emergency Preparedness Paviion Baroom 3:15 4:00 p.m. Putting It A Together Paviion Baroom 4:15 5:45 p.m. Cosing Penary: Changing the Word Through Better Communication Grand Baroom I Penaries Ora Abstract Sessions Fu Conference Sessions SHEA/CDC Training Certificate Course in Heathcare Epidemioogy SHEA Antibiotic Stewardship Training Course Meas/Networking Beaks Other SCIENCE GUIDING PREVENTION 15

18 HILTON PORTLAND DOWNTOWN Baroom Leve PARLOR A Paza Leve PAVILION BALLROOM ATRIUM BALLROOM TUESDAY, Apri 17 GRAND BALLROOM I II PARLOR C BANQUET PLAZA FOYER BALLROOM FOYER Access to Exhibit Ha BROADWAY ROOM PARK ROOM GALLERIA Grand Baroom I Fu Conference Sessions, Penary Sessions, Epi Competition Breakfast Grand Baroom II Fu Conference Sessions, Abstract Sessions Paror A and C Pre-Conference Workshop Breakouts Grand Baroom Foyer Registration, Membership Booth, Networking Breaks, Education Booth, Engagement Booth Access to Exhibit/Poster Ha Networking Lunch with Poster, Wecome Reception Presentations Paviion Baroom SHEA/CDC Heathcare Epidemioogy Course, Mentorship Breakfast Broadway Room Antibiotic Stewardship Training Course, Post-Acute and Long-Term Care Course, Fu Conference Sessions, Ora Abstract Sessions Atrium Baroom Women in Epi Breakfast Park Room Internationa Lounge Gaeria Antibiotic Stewardship Training Course, Pre-Conference Workshop 3rd Foor Conference Leve COUNCIL Counci Suite Speaker Ready Room 16 SHEA Spring 2018 Conference

19 PRE-CONFERENCE WORKSHOP SPREADING INFORMATION NOT INFECTION: MAKING INFECTION PREVENTION AND HOSPITAL EPIDEMIOLOGY DIGESTIBLE FOR THE PUBLIC REGISTRATION OPEN 1:00 6:00 p.m. Grand Baroom Foyer COMMUNICATING SCIENCE TO THE PUBLIC 2:00 2:50 p.m. Gaeria Joe Paca, PhD Demonstrate how to effectivey communicate science to the pubic Avoid jargon and other pitfas that imit communication of science to the pubic BLOGS AND SOCIAL MEDIA 2:50 3:40 p.m. Gaeria Setting Up Twitter Esther Choo, MD, MPH Bogs and Socia Media Michae Edmond, MD, MPH, MPA Demonstrate how to use bogging as a way to communicate information to the pubic Discuss the strengths and imitations of various forms of socia media Demonstrate how to use socia media as a way to communicate information to the pubic BREAK 3:40 4:00 p.m. Moderators: Kari Simonsen, MD and Lauri Hicks, DO CRISIS COMMUNICATION WITH THE MEDIA AND PUBLIC 4:00 4:50 p.m. Gaeria Jonathan Modie, BA, and Jamie Bash, MPH Discuss the key steps to effective crisis communication with the media and the pubic List common mistakes made during crisis communication WORK GROUP BREAKOUT SESSIONS 5:00 6:00 p.m. Demonstrate how to effectivey communicate science to the pubic Demonstrate how to use bogging and socia media as ways to communicate information to the pubic Demonstrate how to effectivey communicate with the media and the pubic during a crisis situation BECOME PART OF NPR S SCIENCE COMMUNICATION TEAM Paror A Joe Paca, PhD, and Madeine Sofia, PhD TIPS ON BECOMING A BLOGGER OR SETTING UP YOUR TWITTER ACCOUNT Paror C Esther Choo, MD, MPH, and Michae Edmond, MD, MPH, MPA TUESDAY, Apri 17 CRASH COURSE IN MEDIA TRAINING Gaeria Jonathan Modie, BA, and Jamie Bash, MPH SCIENCE GUIDING PREVENTION 17

20 WEDNESDAY, Apri 18 SHEA MENTORSHIP BREAKFAST (BY INVITATION ONLY) 7:00 7:50 a.m. Paviion Baroom OPENING PLENARY: CROSSING THE COMMUNICATION CHASM 8:00 9:30 a.m. Grand Baroom I Moderators: Judy Guzman-Cottri, DO, and Matthew Linam, MD, MS Integrating Infection Prevention with Quaity and Safety: Everyone in One Sandbox Zintars Bedavs, MS The Business of Stewardship: Communicating With and Convincing your C-Suite Keith Kaye, MD, MPH Identify chaenges that cause Infection Prevention and Quaity and Safety to work in sios Impement strategies to improve the integration of Infection Prevention and Quaity and Safety Effectivey communicate the business case of Antibiotic Stewardship Programs when discussing Antibiotic Stewardship Programs to faciity administrators PREPARING FOR THE NEXT EMERGENCY: IMPROVING READINESS IN HOSPITALS, LABS AND COMMUNITIES 10:00 a.m. 12:00 p.m. Grand Baroom II Moderators: Jan Patterson, MD, MS, and Juie Trivedi, BS, MD SHEA/CDC s Outbreak Response Training Program (ORTP): A Constant State of Readiness! Judith Guzman-Cottri, DO The Antibiotic Resistance Laboratory Network (ARLN) Marion Kainer, MBBS, MPH The Counci for Outbreak Response: Heathcare-Associated Infections & Antibiotic-Resistant Pathogens (CORHA) Joseph Perz, DrPH MA Become famiiar with avaiabe training programs and key community partners invoved in emergency preparedness and response Describe strategies for communication and coordination with oca and state pubic heath officias and faciities Identify practica strategies to maintain and improve readiness to respond between emergencies NETWORKING BREAK 9:30 10:00 a.m. Grand Baroom Foyer FULL CONFERENCE CHALLENGING CASES IN INFECTION PREVENTION 10:00 a.m. 12:00 p.m. Grand Baroom I Moderators: Beinda Ostrowsky, MD, MPH, and Shurti Gohi, MD, MPH Case 1 Latania Logan, MD Case 2 David A. Nace, MD, MPH Case 3 David Cafee, MD, MS Case 4 Priya Nori, MD Discuss rea-word chaenges in infection prevention in various heathcare settings Compare strengths and weaknesses of soutions to chaenging probems Formuate management strategies and discuss resources to assist in the impementation of the soutions discussed Compare knowedge with other peers and assess cinica acumen in infection prevention COURSE OVERVIEW JOINT SESSIONS 10:00 10:15 a.m. Paviion Baroom Sarah Haesser, MD Lauri Hicks, DO Nimaie Stone, MD, MS Orientation to course materias Overview of course structure HEALTHCARE EPIDEMIOLOGY: INTRODUCTION TO AN EMERGING FIELD 10:15 11:15 a.m. Paviion Baroom Trish Per, MD, MSc Obtain a broad overview of the importance of basic concepts in infection prevention, incuding hand hygiene and asepsis, isoation precautions, disinfection and steriization, device reprocessing, and environmenta ceaning Define occupationa heath-reated issues and procedures Examine immunization of HCW and patients 18 SHEA Spring 2018 Conference

21 TRANSMISSION OF INFECTIOUS AGENTS IN HEALTHCARE SETTINGS 11:15 a.m. 12:00 p.m. Paviion Baroom Michae Be, MD Discuss modes of transmission for important heathcare pathogens Evauate methods for interruption of transmission of pathogens in heathcare settings Discuss how to impement effective methods to prevent transmission Overview of the modes of transmission of pathogens Describe purpose and types of soation precautions, air handing, persona protective equipment, and other ways of preventing transmission of pathogens in the heathcare setting SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE Track Coordinators: Kavita Trivedi, MD, and Eizabeth Dodds-Ashey, PharmD, MHS READY, SET, GO: ANTIMICROBIAL STEWARDSHIP IN ACTION USING DATA TO DRIVE DECISIONS 10:00 a.m. 12:00 p.m. Broadway Room Introduction Eizabeth Dodds-Ashey, PharmD, MHS and Kavita Trivedi, MD Antibiotic Use Data Whitney Bucke, PharmD Other Data Eements Usefu to Stewardship Eizabeth Dodds-Ashey, PharmD, MHS Expain how to empoy pharmacy reated metrics Days of Therapy (DOTs) or Defined Daiy Doses (DDDs) for measuring antibiotic use and merits of each Discuss methods for measuring and reporting the impact of an antibiotic stewardship program incuding CDC s Nationa Heathcare Safety Network Antibiotic Utiization Modue Expain how to conduct a needs assessment for your institution Describe unique chaenges for measuring antibiotic stewardship across mutipe sites or within a heath system Discuss scaabiity - how and where to expand your program READY, SET GO: ANTIMICROBIAL STEWARDSHIP IN ACTION - STEWARDSHIP INTERVENTIONS: FROM BUNDLES TO TIME OUTS 10:00 a.m. 12:00 p.m. Gaeria Bunde Impementation Kavita Trivedi, MD Time Out Impementation Kristi Kuper, PharmD Time Out Impementation Discuss reevant process and outcomes measures to sustain the business case for antibiotic stewardship interventions Describe key eements necessary to impement and maintain various stewardship interventions Bunde Impementation Expain how to assess the best types of intervention based on oca needs assessment Identify best first steps to initiate an antibiotic stewardship intervention in your institution Discuss specific stewardship strategies and methods, merits, and drawbacks based on resource avaiabiity WEDNESDAY, Apri 18 SCIENCE GUIDING PREVENTION 19

22 POSTER PRESENTATIONS: WEDNESDAY, Apri 18 NETWORKING LUNCH WITH POSTER PRESENTATIONS 12:00 1:30 p.m. Exhibit/Poster Ha 200 Antimicrobia Resistance and Infection Contro Practices: Provincia Long-Term Care Survey in Ontario, Canada Emiy Shing, MPH, Samir N Pate, Michee E Poicarpio, Jennifer Robertson and Gary Garber, Pubic Heath Ontario, Toronto, ON, Canada 201 Muti-Drug Resistant Organism Acquisition and Costridium difficie Infection with Copper- Impregnated Linens Gregory R. Madden, MD 1, Brenda E. Heon, RN, BSN, CDE 2 and Costi D. Sifri, MD 1, (1)University of Virginia Heath System, Charottesvie, VA, USA, (2)University of Virginia Transitiona Care Hospita, Charottesvie, VA, USA 202 A Snapshot of Hospita Ceaning in Austraia Insights from a Large Muti-Site Ceaning Tria Aison Farrington, RN, MEdT 1, Lisa Ha, PhD 2,3 and Brett G. Mitche, RN, PhD 4, (1)Institute of Heath and Biomedica Innovation Queensand University of Technoogy, Kevin Grove, Austraia, (2)Institute of Heath and Biomedica Innovation, Queensand University of Technoogy, Brisbane, Austraia, (3)Schoo of Pubic Heath, University of Queensand, Brisbane, Austraia, (4)Avondae Coege of Higher Education, Sydney, NSW, Austraia 204 Catheter Remova and Outcomes of Mutidrug Resistant Centra-Line Associated Boodstream Infection Jason P. Burnham, MD 1, Rebecca P Rojek, MPH 2 and Marin H. Koef, MD 3, (1)Washington University in St. Louis Schoo of Medicine, Saint Louis, MO, USA, (2)Barnes-Jewish Hospita, Saint Louis, MO, USA, (3)Washington University in St. Louis, Saint Louis, MO, USA 205 Norovirus Recovery from Foor and Air After Different Decontamination Protocos Caroine Lopes Ciofi-Siva, phd 1, Camia Quartim de Moraes Bruna, PhD 2, Kazuko Uchikawa Graziano, Professor 3, Rita de Cássia Compagnoi Carmona, PhD 4, Ada Graciee Caudio dos Santos Ameida, MD 5, Natáia Mayumi Inada, PhD 6 and Vanderei Bagnato, Professor 6, (1)Campinas Medica Center, Campinas, Brazi, (2)Schoo of Nursing - University of São Pauo, São Pauo, Brazi, (3)Schoo of Nursing, University of São Pauo, São Pauo, Brazi, (4)Enteric Diseases Laboratory, São Pauo, Brazi, (5)Federa University of Aagoas, Maceió, Brazi, (6)Institute of Physics, University of São Pauo, São Caros, Brazi 206 Hospita-Acquired Vira Respiratory Infections (HA- VRI) in a Tertiary Neonata Intensive Care Unit (NICU) Caudette Lapage Pooe, MD, Ceceia Hutto, MD, Bernard Camins, MD and Mark Prichard, PhD, University of Aabama in Birmingham, Birmingham, AL, USA 207 Impementation of an Evidence Based Bunde to Reduce Coorecta Surgica Site Infections Heather Abert, BSN, RN, CIC 1, Nadia Masroor, MPH 1, Paua Spencer, MSHA 1, Donna Winborne, BSN, MSHA 1, Mary Fain, PMP 1, Kaia Cooper, MSN, RN, CIC 1, Michae Scott, MB, ChB, FRCP, FRCA, FFICM 1, Michae Stevens, MD, MPH 2, Michee Do, MD, MPH 2 and Gonzao Bearman, MD 2, (1)VCU Heath, Richmond, VA, USA, (2)Virginia Commonweath University Heath System, Richmond, VA, USA 208 Barriers and Perceptions of Environmenta Ceaning Laura Pedersen, BS 1, Nadia Masroor, MPH 1, Kaia Cooper, MSN, RN, CIC 1, Amie Patrick, BSN 1, Michee Sanders Feming, MSN 1, Michee Do, MD, MPH 2, Michae Stevens, MD, MPH 2 and Gonzao Bearman, MD, MPH 1, (1)VCU Heath, Richmond, VA, USA, (2)Virginia Commonweath University Heath System, Richmond, VA, USA 209 Cost-Effectiveness Anaysis of Staphyococcus Aureus Screening and Decoonization Susan Kine, MD, MPH 1, Erinn Sanstead, MPH 2, James R. Johnson, MD 1 and Shaini Kuasingham, PhD 2, (1)University of Minnesota, Medica Schoo, Dept. of Medicine, Infectious Disease Division, Minneapois, MN, USA, (2)University of Minnesota Schoo of Pubic Heath, Division of Epidemioogy, Minneapois, MN, USA 210 Impact of Refex Urine Cutures on Catheter Associated Urinary Tract Infections at an Academic Medica Center Sonai Advani, MBBS, MPH 1, Lawrence Sann, MD 2, Cindy Smith, BSN, RN 3, Rupak Datta, MD, PhD 4, Michae Leapman, MD 5, Adam Hitteman, MD, PhD 5, Linda Suivan, BSN, MBA 6, Manisha Juthani- Mehta, MD 1 and Richard A. Martineo, MD 7, (1)Yae Schoo of Medicine, Department of Medicine, Section of Infectious Diseases, New Haven, CT, USA, (2)Yae Schoo of Medicine, Department of Surgery, Section of Genera Surgery, Trauma and Surgica Critica Care, New Haven, CT, USA, (3)Yae New Haven Hospita, New Haven, CT, USA, (4)Yae University Schoo of Medicine, New Haven, CT, USA, (5)Yae Schoo of Medicine, Department of Uroogy, New Haven, CT, USA, (6)Yae New Haven Hospita, Department of Infection Prevention, New Haven, CT, USA, (7) Yae Schoo of Medicine, Department of Medicine and Pediatrics, Section of Infectious Diseases, New Haven, CT, USA 211 Compiance with Interventions to Reduce Surgica Site Infection (SSI) Foowing Tota Hip and Knee Arthropasty Emiy Sechrist 1, Jennifer Faherty, RN, MPH, CIC 2, Juie E. Mangino, MD 2 and Shandra R. Day, MD 2, (1)Coege of Pubic Heath, The Ohio State University, Coumbus, OH, USA, (2)The Ohio State University Wexner Medica Center, Coumbus, OH, USA 212 Characterizing Mucosa Barrier Injury Laboratory- Confirmed Boodstream Infections in Pediatric Hematoogy-Oncoogy Patients Hana Hakim, MD, MS 1, Amy L Biett, MD 2, Jiahui Xu, MS 1, Li Tang, PhD 1, Troy Richardson, PhD 3, Eric J Werner, MD 4 and Aditya H Gaur, MD, MS 1, (1)St. Jude Chidren s Research Hospita, Memphis, TN, USA, (2)Dana-Farber/Boston Chidren s Cancer and Bood Disorders Center, Boston, MA, USA, (3)Chidren s Hospita Association, Lenexa, KS, USA, (4)Chidren s Speciaty Group, Norfok, VA, USA 20 SHEA Spring 2018 Conference

23 213 What Is Working to Reduce Catheter Associated Urinary Tract Infections (CAUTIs)? Juie E. Mangino, MD 1, Robert C. Oreana, MPH 2, Jamie St. Cair, MS RN 1, Erik E Abe, Pharm D, MBA 1, Hannah R Mier, BS 1, Shandra R. Day, MD 1 and Amy M Knupp, PhD, RN, CNS 1, (1) The Ohio State University Wexner Medica Center, Coumbus, OH, USA, (2)Coege of Pubic Heath, OSU, Coumbus, OH, USA 214 Environmenta Ceaning and Disinfection Poicies, Protocos and Practices: A Survey of 27 Long-Term Care Faciities Muhammad Saman Ashraf, MBBS 1, Regina Naion, PhD, RN 2, Susan S. Huang, MD, MPH 3, Susan Beach, BA 4, Margaret Drake, MT, ASCP, CIC 5, Teresa Fitzgerad, RN, BSN, CIC 6, Eizabeth Lyden, MS 7, Teresa A Michees, MSN, RN, CIC 4, Michee Schwedhem, MSN, RN, NEA-BC 4, Maureen Tierney, MD 5, L. Kate Tyner, BSN, RN 4 and Mark E Rupp, MD 1, (1)Division of Infectious Diseases, University of Nebraska Medica Center, Omaha, NE, USA, (2)Nebraska Medicine, Nebraska Antimicrobia Stewardship Assessment and Promotion Program, Omaha, NE, USA, (3)Division of Infectious Diseases and Heath Poicy Research Institute, University of Caifornia Irvine Schoo of Medicine, Irvine, CA, USA, (4)Nebraska Medicine, Nebraska Infection Contro Assessment & Promotion Program, Omaha, NE, USA, (5)Nebraska DHHS, Lincon, NE, USA, (6)Nebraska Medicine, Nebraska Infection Contro Assessment and Promotion Program, Omaha, NE, USA, (7)University of Nebraska Medica Center, Coege of Pubic Heath, Omaha, NE, USA 215 Impact of Process Measures on Centra Line Associated Bood Stream Infections Neha Nanda, MD and Ayssa Rodriguez, MHA, Keck Medicine of USC, Los Angees, CA, USA 216 Isoation for Right Reason and Right Duration It Takes an Extra Mie to be Right Nichoas Rister, MD, Rache Zhang, MD, Regan Trapper, RN and Xiaoyan Song, PhD, MBBS, CIC, Chidren s Nationa Medica Center, Washington, DC, USA 218 PLABSI: Hospita Acquired Bacteremia Madiha Tahir and Amy Beth Kresse, MD, MS, Indiana University Schoo of Medicine, Indianapois, IN, USA 219 How Does Impementation of a Urine Testing Agorithm Effect Testing Stewardship? Chad Nix, MSc 1, Lauren Ogden, MPH, CIC 1, Corinne Kein, MD 2, John M Townes, MD 1 and Moy Hae, MPH, CIC, FAPIC 1, (1) OHSU, Portand, OR, USA, (2)Kaiser Permanente Santa Rosa, Santa Rosa, CA, USA 220 Evauation of an Encosed Utravioet-C Radiation Device for Decontamination of Keyboards Heba Ahmidi, MD 1, Aaron Ai Sheikh, MSW 2, Jennifer Cadnum, BS 3, Annette Jencson, BSMT, CIC 4 and Curtis J. Donskey, MD 2,4,5, (1)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA, (2)Case Western Reserve University, Ceveand, OH, USA, (3)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (4)Ceveand VA Medica Center, Ceveand, OH, USA, (5)Geriatric Research Education and Cinica Center, Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA 221 Evauation of a Patient Activated Utravioet-C Radiation Device for Decontamination of Restrooms Jennifer L. Cadnum, BS 1, Annette Jencson, BSMT, CIC 2, Thriveen Sankar Chittoor Mana, MBA 3 and Curtis J. Donskey, MD 2,4,5, (1)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA, (2)Ceveand VA Medica Center, Ceveand, OH, USA, (3)Case Western Reserve University, Ceveand, OH, USA, (4)Case Western Reserve University, Ceveand, OH, USA, (5)Geriatric Research Education and Cinica Center, Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA 222 Carbapenem-resistant Enterobacteriaceae (CRE) among Centra Line-Associated Boodstream Infections (CLABSIs) in Acute Care vs. Long-Term Acute Care Hospitas, Aan K Nkwata, MPH 1, Lindsey M. Weiner, MPH 1 and Margaret Dudeck, BS, MPH 2, (1)Centers for Disease Contro and Prevention, Atanta, GA, USA, (2)Centers for Disease Contro, Atanta, GA, USA 223 A Comparison of the Efficacy of UV-C Devices Operated in a Radioogy Suite Jennifer L. Cadnum, BS 1, Annette Jencson, BSMT, CIC 2, Scott Livingston, MD 3, Scott Gestric, MD 4 and Curtis J. Donskey, MD 2,3,5, (1)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA, (2)Ceveand VA Medica Center, Ceveand, OH, USA, (3)Case Western Reserve University, Ceveand, OH, USA, (4)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (5)Geriatric Research Education and Cinica Center, Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA 224 Deveoping a Spina Fusion Bunde to Prevent Surgica Site Infection Marci Drees, MD, MS, Keith Heitz, MTS, LSSBB, CPhT, Juianne Care, PharmD, Beth Fitzgerad, MSN, RN, CNOR, Andrea C. Rodriguez, MSHA, RN, CNOR, Amy Koh, MSN, RN, CCRN, Jennifer Johnson, MS, BSN, RN-BC, CENP, Susan Vok, MSN, RN, Puak Ray, MD, Matthew Powe, MD, Pawan Rastogi, MD, Gerard J. Fuda, MD and Judith A. Townsey, MSN, RN, CPAN, FACHE, Christiana Care Heath System, Newark, DE, USA 225 Reducing Inappropriate Urine Cutures through a Cuture Standardization Program David F Dougherty, MD, Danett Guy, MSN RN, Barbara J Martin, MBA, RN, James Rickwa, BS, Jackie Smith, RN CIC and Thomas Tabot, MD MPH, Vanderbit University Medica Center, Nashvie, TN, USA 2226 An Antibiotic Stewardship Quaity Improvement Project for Pediatric Urinary Tract Infection in the ED Eizabeth Mier Waters, BS, RN, CIC 1, Jennifer D Auria, PhD, RN 1, Chery Jackson, MD 2, Christine Wash-Key, MD 2, Danie Park, MD 2 and Zachary I. Wiis, MD, MPH 3, (1)University of North Caroina, Schoo of Nursing, Chape Hi, NC, USA, (2)University of North Caroina, Schoo of Medicine, Chape Hi, NC, USA, (3)Division of Pediatric Infectious Diseases, University of North Caroina Schoo of Medicine, Chape Hi, NC, USA POSTER PRESENTATIONS: WEDNESDAY, Apri 18 Top Poster Abstract SCIENCE GUIDING PREVENTION 21

24 POSTER PRESENTATIONS: WEDNESDAY, Apri Does Size Matter? Midine Catheters as an Effective Strategy to Reduce Reportabe Bood Stream Infections Oivia Gutgse 1, Herminia Pua, BSN RN 2 and Jorge P. Parada, MD, MPH 1,2, (1)Loyoa University Chicago, Maywood, IL, USA, (2) Loyoa University Medica Center, Maywood, IL, USA 229 The Microbiome of Dry Surface Biofim Samped from Intensive Care Units around the Word Karen Vickery, PhD 1, Khaid Johani, MSc 1,2, Honghua Hu, PhD 1, Dayane Costa, BN 1,3, Stephanie Dancer, FRCPath 4, Duceene Meo, PhD 3, Iain Gosbe, MD 5,6, Sade Jensen, PhD 7, Liian Key Lopes, PhD 3, Gregory Whiteey, PhD 7,8, Trevor O Gasbey, PhD 9,10, Liwcy K Lima, MSc 11, Anand K Deva, MBBS 1 and Anacara F Tippe, PhD 12, (1)Macquarie University, Sydney, Austraia, (2) Centra Miitary Laboratories and Bood Bank, Riyadh, Saudi Arabia, (3)Federa University of Goias, Goiania, Brazi, (4)NHS Lanarkshire, Gasgow, Gasgow, United Kingdom, (5)Western Sydney University, Campbetown, Austraia, (6)Austraian Red Cross Bood Service, Aexandria, Austraia, (7)Western Sydney University, Sydney, Austraia, (8)Whiteey Corporation, Sydney, Austraia, (9)Whiteey Corporation, Tomago, Austraia, (10) Macquarie University, Macquarie Park, Austraia, (11)Pubic Regiona Hospita of Araguaia, Redencao, Brazi, (12)Federa University of Goias, Goias, Brazi 230 Sustained Zero Centra Line Associated Boodstream Infections (CLABSI) in an Acute Care Oncoogy Unit Using a Mutimoda Intervention Approach Jennifer Yim, RN, BSN, CIC 1, Jordan Oiver, RN, BSN, OCN 2, Shruti K. Gohi, MD, MPH 1,3, Jennifer Hoff, RN, MSN, OCN, CMSRN 4, Susan Christensen, RN, BSN, MHA 2, Edward L. Neson, MD, FACP 5, Katheen A. Quan, RN, MSN, CIC, CPHQ, FAPIC 1, Maria Cynthia Reyes, RN, BSN, OCN 2, Keith Madey, BBA, MAFIS 1 and Susan S. Huang, MD, MPH 1,3, (1)Epidemioogy and Infection Prevention, University of Caifornia Irvine Heath, Orange, CA, USA, (2)Department of Nursing, University of Caifornia Irvine Heath, Orange, CA, USA, (3)Division of Infectious Diseases and Heath Poicy Research Institute, University of Caifornia Irvine Schoo of Medicine, Irvine, CA, USA, (4)Nursing Quaity, Research & Education, University of Caifornia Irvine Heath, Orange, CA, USA, (5)Division of Hematoogy/Oncoogy and Chao Famiy Comprehensive Cancer Center, University of Irvine Schoo of Medicine, Irvine, CA, USA 231 High-Reiabiity Centra Line Maintenance Significanty Reduced CLABSIs in a High Acuity Intensive Care Unit Kristin Dascomb, MD, PhD 1, Caroine Tayor, RN, CIC 2, Misty Schreiner, RN 2, Peter Jones, MSLS 2, Lori Mitche, RN 2 and Bert Lopansri, MD 2, (1)Intermountain Heathcare, Murray, UT, USA, (2) Intermountain Medica Center, Murray, UT, USA 232 Efficacy of a UV-A Lighting System for Passive Disinfection of Heathcare Associated Pathogens Scott Livingston, MD 1, Jennifer Cadnum, BS 2, Michee Nerandzic, BS 3 and Curtis J. Donskey, MD 1,4,5, (1)Case Western Reserve University, Ceveand, OH, USA, (2)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (3)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (4)Ceveand VA Medica Center, Ceveand, OH, USA, (5)Geriatric Research Education and Cinica Center, Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA 233 Reducing CAUTI in the ICU: Chaenges and Recommendations for Comprehensive Preventive Strategy Jennifer Meddings, MD, MSc 1,2, Laura Petersen, MHSA 3, Karen Fower, MPH 2, Jane Forman, ScD, MHS 2, Moy Harrod, PhD 2 and Sanjay Saint, MD, MPH 2,3, (1)Department of Interna Medicine, Division of Genera Medicine, University of Michigan Medica Schoo, Ann Arbor, MI, USA, (2)VA Ann Arbor Center for Cinica Management Research, Ann Arbor, MI, USA, (3)University of Michigan, Ann Arbor, MI, USA 234 Risk Factors for Staphyococcus aureus Infections Amongst Coonized Infants in the Neonata Intensive Care Unit Matthew C Washam, MD MPH 1, Heidi Andersen, MD MS 2, Xinhua Zhang, MD 2, Andrea Ankrum, MS MS MT(ASCP) CIC 2, Abigai Johnson, MS 2, Hansraj Bangar, PhD 2, Joe E Mortensen, PhD 2, Mary Aen Staat, MD MPH 2 and David B Hasam, MD 2, (1) UF Heath Shands Chidren s Hospita, Gainesvie, FL, USA, (2) Cincinnati Chidren s Hospita Medica Center, Cincinnati, OH, USA 235 Bacteria Contamination on Lead Aprons and Evauation of Disinfection Efficiency of a Nove UV-C Device DCab Naresh K Sunkara, Ph.D. 1,2, Cynthia J Brehm, BSN, RN, CORN 3, JOHN E Swartzberg, MD, FACP 3, Jesse D Adredge, BSN, RN, CORN 3 and Rebecca S Lopez, BSN, RN 3, (1)Nosocom Soutions, Emeryvie, CA, USA, (2)University of Caifornia, Berkeey, Berkeey, CA, USA, (3)Ata Bates Summit Medica Center, Berkeey, CA, USA 236 That Sinking Feeing: Eradicating Pseudomonas and Candida auris from a Sink Drainage System using a Nove Sink that Generates Ozonated Water Scott Livingston, MD 1, Jennifer Cadnum, BS 2, Annette Jencson, BSMT, CIC 3, Scott Gestric, MD 4 and Curtis J. Donskey, MD 1,3,5, (1) Case Western Reserve University, Ceveand, OH, USA, (2)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (3) Ceveand VA Medica Center, Ceveand, OH, USA, (4)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (5)Geriatric Research Education and Cinica Center, Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA 237 The Impact of Chorhexidine Guconate on the Skin Microbiota of Chidren Ashey Kates, PhD 1, Michee Zimbric, BS 2, Kaitin F Mitche, PhD, MPH 3,4, Joseph Skarupka, BS 1, Megan N Duster, MT 3 and Nasia Safdar, MD, PhD 3,5, (1)University of Wisconsin-Madison, Madison, WI, USA, (2)University of Wisconsin Schoo of Medicine & Pubic Heath, Division of Infectious Disease, Madison, WI, USA, (3)University of Wisconsin Schoo of Medicine & Pubic Heath, Division of Infectious Diseases, Madison, WI, USA, (4)Department of Popuation Heath Sciences, Schoo of Medicine and Pubic Heath, University of Wisconsin, Madison, WI, USA, (5)Wiiam S. Middeton Memoria Veterans Hospita, Madison, WI, USA 238 Evauation of an Automatic Eectronic Aert System for Re-Dosing of Antimicrobia Surgica Site Infection Prophyaxis Jasmine R Marcein, MD 1, Eizabeth Lyden, MS 2, Scott Bergman, PharmD 3, Mark E Rupp, MD 1, Dion Carey 4 and Trevor C van Schooneved, MD 1, (1)Division of Infectious Diseases, University of Nebraska Medica Center, Omaha, NE, USA, (2)University of Nebraska Medica Center, Coege of Pubic Heath, Omaha, NE, USA, (3)Nebraska Medicine, Nebraska Antimicrobia Stewardship Assessment and Promotion Program, Omaha, NE, USA, (4) University of Nebraska Medica Center, Omaha, NE, USA 239 High Braden Scae Score is Correated with Eary Onset of Catheter-Associated Urinary Tract Infection in High-Risk Patients Aexis Christina Gushiken, MD 1, Harsh Harsukh Patoia, BS 2, Mariana Gomez De La Espriea, MD 1, Bevery P Sturgi, RN 3, Tina M Tempes, MSIE 3 and Anthony Baffoe-Bonnie, MD 3, (1)Cariion Cinic-Virginia Tech Cariion Schoo of Medicine, Roanoke, VA, USA, (2)Virginia Tech Cariion Schoo of Medicine, Roanoke, VA, USA, (3)Cariion Cinic, Roanoke, VA, USA Top Poster Abstract 22 SHEA Spring 2018 Conference

25 240 Simuated Use and Muti-Site Cinica Studies Characterizing Contamination Leves in Reprocessed Endoscopes Tina Bradey 1, Martyn Wikinson 1, Henning Reuter, PhD 2, Marco Bommarito, PhD 3, Maren David, MS 4, Dan J Morse, MS 5 and Assumpta Bennaars-Eiden, PhD 6, (1)Cinica Microbioogy - University Hospitas Birmingham NHS Foundation Trust, Birmingham, United Kingdom, (2)3M Infection Prevention Division, Neuss, Germany, (3)3M Infection Prevention Division, St Pau, MN, USA, (4)3M Heath Care, St. Pau, MN, USA, (5)3M Heath Care, St Pau, MN, USA, (6)3M Infection Prevention Division, St. Pau, MN, USA 241 Binded Review of Surgica Compiance with a Bunde of Evidence-Based Measures Aimed at Reducing Cesarean Section-Reated Surgica Site Infections Phiip McDonad, MD 1, Bhagyashri Navakee, MD 1, Amar Krishna, MD 1, Suganya Chandramohan, MD 2, Thomas Chevaier, RN, BSN, CIC 2, Nancy Baran, MS, CIC 2 and Teena Chopra, MD, MPH 1,2, (1) Division of Infectious Diseases, Department of Interna Medicine, Wayne State University, Detroit, MI, USA, (2)Infection Prevention and Hospita Epidemioogy, Detroit Medica Center, Detroit, MI, USA 242 Nurse Faciitation of a Catheter Associated Urinary Tract Infection Program Carrie J. Tierney, PhD, APIC nationa and oca member, Pipe Creek, TX, USA 243 Estimation of the Effectiveness of Infuenza Vaccine for the Prevention of Severe Infuenza Cases Ginger Giorgiana Cabrera Tejada, Dra, Juan Gabrie Mora Murie, Dr, Paua Gras Vaenti, Dra, Ana Sofia Lameiras Azevedo, Dra, Cesar Vianueva Ruiz, Dr, Juio Barrenengoa Sañudo, Dr, Carmen Maria Benito Miraes, Lic and José Sánchez Payá, Dr, Hospita Genera Universitario Aicante, Aicante, Spain 244 Maximizing Efficiency in a High-Occupancy Setting to Utiize Utravioet Disinfection for Isoation Rooms Joshua K Schaffzin, MD PhD 1, David Finney, MPH 2, Adam Wihite 3, Zhaoyan Li, MS 3, Ronad Moore, MBA, CHESP 3 and Bevery Conney, MD 1, (1)Cincinnati Chidren s Hospita Medica Center, Cincinnati, OH, USA, (2)Infection Prevention & Contro, Cincinnati Chidren s Hospita Medica Center, Cincinnati, OH, USA, (3)Crotha Heathcare, Cincinnati Chidren s Hospita Medica Center, Cincinnati, OH, USA 245 Quantifying Bedside Infection Contro Competencies through the CDC Targeted Assessment for Prevention Strategy Erica Washington, MPH 1 and Poppy Markwe, MD, MPH 2, (1) Louisiana Office of Pubic Heath, New Oreans, LA, USA, (2)Tuane University, New Oreans, LA, USA 246 Achieving Cean : How We Do Existing Hospita Room Ceaning Protocos Work? Mikaa T. Caton 1, Kassidy J. Ohmstede 1, Victoria Wash, MPH 2, Ashey A. Tippett, MPH, MLS(ASCP)CM 3, Puja Y. Shah, MPH 3 and Jesse T. Jacob, MD 4, (1)Department of Epidemioogy, Roins Schoo of Pubic Heath, Emory University, Atanta, GA, USA, (2) Emory University, Schoo of Medicine, Division of Infectious Diseases, Atanta, GA, USA, (3)Emory University, Atanta, GA, USA, (4)Division of Infectious Disease, Emory University Schoo of Medicine, Atanta, GA, USA POSTER PRESENTATIONS: WEDNESDAY, Apri 18 SCIENCE GUIDING PREVENTION 23

26 WEDNESDAY, Apri 18 FULL CONFERENCE THE NEEDLE AND THE DAMAGE DONE: THE INFECTION CONTROL IMPLICATIONS OF OPIATE DIVERSION BY HEALTHCARE WORKERS 1:30 2:30 p.m. Grand Baroom I Moderators: Kristin Dascomb, MD, MPH, PhD, and David Weber, MD, MPH Infectious Outbreaks Associated with Diversion and How to Contro Them Joseph Perz, DrPH MA Investigating the Infectious Risks After a Narcotic Diversion Event Has Occurred and Preventing Diversion at Your Faciity Kimbery New, JD, BSN Understand the infectious risks associated with drug diversion in heathcare faciities Learn to identify if drug diversion is occurring at your faciity Understand the steps invoved in investigating a diversion event at your faciity Identify key features of a comprehensive prevention program for drug diversion ORAL ABSTRACTS: MRSA: NEW PREVENTION FOR AN OLD PROBLEM 1:30 2:30 p.m. Grand Baroom II Moderators: Jesse Jacob, MBA, MD, MSc, and John Townes, MD Successfu Contro of MRSA Outbreak in the NICU using Universa Decoonization/Screening of Heathcare Workers Supriya Narasimhan, MD, MS (Epi), Nancy Johnson, RN, MSN, CIC, Lisa Hansford, RN, MSN, CNS, CIC, Baaji Govindaswami, MBBS, MPH and Vidya K Mony, DO, Santa Cara Vaey Medica Center, San Jose, CA, USA Estimating the Efficacy of Chorhexidine Decoonization in Preventing MRSA: A Bayesian Approach Eric Lofgren, PhD, Washington State University, Puman, WA, USA What You Don t Know Can Hurt Your Patients: Using Combined Anaysis of Genomic and Epidemioogic Data to Identify Unsuspected Transmission of MRSA in the Heathcare Setting Michae Phiips, MD 1,2, Anna Stache, MPH, CIC 2, Dan Ding, MS 2, Yi Fumer, PhD 2, Kenneth Ingima, MS 2, Richard Copin, PhD 1, Nur Hasan, PhD 3, Key Moffat, BS 3, Jennifer Lighter, MD 1,2, Sarah Hochman, MD 1,2, Maria Aguero-Rosenfed, MD 1,2, Cathy Maney- Cuen, MS, RN 2, Seth Bumberg, MD, PhD 1, Robert Press, MD, PhD 1,2, Manoj Dadani, MS 3, Rita Cowe, PhD 3 and Bo Shopsin, MD, PhD 1,2, (1)NYU Schoo of Medicine, New York, NY, USA, (2) NYU Langone Medica Center, New York, NY, USA, (3)CosmosID, Rockvie, MD, USA Impact of a Rapid Diagnostic Test for MRSA in Respiratory Isoates for Criticay I Patients Sara Revoinski 1,2, Justine Preedit, PharmD 1, David Herrmann, PharmD 1, Adam Biggs, PharmD 1, Bake Buchan, PhD 3, Anne Danies, PharmD 1 and Angea M Huang, PharmD 1, (1)Froedtert & the Medica Coege of Wisconsin, Miwaukee, WI, USA, (2)Medica Coege of Wisconsin Schoo of Pharmacy, Miwaukee, WI, USA, (3) Medica Coege of Wisconsin, Miwaukee, WI, USA SHEA/CDC TRAINING COURSE Track Coordinators: Sarah Haesser, MD, and Lauri Hicks, DO THE COMPENDIUM STRATEGIES FOR PREVENTING HAIs 1:30 2:30 p.m. Paviion Baroom Deborah S. Yokoe, MD Identify priority recommendations of Compendium of Strategies to prevent heathcare-associated infections in acute-care settings and associated resources Identify practica methods and toos to meet basic and advanced recommendations PRACTICAL STRATEGIES FOR SURVEILLANCE 2:45 3:15 p.m. Paviion Baroom Moy Hae, MPH, CIC Identify core components of an HAI surveiance program Seect optima methods for coection and anaysis of surveiance data Correate reationship between surveiance and prevention activities Evauate surveiance findings and incorporate into effective intervention pans SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE WHAT EVERY STEWARD SHOULD KNOW ABOUT PHARMACOKINETICS PHARMACODYNAMICS 1:30 2:00 p.m. Gaeria James Lewis, PharmD Review PK and PD properties of different antibiotic agents and their appication to seection of appropriate dosing based on patient, pathogen, and syndrome characteristics Discuss approaches to therapeutic monitoring of antibiotics such as vancomycin and aminogycosides Review approaches for IV to PO conversion 24 SHEA Spring 2018 Conference

27 ALLERGIES, INTERACTIONS AND ADVERSE EVENTS, OH MY! 2:00 2:30 p.m. Gaeria Juie Ann Justo, PharmD, MS Discuss different types of aergic reactions to antibiotics and how they may be prevented or minimized Review common drug-drug interactions and expain strategies to avoid them Discuss common adverse events associated with various Antibiotics SHEA/CDC/AMDA INFECTION PREVENTION IN PAC & LTC CERTIFICATE COURSE Track Co-Chairs: Nimae Stone, MD, and Robin Jump, MD INTRODUCTION TO THE POST-ACUTE AND LONG-TERM CARE SETTING 1:30 2:30 p.m. Broadway Room Robin Jump, MD, PhD, and Deborah Patterson-Burdsa, PhD RN-BC, CIC Appreciate the unique aspects of heathcare deivery in the PA/ LTC setting Discuss the new reguatory requirements for nursing home IP/stewardship programs and the infuence of compiance on daiy operation in PA/LTC settings Discuss the cutura factors and determinants of quaity indicators in PA/LTC settings MANAGING OUTBREAKS 2:45 3:15 p.m. Broadway Room David A. Nace, MD, MPH Describe how the ong-term care environment infuences outbreak risk and impacts outbreak detection and response Identify common causes of outbreaks in post-acute and ong-term care settings Discuss strategies to manage outbreaks that occur in the ong-term care environment NETWORKING BREAK 2:30 2:45 p.m. Grand Baroom Foyer FULL CONFERENCE HANDS ON VS. HANDS OFF SURVEILLANCE 2:45 4:00 p.m. Grand Baroom II Moderators: John Boyce, MD, and Pranavi Sreeramoju, MD, MPH Pro Eectronic Surveiance is Needed to Improve Hand Hygiene Compiance Kari Simonsen, MD Con A Traditiona Approach is Needed to Improve Hand Hygiene Matthew Linam, MD, MS Peace Maker- The Praises and Peris of Eectronic Surveiance for HAIs- Where is the Compromise? Danie Morgan, MD, MS Describe types, impementation and data to support eectronic hand hygiene surveiance to improve hand hygiene compiance Describe strategies to improve hand hygiene, incuding traditiona methods, impementation and data to support, incuding potentia cons of eectronic hand hygiene Demonstrate arger context on the use of eectronic surveiance beyond hand hygiene (HAIs), incuding some chaenges and successes PRO/CON: CARROT OR STICK 2:45 4:00 p.m. Grand Baroom I Moderators: Edward Septimus, MD, and Emiy Shuman, MD Carrot: Incentives Are More Effective to Change Behavior Grace Lee, MD Stick: Accountabiity and Consequences Are More Effective to Change Behavior Thomas Tabot, MD, MPH The Best of Both: It s A Context Joost Hopman, MD Describe a specific infection contro intervention in which incentives can change heathcare worker behavior Describe a specific infection contro intervention in which the threat of adverse consequences can change heathcare worker behavior Expain factors that an infection prevention team shoud consider when determining whether an intervention shoud be based on incentives or consequences WEDNESDAY, Apri 18 SCIENCE GUIDING PREVENTION 25

28 WEDNESDAY, Apri 18 SHEA/CDC TRAINING COURSE ENVIRONMENT AND CLEANING 3:15 4:00 p.m. Paviion Baroom Phiip Caring, MD Understand the evidence impicating the environment as a source of heathcare associated infections Describe the roe of environmenta ceaning to disrupt the cyce of transmission Outine the evidence behind the various avaiabe strategies to disinfect the environment incuding chemica agents, and UV ights Discuss methods for measuring ceaniness TACKLING LIABILITY ISSUES IN ANTIBIOTIC STEWARDSHIP 3:15 4:00 p.m. Gaeria Keith Hamiton, MD Identify ega concepts that are appicabe to the practice of antibiotic stewardship Define the nature and extent of medica-ega risk in the practice of antibiotic stewardship Discuss approaches for management of risk in the practice of antibiotic stewardship SHEA/CDC/AMDA INFECTION PREVENTION IN PAC & LTC CERTIFICATE COURSE STERILIZATION & DISINFECTION 4:15 4:45 p.m. Paviion Baroom Wiiam Rutaa, PhD, MPH Describe the Spauding cassification scheme for disinfection of patient care items Understand the advantages and disadvantages of the various chemica agents and mechanica processes used to disinfect medica equipment Describe avaiabe methods for steriization and the types of indicators used to ensure the process was effective Outine the controversies surrounding the reprocessing of endoscopes and disinfection of other compex medica instruments SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE AN UPDATE ON DURATION OF THERAPY AND THERAPEUTIC MONITORING: OUR ROLE AS STEWARDS 2:45 3:15 p.m. Gaeria Kavita Trivedi, MD Expain the science behind duration of antibiotic therapy Review the uses of infammatory biomarkers in antibiotic stewardship programs OCCUPATIONAL HEALTH AND SAFETY 3:15 4:00 p.m. Broadway Room David A. Nace, MD, MPH Review common occupationa heath issues in the ong-term care setting Identify how to manage common occupation heath issues in ong-term care settings Identify reguatory requirements pertaining to occupationa heath issues in ong-term care ORAL ABSTRACTS: A FRESH LOOK AT THE FUNDAMENTALS 4:15 5:30 p.m. Grand Baroom II Moderators: Eizabeth Marrero, MS, RN, and Vini Vijayan, MD Using Simuations to Assess Sef-Contamination during Enhanced Persona Protective Equipment (E-PPE) Doffing at Four Eboa Treatment Centers Kimbery Erukunuakpor, MPH 1, Lisa M. Casanova, PhD 1, Coen K. Kraft, MD 2, Andi L. Shane, MD, MPH, MSc 3, Susan Ray, MD 3, Joe M. Mumma 4, Victoria Wash, MPH 3, Francis T Durso, PhD 4, Ashey Ferguson 4, Christina L Gipson 4, Craig Zimring, PhD 4, Jennifer DuBose 4 and Jesse Jacob, MD 3, (1)Georgia State University, Atanta, GA, USA, (2)Emory University Hospita, Atanta, GA, USA, (3)Emory University Schoo of Medicine, Atanta, GA, USA, (4)Georgia Institute of Technoogy, Atanta, GA, USA Barriers to Effective Audit and Feedback of Hand Hygiene Compiance: A Quaitative Study Danie J Livorsi, MD, MSc 1,2, Cassie Cunningham Goedken, MPH 1, Michae Sauder, PhD 3, Mark Vander Weg, PhD 1,2, Ei Perencevich, MD, MS 1,2 and Heather Schact Reisinger, PhD 1,2, (1) Iowa City VA Heathcare System, Iowa City, IA, USA, (2)University of Iowa Carver Coege of Medicine, Iowa City, IA, USA, (3)University of Iowa Department of Socioogy, Iowa City, IA, USA 26 SHEA Spring 2018 Conference

29 10510 Nurses Coping with PPE: Batching Care and Opportunities for Transmission Lynn A Gregory, MSN 1,2, Lauren Weston, MPH 3, Moy Harrod, PhD 3, Laura Petersen, MHSA 4 and Sarah L. Krein, PhD, RN 5, (1) Center for Cinica Management Research, Ann Arbor, MI, USA, (2) University of Michigan Department of Interna Medicine, Ann Arbor, MI, USA, (3)VA Ann Arbor Center for Cinica Management Research, Ann Arbor, MI, USA, (4)University of Michigan, Ann Arbor, MI, USA, (5)VA Ann Arbor Center for Cinica Management Research and University of Michigan, Ann Arbor, MI, USA Hand Hygiene Patterns in 38 North American Hospitas Captured by Automated Hand Hygiene Monitoring James W. Arbogast, Ph.D. 1, Gregory A. Robbins, BA 1 and John Boyce, MD 2, (1)GOJO Industries, Inc., Akron, OH, USA, (2) J.M.Boyce Consuting, LLC, Middetown, CT, USA What Capabiities of an Eectronic Hand Hygiene System Can Improve Compiance Ashey A. Tippett, MPH, MLS(ASCP)CM 1, Jesse T. Jacob, MD 2,3, Victoria Wash, MPH 4, Puja Y. Shah, MPH 1 and James P. Steinberg, MD 1, (1)Emory University, Atanta, GA, USA, (2)Emory University Schoo of Medicine, Atanta, GA, USA, (3)Division of Infectious Disease, Emory University Schoo of Medicine, Atanta, GA, USA, (4)Emory University, Schoo of Medicine, Division of Infectious Diseases, Atanta, GA, USA 9979 Bias in Studies Estimating the Effect of Discontinuing Contact Precautions for Methiciin-Resistant Staphyococcus aureus Justin J O Hagan, ScD, Sujan Reddy, MD, MS, John Jernigan, MD, MS and Rache Sayton, PhD, MPH, Division of Heathcare Quaity Promotion, Centers for Disease Contro and Prevention, Atanta, GA, USA JOINT SESSIONS STEWARDSHIP OF THE FUTURE 4:15 5:45 p.m. Grand Baroom I The Educated Guess: Using Prediction Scores to Guide Empiric Therapy Juie Ann Justo, PharmD, MS Crafting Stewardship Interventions to Your Loca Reaity James Lewis, PharmD Describe settings where prediction scores can assist in identifying better identify patients at risk for infections due to resistant pathogens Outine scenarios where targeted empiric therapy may be empoyed based in individua patient risks This session is co-sponsored by SIDP. SHEA/CDC/AMDA INFECTION PREVENTION IN PAC & LTC CERTIFICATE COURSE STRENGTHENING IP/STEWARDSHIP AT CARE TRANSITIONS 4:15 5:30 p.m. Broadway Room Nimaie Stone, MD, MS, and Ghinwa Dumyati, MD Describe the roe of inter-faciity transfer as a driver of HAI/AR within heathcare networks Identify opportunities to improve the information exchanged between acute and post-acute providers during care transitions Provide exampes of how hospita epi programs have engaged nursing homes in infection prevention and stewardship SHEA/CDC TRAINING COURSE THE SCIENCE OF SAFETY 4:45 5:45 p.m. Paviion Baroom Where and How Heathcare Epidemioogy Fits with Cinica Quaity and Patient Safety Keith Kaye, MD, MPH Describe what cuture of safety is and represents and how it overaps with heathcare epidemioogy Cite the roes of heathcare quaity and patient safety departments Define the ways in which infection prevention and antimicrobia stewardship interact with hospita quaity and patient safety Reate the importance of eadership in eading safety efforts in heathcare Reate strategies for communicating safety and quaity issues to the C-suite, to providers and patients Recognize heathcare epidemioogy as a career pathway towards heathcare quaity and patient safety WELCOME RECEPTION #SHEAMEMBERSHIPMATTERS 5:45 7:15 p.m. Exhibit/Poster Ha This Wecome Reception is open to a attendees. Pease join SHEA President, Keith Kaye, MD, MPH, and other attendees to minge, meet, network, visit with poster presenters, and hear about why SHEA Membership matters. WEDNESDAY, Apri 18 SCIENCE GUIDING PREVENTION 27

30 THURSDAY, APRIL 19 SHEA EPI COMPETITION BREAKFAST 6:30 7:50 a.m. Grand Baroom I FULL CONFERENCE HAI PREVENTION IN PEDIATRICS :00 9:30 a.m. Grand Baroom II Moderators: Gait Hozmann-Pazga, MD, and Joshua Schaffzin, MD, PhD C. difficie Infection in Chidren: Chaenging Questions Thomas J. Sandora, MD, MPH Preventing Pediatric CLABSI: What ese can we do? - Susan E Coffin, MD, MPH Ventiator-Associated Events: Updates on Pediatric VAE Surveiance and Prevention Grace Lee, MD Evauate recent data on screening for asymptomatic carriage of C. difficie and preferred first-ine treatment of CDI and whether these data are appicabe to chidren Discuss whether efforts shoud be focused on optimizing reiabiity to core CLABSI prevention bunde eements or adding new interventions beyond the current bunde Summarize practica approaches for performing VAE surveiance in chidren and data from the nationa 2017 pediatric VAE piot ORAL ABSTRACTS: THE DAILY REPORT 8:00 9:30 a.m. Grand Baroom I Moderators: Cindy Prins, PhD, MPH, and Geeta Sood, MD 9921 Nove Method of Cacuating Adjusted Antibiotic Utiization by Microbioogica Burden Hana Rac, PharmD 1, Brian McCuough, PharmD 2, Bruce M. Jones, PharmD 3, Sue Lau, PharmD 4, Geneen M. Gibson, PharmD 5, Shawn H. MacVane, PharmD 6, Eias B. Chahine, PharmD 7,8, Brad J. Crane, PharmD 9, Pamea Andrews, PharmD 10, Kaya R. Stover, PharmD 11,12, Kathey B. Rumey, PharmD 13,14, Majdi N. A-Hasan, MBBS 15, Whitney Jones Nesbitt, PharmD 16, Virginia H. Feming, PharmD 17, Christopher M. Band, PharmD 3,18, Jordan Ryan Wong, PharmD 19, Megan Seddon, PharmD 1, Joseph Kohn, PharmD 20, Darre T. Chidress, PharmD 21, Christian M. Shaw, PharmD 22, John C. C Wiiamson, PharmD 23, S. Travis King, PharmD 11,12, Rebekah H. Wrenn, PharmD 24, Juie Ann Justo, PharmD, MS 1,20 and P. Brandon Bookstaver, PharmD 1,20, (1)University of South Caroina Coege of Pharmacy, Coumbia, SC, USA, (2)University of Tennessee Medica Center, Knoxvie, TN, USA, (3)St. Joseph s/cander Heath System, Savannah, GA, USA, (4)Orando Heath, Orando, FL, USA, (5) St. Joseph s/cander Heath System, Savannah, GA, USA, (6) Medica University of South Caroina, Chareston, SC, USA, (7)Pam Beach Atantic University, West Pam Beach, FL, USA, (8)Weington Regiona Medica Center, Weington, FL, USA, (9)Bount Memoria Hospita, Maryvie, TN, USA, (10)Orando Heath - South Seminoe Hospita, Longwood, FL, USA, (11)University of Mississippi Medica Center, Jackson, MS, USA, (12)University of Mississippi Schoo of Pharmacy, Jackson, MS, USA, (13)Vidant Medica Center, Greenvie, NC, USA, (14)Campbe University Coege of Pharmacy and Heath Sciences, Buies Creek, NC, USA, (15)University of South Caroina Schoo of Medicine, Coumbia, SC, USA, (16)Vanderbit University Medica Center, Nashvie, TN, USA, (17)University of Georgia Coege of Pharmacy, Athens, GA, USA, (18)University of Georgia Coege of Pharmacy, Savannah, GA, USA, (19)Grady Heath System, Atanta, GA, USA, (20)Pametto Heath Richand, Coumbia, SC, USA, (21) East Aabama Medica Center, Opeika, AL, USA, (22)Wison Medica Center, Wison, NC, USA, (23)Wake Forest Baptist Heath, Winston- Saem, NC, USA, (24)Duke University Hospita, Durham, NC, USA Impact of Hospita Vaue-Based Purchasing (VBP) on Catheter-Associated Urinary Tract Infection (CAUTI) Heather E. Hsu, MD, MPH 1, Chanu Rhee, MD, MPH 1, Rui Wang, PhD 1, Maximiian Jentzsch, BA 1, Key Horan, MPH 1, Robert Jin, MS 1, Ayna Chien, MD, MS 2 and Grace M. Lee, MD, MPH 3, (1) Department of Popuation Medicine, Harvard Medica Schoo and Harvard Pigrim Heath Care Institute, Boston, MA, USA, (2)Division of Genera Pediatrics, Boston Chidren s Hospita, Boston, MA, USA, (3)Department of Pediatrics, Stanford University Schoo of Medicine, Pao Ato, CA, USA Evauating the Performance of the CDC Standardized Antimicrobia Administration Ratios (SAARs) Haey K. Homer, MPH 1, Amy Pakyz, PharmD 2, Miriam R. Eman, MPH 3, Samue F. Hohmann, PhD 4, Rochee Fu, PhD 1, Kristi Kuper, PharmD 5 and Jessina C. McGregor, PhD 1,3, (1)Oregon Heath & Science University/Portand State University, Schoo of Pubic Heath, Portand, OR, USA, (2)Virginia Commonweath University Schoo of Pharmacy, Richmond, VA, USA, (3)Oregon State University/Oregon Heath & Science University Coege of Pharmacy, Portand, OR, USA, (4)Vizient, Chicago, IL, USA, (5) Vizient, Katy, TX, USA A Framework for Composite Measures for HAI Prevention in the Nationa Heathcare Safety Network (NHSN) Mathew R. P. Sapiano, PhD, Danie A. Poock, MD, R. Dougas Scott II, PhD, James Baggs, PhD and Jonathan R Edwards, MStat, Centers for Disease Contro and Prevention, Atanta, GA, USA Vaidation and/or Audit of Mandatory Reported Data Does Not Predict HAC Penaty Status Katheen Gase, MBA, MPH, CIC, FAPIC 1, Katheen McMuen, MPH, CIC, FAPIC 2 and Hiary M. Babcock, MD, MPH 3, (1)BJC HeathCare, St. Louis, MO, USA, (2)Christian Hospita, St. Louis, MO, USA, (3)Washington University in St. Louis, Saint Louis, MO, USA Tracking Antibiotic Appropriateness and Antimicrobia Stewardship Interventions: Is There a Practicabe Metric? Jacqueine T Bork, MD 1,2 and Rohini Dave, PharmD 2, (1) University of Maryand Schoo of Medicine, Batimore, MD, USA, (2) VA Maryand Heathcare System, Batimore, MD, USA 28 SHEA Spring 2018 Conference

31 SHEA/CDC TRAINING COURSE SHEA/CDC/AMDA INFECTION PREVENTION IN PAC & LTC CERTIFICATE COURSE NHSN MEASURES: LEARNING RISK ADJUSTMENT AND ASSESSING PREVENTION IMPACT 8:00 9:30 a.m. Paviion Baroom Jonathan Edwards, MStat, and Margaret Dudeck, BS, MPH Summarize decisions on how to prioritize surveiance efforts Identify anaytica methods for assessing tempora changes in infection rates Indicate the roe of risk adjustment when anayzing infection rate data Identify methods of anaysis for assessing intervention effectiveness Assess, interpret, and summarize data that are imprecise Using NHSN to understand and benchmark your hospita s data SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE DIAGNOSTIC STEWARDSHIP: BEGINNING CONCEPTS 8:00 8:45 a.m. Gaeria Danie Morgan, MD, MS Describe appropriate ways to obtain a cuture specimen and other sampes for microbioogy testing Review approaches to detecting and reporting antibiotic susceptibiities, incuding seective reporting Identify strengths and weaknesses of the antibiogram to assist with decisions on recommendations for empirica therapy CASE STUDY #1: MANAGEMENT OF RESISTANT GRAM-NEGATIVE INFECTIONS 8:45 9:30 a.m. Gaeria Christopher Pfeiffer, MD, MHS Identify common mechanisms of resistance for different bug/ drug combinations incuding Gram-negative organisms Discuss therapeutic options for highy resistant organisms Discuss MICs and breakpoints and their roe in determining appropriate therapy STRATEGIES TO PREVENT INFECTIONS & MDROs 8:00 9:30 a.m. Broadway Room Deborah Patterson-Burdsa, PhD, RN-BC, CIC Describe risk factors and interventions to prevent deviceassociated infections among residents in post-acute and ong-term care Review chaenges in diagnosis of infection due to C. difficie and MDROs in post-acute and ong-term care Describe strategies for preventing the spread of Mutidrug Resistant Organisms in post-acute and ong-term care NETWORKING BREAK 9:30 10:00 a.m. Grand Baroom Foyer FULL CONFERENCE HAI PREVENTION IN 2018: BEST PRACTICES 10:00 a.m. 12:00 p.m. Grand Baroom I Moderators: Dennis Drapiza, RV, MPH, BS, and Danie Livorsi, MD CDI: Robots, Vaccines & Transpants? L. Cifford McDonad, MD SSI: Bundes and Beyond! Marin Schweizer, PhD CLABSI: Newest Approaches to Approach Zero John M. Townes, MD Review atest high-impact studies on CDI, SSI, and CLABSI prevention Synthesize recent data with current practices and guideines to garner new potentia prevention strategies for your institution THURSDAY, APRIL 19 SCIENCE GUIDING PREVENTION 29

32 THURSDAY, APRIL 19 INFECTION PREVENTION: BUILDING GLOBAL CAPACITY AND VIEW 10:00 a.m. 12:00 p.m. Grand Baroom II Moderators: Ann-Christine Nyquist, MD, MPH, and Michae Stevens, MD, MPH IPC and AMR: Perspective from South East Asia Kaisvar Marimuthu, MBBS, MRCP IC in Low and Midde Income Countries and SHEA: Partnerships for the Future Mirian Da Ben, MD, Msc, PhD IPC and AMR, the Latin American Perspective Mirian Da Ben, MD, Msc, PhD IPC and AMR, the Doctors Without Borders Perspective Joost Hopman, DTMH, MD Understand the commonaities and unique chaenges in infection prevention and AMR across ow and midde-income countries Understand regiona efforts and priorities in infection prevention and AMR across ow and midde-income countries SHEA/CDC TRAINING COURSE APPROACH TO EPIDEMIC/OUTBREAK INVESTIGATION 10:00-10:45 a.m. Paviion Baroom Arjun Srinivasan, MD Identify and define an outbreak Iustrate how to perform an outbreak anaysis Anayze how to manage and contro an outbreak Indicate methods to find and investigate cases in an outbreak investigation Recognize when a forma risk factor study is needed and how to seect the appropriate study design (e.g., case contro vs. cohort) for an outbreak investigation Recognize when and how to communicate with faciity administrators, risk management, pubic affairs, cinica staff and patients/famiies about the need for, progress of, and outcome of an outbreak investigation Review the potentia roe of moecuar typing of microbia isoates in an outbreak investigation PROBLEM SESSION: OUTBREAK IN THE OR 10:45 11:15 a.m. Paviion Baroom Arjun Srinivasan, MD Appy the essons of outbreak investigation to a rea-word exampe Identify some of the practica issues that arise when doing an outbreak investigation UNIQUE ASPECTS OF PEDIATRIC INFECTION CONTROL 11:15 a.m. 12:00 p.m. Paviion Baroom Thomas Sandora, MD, MPH Identify risk factors for heathcare-associated infections that are unique to chidren Discuss common pediatric infections and how to prevent them Define unique aspects of infection contro in specia popuations, incuding neonata intensive care units Describe pediatric modifications to typica infection prevention strategies SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE CASE STUDY #2: MANAGEMENT OF RESISTANT GRAM-POSITIVE INFECTIONS 10:00 10:45 a.m. Gaeria Ghinwa Dumyati, MD Identify common mechanisms of resistance for different bug/ drug combinations incuding Gram-positive organisms Discuss therapeutic options for highy resistant organisms Discuss MICs and breakpoints and their roe in determining appropriate therapy RAPID DIAGNOSTIC TESTS AND HOW TO IMPLEMENT THEIR USE: MINI-LECTURE & CASE STUDY #3 10:45-11:30 a.m. Gaeria Graeme Forrest, MBBS Describe strengths and weaknesses of common rapid diagnostic tests and used in the microbioogy ab Discuss how the microbioogy ab and the antibiotic stewardship program can coaborate to maximize use of rapid diagnostic tests to improve antibiotic use HOW TO FIND RESOURCES AT YOUR INSTITUTION OF HEALTH SYSTEM 11:30 a.m. 12:00 p.m. Gaeria Mohamad G. Fakih, MD, MPH Review how your antibiotic stewardship program intersects with the institution s strategic pan Describe how to engage non-traditiona stewards such as students, quaity improvement teams, and nurses Expain how to deveop and present a business case to institutiona eadership for maintenance of a program 30 SHEA Spring 2018 Conference

33 SHEA/CDC/AMDA INFECTION PREVENTION IN PAC & LTC CERTIFICATE COURSE CHANGING APPROACHES IN SURVEILLANCE 10:00 11:15 a.m. Broadway Room Theresa Rowe, DO Review surveiance criteria used to define infections in post-acute and ong-term care settings Compare different methods for surveiance data coection in post-acute and ong-term care settings Identify how to use surveiance data to guide infection prevention and antibiotic stewardship efforts in post-acute and ong-term care CDI MANAGEMENT 11:15 a.m. 12:00 p.m. Broadway Room Costridium difficie in Post-Acute & Long-Term Care Settings Robin Jump, MD, PhD Define the management and prevention of CDI in post-acute care THURSDAY, APRIL 19 SCIENCE GUIDING PREVENTION 31

34 POSTER PRESENTATIONS: THURSDAY, Apri 19 NETWORKING LUNCH WITH POSTER PRESENTATIONS 12:00 1:30 p.m. Exhibit/Poster Ha 300 Risk Factors for Community-Onset Costridium difficie Infection Tina M. Tempes, MSIE, Cariion Cinic, Roanoke, VA, USA Virginia Poytechnic Institute and State University, Backsburg, VA, USA 301 Reative Consumption of Carbapenems in ICUs at an Academic Medica Center Jacob W. Pierce, MD 1, Andrew Kirk, BS 2, Kimbery Lee, PharmD 1, John Danie Markey, DO 2, Amy Pakyz, PharmD 3, Gonzao Bearman, MD 1, Michee Do, MD, MPH 1 and Michae P. Stevens, MD, MPH 1, (1)Virginia Commonweath University Heath System, Richmond, VA, USA, (2)Virginia Commonweath University Schoo of Medicine, Richmond, VA, USA, (3)Virginia Commonweath University Schoo of Pharmacy, Richmond, VA, USA 302 Use of Eectronic Heath Record Agorithms To Enhance Antimicrobia Stewardship Interventions Eise M. Martin, MD, MS 1, Brandy Bryant, MPH 2, Jennifer Cureo, PharmD 2, Christine Pham, PharmD 3, Annabee de St. Maurice, MD, MPH 1, Meganne Kanatani, PharmD 2 and Danie Z. Usan, MD, MBA, FIDSA, FSHEA 1, (1)David Geffen Schoo of Medicine at UCLA, Los Angees, CA, USA, (2)UCLA Heath, Los Angees, CA, USA, (3)UCLA Heath, Santa Monica, CA, USA 304 Antibiotic Absoution: Prescriber Views on the Causes of Antibiotic Overuse in Outpatient Settings Mike R. Kohut, PhD 1, Sara C. Keer, MD, MPH, MSHP 2, Jeffrey A. Linder, MD, MPH 3, Pranita D. Tamma, MD, MHS 4, Sara E. Cosgrove, MD, MS 5, Lisa E. Davidson, MD 6, Katheen Speck, MPH 7, Meissa A. Mier, MD, MS 8 and Juia E. Szymczak, PhD 9, (1)Armstrong Institute for Patient Safety and Quaity at Johns Hopkins Medicine, Batimore, MD, USA, (2)Johns Hopkins Medicine, Batimore, MD, USA, (3)Northwestern Feinberg Schoo of Medicine, Chicago, IL, USA, (4)Johns Hopkins University Schoo of Medicine, Batimore, MD, USA, (5)Johns Hopkins Medica Institutions, Batimore, MD, USA, (6)Caroinas Medica Center, Division of Infectious Diseases, Charotte, NC, USA, (7) Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quaity, Batimore, MD, USA, (8)Agency for Heath Research and Quaity, Department of Human Heath and Services, Rockvie, MD, USA, (9)Pereman Schoo of Medicine at University of Pennsyvania, Department of Biostatistics, Epidemioogy and Informatics, Phiadephia, PA, USA 305 Patients at Risk for Aortic Rupture are Often Exposed to Fuoroquinoones During Hospitaization Barbara Trautner, MD, PhD 1, Andrew Spiegeman, PhD 2, Larissa Grigoryan, MD, PhD 1 and Scott Anthony LeMaire, MD 1,3, (1)Bayor Coege of Medicine, Houston, TX, USA, (2)The Advisory Board Company, Washington, DC, USA, (3)The Texas Heart Institute, Houston, TX, USA 306 The GI mpcr pane: Does Finding More Bugs Lead to Inappropriate Drugs? Margaret E Newman, MD, Natasha N Pettit, PharmD, Emiy Landon, MD, Angea Charnot-Katsikas, MD, Jennifer Pisano, MD, Katheen G Beavis, MD and Jessica P Ridgway, MD, MS, University of Chicago, Chicago, IL, USA 307 Impact of Prospective Audit with Intervention and Feedback on Meropenem use in a Medica Intensive Care Unit Andrew Wiiam Kirk 1, Jacob W. Pierce, MD 2, Kimbery Lee, PharmD 2, Danie Markey, DO, MPH 2, Amy Pakyz, PharmD 3, Gonzao Bearman, MD 2, Michee Do, MD, MPH 2 and Michae Stevens, MD, MPH 2, (1)Virginia Commonweath University Schoo of Medicine, Richmond, VA, USA, (2)Virginia Commonweath University Heath System, Richmond, VA, USA, (3)Virginia Commonweath University Schoo of Pharmacy, Richmond, VA, USA 308 Variation in a Nove Antipseudomona Antimicrobia Consumption Metric in the Hospita Setting Pamea Baiey, DO 1, Roy Sabo, PhD 2, Danie Tassone, PharmD 3, Leroy Vaughan, MD 3, Michae Stevens, MD, MPH 1 and Danie Markey, DO, MPH 1,3, (1)Virginia Commonweath University Heath System, Richmond, VA, USA, (2)Virginia Commonweath University, Richmond, VA, USA, (3)Hunter Homes McGuire Veterans Affairs Medica Canter, Richmond, VA, USA 309 Assessment of a Predictive Too for Recurrent Costridium difficie Infection in a Long-Term Care Faciity Joseph Devin, BS 1, Richard Feinn, PhD 1, Anjai Poudya, RN, BSN 2, Jennifer Herbst, JD 1 and Thomas Murray, MD/PhD 1, (1) Frank H. Netter, MD Schoo of Medicine at Quinnipiac University, North Haven, CT, USA, (2)Masonicare, Waingford, CT, USA 310 Proonged Antimicrobia Prophyaxis Foowing Cardiac Device Procedures: Harm without Any Benefit? Archana Asundi, MD 1, Maggie Stanisawski, PhD 2,3, Paya Mehta 4, Anna E. Baron, PhD 2,3, Howard S. God, MD 5, Hiary Mu, PhD 6, P. Michae Ho, MD 2,7,8, Kapana Gupta, MD, MPH 4 and Westyn Branch-Eiman, MD, MMSc 4, (1)Division of Infectious Diseases, Boston Medica Center, Boston, MA, USA, (2)Seatte- Denver Center of Innovation for Veteran-Centered and Vaue-Driven Care, Seatte, Washington and Denver, CO, USA, (3)University of Coorado Schoo of Pubic Heath, Aurora, CO, USA, (4)VA Boston Heathcare System, West Roxbury, MA, USA, (5)Beth Israe Deaconess Medica Center, Boston, MA, USA, (6)Center for Heathcare Organization and Impementation Research (CHOIR), VA Boston Heathcare System, West Roxbury, MA, USA, (7) University of Coorado Schoo of Medicine, Aurora, CO, USA, (8)VA Eastern Coorado Heathcare System, Denver, CO, USA 311 Costridium Difficie: Impementing a Decision Tree to Decrease Testing and infection Rates Supriya Mannepai, MD, CIC 1,2, Sandy Bozarth, MSN, RN, CIC 3, Christine A. Wiiams, RN, CIC 3, Sabrina Broome, BSN, RN, CIC 3, Wanda Hester, RN, CIC 3 and Stephen Pirke, BSN, RN 3, (1)Northeast Georgia Heath System, Gainesvie, GA, USA, (2) NGPG, Gainesvie, GA, USA, (3)Northeast Georgia Medica Center, Gainesvie, GA, USA 312 A Laboratory Time-Bomb: Opportunities for Improvement in Laboratory Management foowing Repeated Exposure to Burkhoderia Pseudomaei Leighanne O. Parkes 1,2, Matthew P. Cheng 1,2, Kar Weiss 2 and Gerasimos J. Zaharatos 1,2, (1)Division of Infectious Diseases, Department of Medicine and Division of Medica Microbioogy, Department of Cinica Laboratory Medicine, McGi University Heath Centre, Montrea, QC, Canada, (2)Division of Infectious Diseases, Department of Medicine and Division of Medica Microbioogy, Department of Cinica Laboratory Medicine, Jewish Genera Hospita, Montrea, QC, Canada 313 Costridium difficie Testing Methods Reported by Long-Term Acute Care Hospitas (LTACHs) to the Nationa Heathcare Safety Network (NHSN), 2017 Parneet Kaur Ghuman, MPH, Margaret Dudeck, BS, MPH, Lindsey M. Weiner, MPH and Aan K Nkwata, MPH, Centers for Disease Contro and Prevention, Atanta, GA, USA 314 Heathcare Worker (HCW) Gown Doffing Strategies and Impications for Sef-Contamination Errors Diane Muvey, BSN, RN 1, Jeanmarie Mayer, MD 1,2, Lindsay D Croft, PhD, MS 1,2, Matthew H Samore, MD 1,2 and Frank Drews, PhD, MS 2,3, (1)Division of Epidemioogy, University of Utah Schoo of Medicine, Sat Lake City, UT, USA, (2)VA Sat Lake City Heath Care System IDEAS Center, Sat Lake City, UT, USA, (3)Department of Psychoogy, University of Utah, Sat Lake City, UT, USA Top Poster Abstract 32 SHEA Spring 2018 Conference

35 315 Nationwide Impementation of a C. difficie Infection Prevention Bunde across the VA Hospita System Juie A Keating, PhD 1, Chidi Obasi, MD, PhD 1,2, Linda McKiney, BSN, MPH 1, Jackson Musuuza, MD, PhD 1,2, Mary Jo Knoboch, PhD, MPH 1,2, Christopher Crnich, MD, PhD 1,2, Charesnika T. Evans, PhD, MPH 3,4, Martin E. Evans, MD 5, Danie Livorsi, MD 6,7, Danie Morgan, MD, MS 8, Ei Perencevich, MD, MS 9,10, Heather Schact Reisinger, PhD 6,10, Marin L Schweizer, PhD 6,7, Katie J. Suda, PharmD, MS 4,11 and Nasia Safdar, MD, PhD 1,12, (1)Wiiam S. Middeton Memoria Veterans Hospita, Madison, WI, USA, (2) University of Wisconsin, Schoo of Medicine and Pubic Heath, Madison, WI, USA, (3)Northwestern University, Department of Preventive Medicine and Center for Heath Care Studies, Institute for Pubic Heath and Medicine, Chicago, IL, USA, (4)VA Center of Innovation for Compex Chronic Heathcare, Hines, IL, USA, (5)Lexington VA Medica Center, Lexington, KY, USA, (6)Iowa City VA Heath Care System, Iowa City, IA, USA, (7)University of Iowa, Carver Coege of Medicine, Iowa City, IA, USA, (8)VA Maryand Heath Care System, Batimore, MD, USA, (9)Iowa City VA Heathcare System, Iowa City, IA, USA, (10)University of Iowa Carver Coege of Medicine, Iowa City, IA, USA, (11)University of Iinois at Chicago, Coege of Pharmacy, Chicago, IL, USA, (12) University of Wisconsin Schoo of Medicine & Pubic Heath, Division of Infectious Diseases, Madison, WI, USA 316 Evauation of an antimicrobia Stewardship Initiative on Respiratory Vira Pane Based Antibiotic De- Escaation Pavithra Srinivas, PharmD 1, Kaityn Rivard, PharmD 1, Andrea Paotta, PharmD 1, Vasiios Athans, PharmD 2, Kristin Martinez, PharmD 3, Samantha Loutzenheiser, PharmD 4, Simon Lam, PharmD 1, Gary W. Procop, MD 5, Sandra S. Richter, MD 5 and Eizabeth Neuner, PharmD 1, (1)Ceveand Cinic, Ceveand, OH, USA, (2)Ceveand Cinic Avon Hospita, Ceveand, OH, USA, (3)Ceveand Cinic Fairview Hospita, Ceveand, OH, USA, (4)Ceveand Cinic Medina Hospita, Medina, OH, USA, (5) Department of Laboratory Medicine, Ceveand Cinic, Ceveand, OH, USA 317 Decreasing Costridium difficie: One Hospita s Experience Susan Fetcher-Gutowski, MS, BSMT, CFPH, CIC, Rebecca Mayer, MPH, BSMT and Teja Mehta, MD, St. Mary Mercy Hospita Livonia, Livonia, MI, USA 318 Setting up a Hospita-Wide Centra Venous Catheter Registration in a University Medica Centre in the Netherands Stephanie M van Rooden, PhD, Cathaijne van Breen, MSc, Jenneke Ebbers, Wiie Dekker, Karin Swart-van de Beek, Nis Wetze, MD, Ingrid A J Vedhuizen and Annemarie van t Veen, MD, PhD, MBA, University Medica Centre Utrecht, Utrecht, Netherands 319 Impact of a Pharmacist Driven Education and Antibiotic Sef-Stewardship after 48 Hours at a Community Teaching Hospita Jeffrey C Pearson, PharmD 1, Oussayma Moukhachen, PharmD, BCPS 2, Vito Iacovieo, MD 3 and Patricia Masters, PharmD, BCPS 3, (1)Beth Israe Deaconess Medica Center, Boston, MA, USA, (2) MCPHS University, Boston, MA, USA, (3)Mount Auburn Hospita, Cambridge, MA, USA 320 Chorhexidine Bathing: Patient Perceptions, Practices, and Barriers at a Tertiary Care Center Ginger G. Vanhoozer, BSN 1, Ian Lovern 2, Nadia Masroor, MPH 1, Michee Do, MD, MPH 1,2, Sama Abbas, MBBS 1, Kaia Cooper, MSN, RN, CIC 1, Michae P. Stevens, MD, MPH 1,2 and Gonzao Bearman, MD, MPH 1,2, (1)Virginia Commonweath University Heath, Richmond, VA, USA, (2)Virginia Commonweath University Schoo of Medicine, Richmond, VA, USA 321 Rates of Inappropriate Antibiotic Prescribing Are High within a Veterans Affairs Hospita Rameez H Phupoto, MD 1, Nathan R. Shivey, MD 2, Deanna J. Buehre, PharmD 3, Corneius J. Cancy, MD 1,3 and Brooke K. Decker, MD, CIC 1,3, (1)University of Pittsburgh Medica Center, Pittsburgh, PA, USA, (2)Division of Infectious Disease Aegheny Heath Network, Pittsburgh, PA, USA, (3)Veterans Affairs Pittsburgh Heathcare System, Pittsburgh, PA, USA 323 Association between Empiric Therapy, Susceptibiity, and Treatment Faiure in Women with Urinary Tract Infections Gregory B Taman, PharmD, MS 1, Miriam R. Eman, MPH 1, Brie N. Nobe, BS 1, Adriane N. Irwin, MS, PharmD 2, Peter K. Atkins, BS 1, Young Yoon Ham, BS 1, Kaie R. Wadrip, MS 1, Laura R. Abe, BS 2, Anavice J. Jimenez, BS 2, Craig D. Wiiams, PharmD 1, David T. Bearden, PharmD 1, Jon Furuno, PhD 1 and Jessina C. McGregor, PhD 1, (1)Oregon State University/Oregon Heath & Science University Coege of Pharmacy, Portand, OR, USA, (2)Oregon State University Coege of Pharmacy, Corvais, OR, USA 324 A Nationa Survey of Testing Practices for Asymptomatic Carriage of C. difficie Preeta Krishnan Kutty, MD, MPH 1, Susan E. Beekmann, RN, MPH 2,3, Ronda Sinkowitz-Cochran, MPH 1, David Kuhar, MD 1, L. Cifford McDonad, MD, FSHEA 1 and Phiip Pogreen, MD 2,3, (1) Division of Heathcare Quaity Promotion, Centers for Disease Contro and Prevention, Atanta, GA, USA, (2)University of Iowa, Carver Coege of Medicine, Iowa City, IA, USA, (3)Infectious Disease Society of America Emerging Infections Network, Iowa City, IA, USA 325 Assessment and Impementation of Antimicrobia Stewardship Programs in Long-Term Care Faciities Phiip Chung, PharmD, MS 1, Scott Bergman, PharmD 1,2, Trevor C van Schooneved, MD 3, Regina Naion, PhD, RN 1, Mark E Rupp, MD 3, Michee Schwedhem, MSN, RN, NEA-BC 1, Maureen Tierney, MD 4, L. Kate Tyner, BSN, RN 1 and Muhammad Saman Ashraf, MBBS 3, (1)Nebraska Medicine, Nebraska Antimicrobia Stewardship Assessment and Promotion Program, Omaha, NE, USA, (2)Coege of Pharmacy, University of Nebraska Medica Center, Omaha, NE, USA, (3)Division of Infectious Diseases, University of Nebraska Medica Center, Omaha, NE, USA, (4) Nebraska DHHS, Lincon, NE, USA 326 Previous Antibiotic Prescribing in Pediatric Patients with Costridium difficie Infections, Minnesota, Maria L. Bye, MPH 1, Aexandra R. Buck 1 and Stacy M. Hozbauer, DVM, MPH 1,2, (1)Minnesota Department of Heath, St. Pau, MN, USA, (2)Career Epidemioogy Fied Officer Program, Division of State and Loca Readiness, Office of Pubic Heath Preparedness and Response, Centers for Disease Contro and Prevention, Atanta, GA, USA 327 Cost Anaysis of Computerized Cinica Decision Support Too and Incentive Pan for Costridium difficie Testing Gregory R. Madden, MD, Jason A. Lyman, MD, MS, Kye B. Enfied, MD, Amy J. Mathers, MD, Meinda D. Pouter, PhD and Costi D. Sifri, MD, University of Virginia Heath System, Charottesvie, VA, USA 328 Deveopment of an Antimicrobia Prescribing Quaity Evauation Pathway for Adut Patients with Community-Acquired Pneumonia Lauren Epstein, MD, MSc 1, Erin N. O Leary, MPH 1, Francisca Abanyie-Bimbo, MD, MPH 1, Ghinwa Dumyati, MD 2, Danie Mueta, MD, MPH 3, Marion Kainer, MD, MPH 3 and Sheey Magi, MD, PhD 1, (1)Division of Heathcare Quaity Promotion, Centers for Disease Contro and Prevention, Atanta, GA, USA, (2)University of Rochester Medica Center, Rochester, NY, USA, (3)Tennessee Department of Heath, Nashvie, TN, USA POSTER PRESENTATIONS: THURSDAY, Apri 19 SCIENCE GUIDING PREVENTION 33

36 POSTER PRESENTATIONS: THURSDAY, Apri Evauating Patient Perceptions of Contact Isoation and a Persona Protective Equipment-Free Zone Catherine Shaughnessy 1, Kesey Baubie, MS 1, Lauren Barko 1, Rebecca Reis, RN 2 and Nasia Safdar, MD, PhD 3,4, (1)University of Wisconsin, Schoo of Medicine and Pubic Heath, Madison, WI, USA, (2)UW Heath, Madison, WI, USA, (3)Wiiam S. Middeton Memoria Veterans Hospita, Madison, WI, USA, (4)University of Wisconsin Schoo of Medicine & Pubic Heath, Division of Infectious Diseases, Madison, WI, USA 330 Comparison of Adherence to Antimicrobia Stewardship Bundes Targeting Staphyococcus Aureus Bacteremia and Candidemia Between Medica Doctors and Pharmacists in an Academic Teaching Hospita in Japan Yuki Moriyama, M.D. 1, Masahiro Ishikane, M.D. 1,2, Kayoko Hayakawa, M.D., Ph.D. 1,2, Kei Yamamoto, M.D. 1, Tsubasa Akazawa, Ph 3, Yuko Sugiki, RN 4 and Norio Ohmagari, M.D., M.Sc., Ph.D. 1,2, (1)Disease Contro and Prevention Center, Nationa Center for Goba Heath and Medicine, Tokyo, Japan, (2)AMR Cinica Reference Center, Nationa Center for Goba Heath and Medicine, Tokyo, Japan, (3)Pharmaceutica Department, Nationa Center for Goba Heath and Medicine, Tokyo, Japan, (4)Infection Contro and Prevention, Nationa Center for Goba Heath and Medicine, Tokyo, Japan 331 Does C. difficie Testing Stewardship Improve Predictive Vaue of PCR resuts? Moy Hae, MPH, CIC, FAPIC, Chad Nix, MSc, Kevin Langstaff, BS and Dawn Not, MD MPH, OHSU, Portand, OR, USA 332 Using Quaity Improvement Methodoogies to Reduce Costridium difficie Testing Deays Sarah Baron, MD 1, Beinda Ostrowsky, MD, MPH 2, Michae Levi, Sc.D 2, Audrey Adams, RN, BSN, MPH 1, Wendy Szymczak, Ph.D. 2, Wiiam Southern, MD, MS 1, Takahiro Tanaka, MS, MHA 1, Jennica Meehan, MS 1, Lisa LaFace, MHA, BSN, RN-BC, NEA-BC 1 and Caro Sheridan, RN MSN OCN BMTCN 1, (1)Montefiore Medica Center, Bronx, NY, USA, (2)Montefiore Medica Center/Abert Einstein Coege of Medicine, Bronx, NY, USA 333 Inappropriate Costridium difficie Testing in Community and Heathcare Faciity-Onset C. difficie Infection Stea I Okoye, MD 1, Majdi N. A-Hasan, MBBS 2, Sharon Weissman, MD 1, Kama Sanasi, MD 1 and Sangita Dash, MD 1, (1) Pametto Heath/University of South Caroina, Coumbia, SC, USA, (2)University of South Caroina Schoo of Medicine, Coumbia, SC, USA 334 Burden of Antimicrobia Overuse Attributabe to Unnecessary Urine Cuture Ordering in Intensive Care Units (ICU). Barry John Rittmann Jr, MD 1, Juia Coins 2, Michee Do, MD, MPH 1, Michae Stevens, MD, MPH 1 and Gonzao Bearman, MD, MPH 1, (1)Virginia Commonweath University Heath System, Richmond, VA, USA, (2)Virginia Commonweath University Heath Systems, Richmond, VA, USA 335 Quantifying Practice and Context as a First Step to Improving Hospita Ceaning Lisa Ha, PhD 1,2 and Aison Farrington, RN, MEdT 3, (1)Schoo of Pubic Heath, University of Queensand, Brisbane, Austraia, (2)Institute of Heath and Biomedica Innovation, Queensand University of Technoogy, Brisbane, Austraia, (3)Institute of Heath and Biomedica Innovation Queensand University of Technoogy, Kevin Grove, Austraia 336 Weeky Point Prevaence as a Method for Measuring Antibiotic Use in Nursing Homes Grant Barney 1, Christina B Fesen, MPH 1 and Ghinwa Dumyati, MD 2, (1)New York Rochester Emerging Infections Program at the University of Rochester Medica Center, Center for Community Heath & Prevention, Rochester, NY, USA, (2)University of Rochester Medica Center, Rochester, NY, USA 337 Heathcare Worker Perceptions Toward Computerized Cinica Decision Support Toos for C. difficie Infection Nataia Banco, PhD, MPH 1, Lyndsay M. O Hara, PhD, MPH 1, Gwen Robinson, MPH 1, Jeanine Brown, MSN, CCRC 1, Emiy Hei, PharmD, BCPS-AQ ID 1,2, Cay H. Brown, PhD, M.S. 1, Brian D. Stump, PharmD, BCCCP 3, Bryant W. Siger, MS, HACP 3, Anusha Beani, MD 3, Heidi L. Mier, BSN, RN 4, Amber N. Chipinski, PharmD 4, Rebecca Permutter, MPH CIC 5, Lucy Wison, MD ScM 5, Danie Morgan, MD, MS 1,6 and Surbhi Leekha, MBBS, MPH 1, (1) Department of Epidemioogy and Pubic Heath, University of Maryand Schoo of Medicine, Batimore, MD, USA, (2)Department of Pharmacy Practice and Science, University of Maryand Schoo of Pharmacy, Batimore, MD, USA, (3)Frederick Memoria Hospita, Frederick, MD, USA, (4)Meritus Heath, Hagerstown, MD, USA, (5)Maryand Department of Heath, Batimore, MD, USA, (6)VA Maryand Heath Care System, Batimore, MD, USA 338 Reducing Bood Cuture Contamination Rate in the Emergency Department with a Quaity Improvement Intervention Ann Marie Keegan, BSN, RN, CIC, Caudiu Georgescu, MD, Nancy Maene, EMT, Heather Byrd, MLS(ASCP), Deanna Montanaro, RN, Constance Stec, BS, H(ASCP) and Geehan Sueyman, MD, The University of Toedo Medica Center, Toedo, OH, USA 339 Rapid Respiratory Pane Testing: Impact of Active Antimicrobia Stewardship Sama Abbas, MBBS 1, Shaina Bernard, PharmD 2, Kimbery B. Lee, PharmD 2, Christopher Doern, PHD 3, Amy Pakyz, PharmD, MS, PhD 4, Michee Do, MD, MPH 5, Gonzao Bearman, MD, MPH 2 and Michae P. Stevens, MD, MPH 6, (1)Virginia Commonweath University Heath, Richmond, VA, USA, (2)Virginia Commonweath University Heath System, Richmond, VA, USA, (3)VCU Schoo of Medicine, Richmond, VA, USA, (4)Virginia Commonweath University, Department of Pharmacotherapy & Outcomes Science, Richmond, VA, USA, (5)Virginia Commonweath University Schoo of Medicine, Richmond, VA, USA, (6)VCU Heath, Richmond, VA, USA 340 Potentia for the Current Nationa Heathcare Safety Network (NHSN) >3 Days after Admission Definition of LabID Heathcare Faciity Onset-Costridium difficie Infection (HO-CDI) to Overestimate Rates Heather Y. Hughes, MD, MPH 1,2, Monica D. McCrackin, MSN, RN, CIC 1, Robert Wiiford, MS 2, Cassandra Sagado, MD, MS 2 and Scott Curry, MD 2, (1)Raph H. Johnson VAMC, Chareston, SC, USA, (2)The Medica University of South Caroina, Chareston, SC, USA 341 Divide and Conquer: Impementing a Comprehensive Antimicrobia Stewardship Program with Prospective Audit and Feedback in an Urban Community Hospita Afredo J Mena Lora, MD 1,2, Rick Chu, PharmD 2, Ea Li, PharmD 2, Martin Cortez, PharmD 2, Dawn Hannahs, RN CIC 2, Paua Ashey, BSN MBA 2, Sherrie Spencer, RN AGNP 2, Eden Takhsh, MD 2 and Susan Beasdae, MD 1, (1)University of Iinois at Chicago, Coege of Medicine, Chicago, IL, USA, (2)Saint Anthony Hospita, Chicago, IL, USA 342 Independent Impact of Time to Antibiotics on Mortaity in Sepsis Identified through Eectronic Medica Record Aerts Saranya Seetharaman, MBBS, MPH 1, Christina Wison, PT, MBA 2, Mark Landrum, MD 3, Sonia Qasba, MD, MPH 4, James C. Facker, MD 5, JoEen Harris, RN, CIC 6, Renee Banding, MD, MPH 5, Trish M Per, MD, MSc 7, Aaron M Mistone, MD, MHS 5 and Geeta Sood, MD 5, (1)Johns Hopkins Bayview Medica Center, Batimore, MD, USA, (2)Premier Inc., Charotte, NC, USA, (3) Howard County Genera Hospita, Coumbia, MD, USA, (4) Suburban Hospita, Bethesda, MD, USA, (5)Johns Hopkins Medica Institutions, Batimore, MD, USA, (6)Johns Hopkins Medicine, SAINT PETERSBURG, FL, USA, (7)Johns Hopkins University, Batimore, MD, USA 34 SHEA Spring 2018 Conference

37 343 Controing Legionea: A Snapshot of Cinica Practices And Water Management in SHEA Research Network Hospitas Karen Ehret 1, Aison T Chamberain, PhD 1, Laura Cooey, MD, MPH 2, Ruth L Berkeman, MD 1 and Scott Fridkin, MD 3, (1)Emory University Roins Schoo of Pubic Heath, Atanta, GA, USA, (2) Centers for Disease Contro and Prevention, Atanta, GA, USA, (3) Emory University Schoo of Medicine, Atanta, GA, USA 344 Diagnostic Stewardship for Costridium difficie Works! Reduction of Heathcare-Onset Rates, Vancomycin Use, and Contact Precaution. Saah Qutaishat, PhD and Reta Gibbons, MT(ASCP), BSN, Munson Medica Center, Traverse City, MI, USA 345 Statewide Evauation of Stewardship Interventions in Acute Care Hospitas Christopher Evans, PharmD 1, Katie Thure, MPH 2, Honour McDanie 3, Cuen Adre, PharmD 4, Vicky Reed, RN 4, Pamea Taey 1 and Marion Kainer, MD, MPH 1, (1)Tennessee Department of Heath, Nashvie, TN, USA, (2)CSTE Appied Epidemioogy Feowship, Nashvie, TN, USA, (3)University of Kentucky Department of Heath Behavior and Society, Lexington, KY, USA, (4)TN Department of Heath, Nashvie, TN, USA 346 Knowedge and Attitudes about Antimicrobia Education amongst Pediatric Residents at an Academic Teaching Hospita Theresa Madigan, MD, Luke Rade, MD and Nipunie Rajapakse, MD MPH, Mayo Cinic, Rochester, MN, USA 347 Are Many Patients Diagnosed with Heathcare- Associated Costridium Difficie Infection Coonized with the Infecting Strain On Admission? Meany Gonzaez-Orta, MD 1, Caros Sadana, MD 2, Jennifer Cadnum, BS 1, Annette Jencson, BSMT, CIC 3, Chetan Jinadatha, MD 4 and Curtis Donskey, MD 5, (1)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (2)Ceveand Cinic Foundation, Ceveand, OH, USA, (3)Geriatric Research, Education, and Cinica Center, Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA, (4)Centra Texas Veterans Heathcare System, Tempe, TX, USA, (5)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA Costridium difficie: Cinica Characteristics and Outcomes of Positive and Indeterminate Testing Joseph Boyd, MD 1, Stephen Batt, MD 2 and Jennifer Steinbrunner, BS, CCRP 1, (1)TriHeath, Cincinnati, OH, USA, (2) Good Samaritan Hospita, Cincinnati, OH, USA Is the Empiric Use of Vancomycin in Uroogy Inpatients Justified? Jennifer Robes, M.D. 1, Jonathan Schmitz, M.D., PhD 1, Matthew Marsha, PharmD 1, Whitney Jones Nesbitt, PharmD 1, Danie Barocas, M.D. 1 and George E Neson, MD 1,2, (1)Vanderbit University Medica Center, Nashvie, TN, USA, (2)Vanderbit University Schoo of Medicine, Nashvie, TN, USA POSTER PRESENTATIONS: THURSDAY, Apri 19 Top Poster Abstract SCIENCE GUIDING PREVENTION 35

38 THURSDAY, APRIL 19 PLENARY: IT S NOT WHAT YOU SAY, IT S HOW YOU SAY IT 1:30 2:30 p.m. Grand Baroom I Moderators: Judy Guzman-Cottri, DO, and Matthew Linam, MD, MS Joe Paca, PhD Identify key eements for effective communication to the media and pubic Impement strategies to engage your patients and their famiies as active members in infection prevention NETWORKING BREAK 2:30 2:45 p.m. Grand Baroom Foyer FULL CONFERENCE R2D2 VS ELBOW GREASE: ENVIRONMENTAL 2:45 4:00 p.m. Grand Baroom I Moderators: Joan Hebden, MS, RN, and Matthew Washam, MD, MPH Gizmos and Gadgets A Review of New Technoogies for Environmenta Services for Infection Prevention Wiiam A. Rutaa, PhD, MPH Rea House Keepers of X- Stories of Success Using Human Factor Engineering Loretta Litz-Fauerbach, MS, CIC Changing the Cuture to Empower Environmenta Services for Infection Prevention David Cafee, MD, MS Review a series of new technoogies and data to support their use by environmenta services (EVS) (and reated) for infection prevention (incuding UV, H2o2 misters, impregnated fabrics and surfaces, ATP) Describe integration of the new technoogies into environmenta infection prevention; what are best uses, impementation (successes and chaenges) using human factors engineering, and buiding business case Review strategies for education, changing the cuture of HHWs and assessing the competence of HCW, such as those for environmenta services LOOKING BEYOND OUR PATIENTS: ONEHEALTH PERSPECTIVE 2:45 4:00 p.m. Grand Baroom II Moderators: Key Kauber, MPH, and Marisa M Diangeo, MD, MPH One Heath Approach to Address Antimicrobia Resistance at the Nationa Leve Dawn Sievert, PhD, MS Antibiotic Stewardship in U.S. Anima Agricuture Nora M. Wong, MPH Describe the muti-partner, coaborative surveiance conducted to identify and respond to foodborne antibiotic resistance Describe antibiotic use in anima agricuture and the impact of recent federa poicy changes Describe aternatives to antibiotics and management practices that reduce the need for antibiotics JOINT SESSIONS POST-ACUTE AND LONG-TERM CARE: CHANGING THE NATIONAL LANDSCAPE AND INFECTION PREVENTION 2:45 3:45 p.m. Paviion Baroom Nimae Stone, MD, MS Describe the differences in infrastructure for cinica care and infection prevention in post-acute and ong-term care settings compared with acute care hospitas Describe the gaps and chaenges in impementing infection prevention and antibiotic stewardship programs in post-acute and ong-term care settings Highight the nationa initiatives which are driving surveiance and prevention activities in this setting 36 SHEA Spring 2018 Conference

39 SHEA/CDC TRAINING COURSE JOINT SESSIONS OVERVIEW OF ANTIBIOTIC STEWARDSHIP 3:45 4:45 p.m. Paviion Baroom Pranita Tamma, MD, MPH Discuss the rationae for antibiotic stewardship Discuss the eements and activities of a stewardship program Discuss approaches to hep prescribers make good decisions about antibiotics Transate emerging nationa initiatives to encourage and enhance antibiotic stewardship NETWORKING BREAK 4:45 5:00 p.m. Grand Baroom Foyer SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE THE NEVER EVENTS: MANAGING PROVIDER AND PATIENT EXPECTATIONS 2:45 3:15 p.m. Gaeria Antibiotic Never Events in Hospitaized Patients Pranita Tamma, MD, MHS Identify cinica situations representing common conditions misdiagnosed as infections in which a stewardship intervention to eiminate antibiotic use is appropriate Estabish communication strategies for both patients and providers that promote appropriate antibiotic use when impementing stewardship interventions MANAGING OUTLIER PHYSICIANS: THE RELUCTANT STEWARD 3:15 3:45 p.m. Gaeria Lauri Hicks, DO Discuss outier prescribers in your institutions Identify methods for coaborating with outier cinicians to promote appropriate Antibiotic use Describe ways to hande the poor Infectious Diseases physician steward ANTIBIOTIC STEWARDSHIP IN SKILLED NURSING FACILITIES AND LONG-TERM CARE 3:45 4:45 p.m. Gaeria Sarah Kabbani, MD, MSc Define the unique chaenges for resources, team deveopment and measurement in ong-term care settings Identify starter strategies for impementing effective antibiotic stewardship in ong-term care settings Describe coaborations between acute care and ong-term care to create effect antibiotic stewardship programs FULL CONFERENCE IT S NOT AN ISOLATED ISSUE 4:15 5:45 p.m. Grand Baroom I Moderators: Surbhi Leekha, MBBS, MPH, and Corrine Kein, MD To Isoate or Not for Endemic Pathogens: that is the question! Gonzao Bearman, MD, MPH Isoation Duration: How Long is Too Long? Christopher Pfeiffer, MD, MHS Controversies & Advances in Airborne Isoation and Respiratory Protection Barbara I Braun, PhD Synthesize current data and guideines supporting and refuting use of Contact Precautions for endemic bad bugs such as MRSA, ESBLs, and C. difficie in acute care faciities Understand the rationae and most recent data to generate informed recommendations for the duration of Contact Precautions for coonization of bad bugs such as MRSA, CRE, and C. difficie Discuss and understand controversia issues and best practices in administering an effective respiratory protection program THURSDAY, APRIL 19 SCIENCE GUIDING PREVENTION 37

40 ORAL ABSTRACTS: MICROBES ON THE MOVE SHEA/CDC TRAINING COURSE THURSDAY, APRIL 19 4:15 5:45 p.m. Grand Baroom II Moderators: 9810 Inpatient Mobiity and Unit Susceptibiity of Hospita- Acquired Costridium difficie Infection (CDI) Kristen Bush, MPH 1,2,3, Gourab Ghosha, PhD 4, Ghinwa Dumyati, MD 1, Meissa Trayhan, MS 2, Samir Farooq, MS 2, Hugo Barbosa, PhD 4, Caroine Qui, MD, MSHP 1,2, Robert White, MS 2 and Martin Zand, MD, PhD 1,2,3, (1)University of Rochester Medica Center, Rochester, NY, USA, (2)Rochester Center for Heath Informatics, Rochester, NY, USA, (3)Cinica and Transationa Science Institute, Rochester, NY, USA, (4)University of Rochester, Rochester, NY, USA 9974 Microbia Burden on Environmenta Surfaces in Patient Rooms John Boyce, MD 1, Nancy L. Havi, MS 2 and Kerri A. Guercia, MT (ASCP) 2, (1)J.M.Boyce Consuting, LLC, Middetown, CT, USA, (2)Yae-New Haven Hospita, New Haven, CT, USA Sharing Is Not Aways a Good Thing: Use of a DNA Marker to Investigate the Potentia for Dissemination of Pathogens from Ward to Ward on Shared Medica Equipment Heba Ahmidi, MD 1, Jennifer Cadnum, BS 2 and Curtis J. Donskey, MD 3,4,5, (1)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA, (2)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (3)Case Western Reserve University, Ceveand, OH, USA, (4)Ceveand VA Medica Center, Ceveand, OH, USA, (5)Geriatric Research Education and Cinica Center, Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA Spores on Whees: Wheechairs are a Potentia Vector for Dissemination of Pathogens in Heathcare Faciities Annette Jencson, BSMT, CIC 1, Jennifer Cadnum, BS 2, Brigid Wison, PhD 3 and Curtis Donskey, MD 4, (1)Ceveand VA Medica Center, Ceveand, OH, USA, (2)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (3)Geriatric Research Education and Cinica Center, Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA, (4)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA 9793 Pathogens Causing Centra-ine Associated Boodstream Infections in Acute Care Hospitas United States, Shannon Novosad, MD MPH, Lucy Fike, MPH, Ronda Sinkowitz-Cochran, MPH, Aexander J. Kaen, MD, MPH and David Kuhar, MD, Division of Heathcare Quaity Promotion, Centers for Disease Contro and Prevention, Atanta, GA, USA Evauating the Heathcare Faciity Invasive CRE Transfer Network in Greater Atanta Metropoitan Area, 2016 Danie Fridkin 1,2,3, Christopher Bower, MPH 1,3,4, Jesse Jacob, MD 5, Susan Ray, MD 1,5, Scott Fridkin, MD 1,5, Rache Sayton, PhD, MPH 6 and Prabasaj Pau, PhD, MPH 7, (1)Georgia Emerging Infections Program, Decatur, GA, USA, (2)Atanta Veterans Affairs Medica Center, Decatur, GA, USA, (3)Atanta Research and Education Foundation, Atanta, GA, USA, (4)Atanta Veterans Affairs Medica Center, Atanta, GA, USA, (5)Emory University Schoo of Medicine, Atanta, GA, USA, (6)Division of Heathcare Quaity Promotion, Centers for Disease Contro and Prevention, Atanta, GA, USA, (7)Division of Heathcare Quaity Promotion, CDC, Atanta, GA, USA SPECIAL POPULATIONS: IMMUNOCOMPROMISE, DIALYSIS & BURN PATIENTS 5:00 5:45 p.m. Paviion Baroom Deborah Yokoe, MD Recognize how to appy and modify heathcare epidemioogy, antibiotic stewardship, and infection prevention approaches for immunocompromised popuations Review the specia issues associated with these popuations incuding increased use of invasive devices, increased use of broad-spectrum empiric antibiotics and how intense exposure to the heathcare system increases risks of MDRO acquisition SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE TELEMEDICINE: OPPORTUNITIES IN STEWARDSHIP 5:00 5:45 p.m. Gaeria TeeHeath and Stewardship How We Reach ALL Hospitas Edward A Stenehjem, MD, MSc Describe various ways of utiizing teemedicine to enhance stewardship opportunities Discuss strengths and weaknesses of off-site stewardship services 38 SHEA Spring 2018 Conference

41 SHEA/CDC/AMDA INFECTION PREVENTION IN PAC & LTC CERTIFICATE COURSE CHALLENGING SITUATIONS 5:00 5:45 p.m. Broadway Room Robin Jump, MD, PhD, Deborah Patterson-Burdsa, PhD RN-BC, CIC, Theresa Rowe, DO, and Nimae Stone, MD, MS Discuss chaenging infection contro situations that might arise in post-acute and ong-term care such as outbreaks, heathcare personne vaccination, and antibiotic overuse 4TH ANNUAL SHEA EDUCATION AND RESEARCH FOUNDATION DINNER (TICKETED EVENT) 6:00 9:30 p.m. Word Forestry Center This is a pre-purchased ticketed event. Pease note: Transportation wi be provided for this event. Pease meet outside the Hiton Portand Downtown Lobby starting at 5:30 p.m. THURSDAY, APRIL 19 SCIENCE GUIDING PREVENTION 39

42 FRIDAY, Apri 20 WOMEN IN EPI BREAKFAST 6:30 7:50 a.m. Atrium Baroom POSTER VIEWING BREAKFAST 7:00 7:50 a.m. Exhibit/Poster Ha FULL CONFERENCE I M HERE TO SEE THE BABY 8:00 9:30 a.m. Grand Baroom II Moderators: Jonathan Crews, MD, MS, and Michee Hoffman, MD Seasona and Age Reated Visitor Restrictions in NICUs: A Look at the Evidence Kari Simonsen, MD MDRO Coonization and Infection in NICU Infants Latania Logan, MD Famiy Engagement: Parents as Partners for Infection Prevention Efforts Kristina Bryant, MD Discuss controversies in visitation poicies in NICU settings, and the eve of evidence to support common recommendations Describe HAI risks associated with MDRO coonization in NICU infants Expore efforts to engage famiies in understanding and communicating best practices for infection prevention to improve NICU safety and care quaity LTC: SHOULD I STAY OR SHOULD I GO 8:00 9:30 a.m. Broadway Room Moderators: Muhammad Saam Ashraf, MBBS, and Robin Jump, MD, PhD Antibiotic Use in Nursing Home Residents at the End of Life Jon Furuno, PhD Surviving Sepsis and Nursing Homes Residents: What is Reaistic? Theresa Rowe, DO Hidden Costs of High Staff Turnover in Nursing Homes Nimae Stone, MD, MS Discuss antibiotic use and stewardship in nursing home residents at the end of ife, incuding discussions with concerned oved one Recognize impications of the Surviving Sepsis Campaign and the re-admissions Reduction Program on the care of nursing home resident Describe chaenges reated to staff turnover on infection prevention and contro in the post-acute and ong-term care setting PRO/CON: SWITCHING IT UP: CLOSTRIDIUM DIFFICILE INFECTION PREVENTION. IS STEWARDSHIP OR INFECTION PREVENTION THE KEY TO REDUCTION? 8:00 9:30 a.m. Grand Baroom I Moderators: Key Cawcutt, MD, MS, and Jasmine Marcein, MD Pro The Antibiotic Poice Ebbing Lautenbach, MD, MPH, MSCE Con Infection Prevention Army L. Cifford McDonad, MD Peace Maker Meinda Neuhauser, PharmD, MPH Describe the advantages and disadvantages of antibiotic stewardship as the key intervention to reduce C. difficie infections Describe the advantages and disadvantages of infection prevention as the key intervention to reduce C. difficie infections SHEA/CDC TRAINING COURSE LEADERSHIP AND COMMUNICATION SKILLS 8:00 8:45 a.m. Paviion Baroom Hiary M. Babcock, MD, MPH Discuss Agenda deveopment, Incusiveness, Action and foow up Review responsibiity and task management, and Feedback mechanisms Identify the importance of coaboration with other hospita groups/teams and stakehoders Recognize the basics of effective communication Indicate basic skis for effective negotiation Demonstrate how to speak to the financia impacts and cost-effectiveness of proposed interventions 40 SHEA Spring 2018 Conference

43 THE HOSPITAL EPIDEMIOLOGIST AS A CLINICIAN EDUCATOR 8:45 9:30 a.m. Paviion Baroom Thomas J. Sandora, MD, MPH Distinguish principes of adut earning necessary to effectivey teach and to design educationa interventions Identify varying forums and toos for effective deivery of education incuding didactic ectures, sma-group case-based discussions, and one-on-one instruction Cassify the target audience and be abe to vary teaching modaities & methods based on audience, eve of training and knowedge base Identify mechanisms for deivering education incuding unit-eve training, hands-on skis demonstration, computerbased modues, and simuation Assess the stage of the earner, ensure topic is meaningfu and reevant to earner s work, articuate goas, encourage active earner invovement, and provide feedback Recognize presentation toos effectivey and appropriatey, deveop effective written educationa materias, and educate individua HCP and other stakehoders Use varying teaching methods targeted at specific audience needs and goas SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE NETWORKING BREAK 9:30 10:00 a.m. Grand Baroom Foyer FULL CONFERENCE BEAUTY AND THE BEASTS: TALES FROM THE FRONT LINES OF RESPONSE TO EMERGING THREATS 10:00 a.m. 12:00 p.m. Grand Baroom I Moderators: Marisa D Angei, MD, MPH, and Shannon Novosad, MD, MPH, BS Beauty: Progress on Surveiance and Nove Strategies for Prevention and CRE Maroya S. Waters, PhD, ScM Beast: mcr 1 and Carbapenem Resistant Enterobacteriaceae (CRE) Maroya S. Waters, PhD, ScM Beast: Candida auris Emiy Lutteroh, MD, MPH Beast: Non tubercuosis mycobacteria Beinda Ostrowsky, MD, MPH Describe and discuss emerging muti-drug resistant organisms (MDROs) and non-tubercuous mycobacteria (NTM) Identify potentia rea-word soutions to overcome chaenges with MDRO and NTM prevention and response CASE STUDY #4: STEWARDSHIP AND C. DIFFICILE INFECTION 8:00 9:00 a.m. Gaeria Beinda Ostrowsky, MD, MPH Define aboratory approaches to testing for C. difficie testing and interpret resuts Review the association between use of Antibiotics and the deveopment of C. difficie infections Identify strategies to decrease C. difficie infection rates that incude improving antibiotic use and understand how to impement them in a coaborative group incuding infection prevention CASE STUDY #5: PEDIATRIC CASE INTERVENTION TO IMPROVE ANTIBIOTIC USE IN PEDIATRICS AND THE NICU 9:00 9:30 a.m. Gaeria Matthew Kronman, MD, MSCE Discuss practica exampes of Antibiotic stewardship impementation Identify strategies for impementing effective Antibiotic stewardship targeting an institution-specific probem and specia popuations such as the neonates and the immunosuppressed HOW TO PUBLISH WHAT WE DO 10:00 a.m. 12:00 p.m. Grand Baroom II Moderators: Jennifer Han, MD, MSc, and Danie Livorsi, MD Panning Your Interventions with an Eye Toward Pubication Charesnika T. Evans, PhD, MPH Performing Your Intervention or Outbreak Investigation Using Rigorous Methods Jessina McGregor, PhD How to Write-Up Your Experience to Optimize Pubication Jon Furuno, PhD Describe preferred study designs to impement a high-quaity intervention Reca a statistica anaysis technique (such as time series anaysis) that can be used to evauate the effectiveness of an intervention used to write a manuscript describing an intervention Describe a statistica anaysis technique that can be used to determine the cause of an outbreak List checkists (such as STROBE) that can be used to write a manuscript describing an intervention FRIDAY, Apri 20 SCIENCE GUIDING PREVENTION 41

44 FRIDAY, Apri 20 ORAL ABSTRACTS: AT THE INTERSECTION OF ANTIBIOTICS AND RESISTANCE 10:00 a.m. 12:00 p.m. Broadway Room Moderators: David Banach, MD, MPH, MS, and Jesse Jacob, MBA, MD, MSc 9990 Treating Fear: Emotiona Factors that Shape Antibiotic Prescribing in Acute Care Settings Mike R. Kohut, PhD 1, Pranita D. Tamma, MD, MHS 2, Sara E. Cosgrove, MD, MS 3, Lisa E. Davidson, MD 4, Katheen Speck, MPH 5, Meissa A. Mier, MD, MS 6 and Juia E. Szymczak, PhD 7, (1) Armstrong Institute for Patient Safety and Quaity at Johns Hopkins Medicine, Batimore, MD, USA, (2)Johns Hopkins University Schoo of Medicine, Batimore, MD, USA, (3)Johns Hopkins Medica Institutions, Batimore, MD, USA, (4)Caroinas Medica Center, Division of Infectious Diseases, Charotte, NC, USA, (5)Johns Hopkins University, Batimore, MD, USA, (6)Agency for Heath Research and Quaity, Department of Human Heath and Services, Rockvie, MD, USA, (7)Pereman Schoo of Medicine at University of Pennsyvania, Department of Biostatistics, Epidemioogy and Informatics, Phiadephia, PA, USA Nursing Home Characteristics Associated with Increased Rates of Costridium difficie Infection (CDI), Nationa Heathcare Safety Network (NHSN) 2016 Eisabeth Mungai, MS, MPH1, Jeneita M Be, MD, MPH1, Nimaie Stone, MD, MS1,2, Angea M Anttia, PhD1 and Jonathan R Edwards, MStat3, (1)Centers for Disease Contro and Prevention (CDC), Atanta, GA, USA, (2)Division of Heathcare Quaity Promotion, Atanta, GA, USA, (3)Centers for Disease Contro and Prevention, Atanta, GA, USA It s a Big Word Out There: Barriers and Hazards Reated to the Physica Environment in Patients on Outpatient Parentera Antimicrobia Therapy Sara C. Keer, MD, MPH, MSHP 1, Ayse P. Gurses, PhD, MS, MPH 2, Mike R. Kohut, PhD 3, Deborah Wiiams, BSN, MPH 4 and Sara E. Cosgrove, MD, MS 5, (1)Johns Hopkins Medicine, Batimore, MD, USA, (2)Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quaity, Batimore, MD, USA, (3)Armstrong Institute for Patient Safety and Quaity at Johns Hopkins Medicine, Batimore, MD, USA, (4)Johns Hopkins Home Care Group and Pharmaquip Infusion Pharmacy, Batimore, MD, USA, (5)Johns Hopkins Medica Institutions, Batimore, MD, USA A Comparative Study of the Epidemioogy of Carbapenem Resistant Enterobacteriaceae Infection and Coonization between and Scott A Borgetti, MD, Afredo Mena Lora, MD, Susan C. Beasdae, MD and Eaine Cha, University of Iinois at Chicago, Coege of Medicine, Chicago, IL, USA The Tip of the Iceberg, Antibiotic Stewardship and Fuoroquinoone Use at Hospita Discharge: A Muti Hospita Study Vaerie Vaughn 1, Scott Fanders, MD 1, Vineet Chopra, MD, MSc 2, Anna Conon, PhD 1, Anurag Maani, MD 3, Rama Thyagarajan, MD 4 and Teja N Gandhi, MD 5, (1)University of Michigan, Ann Arbor, MI, USA, (2)University of Michigan Medica Schoo, Ann Arbor, MI, USA, (3)St. Joseph Mercy Heath System, Ann Arbor, MI, USA, (4)Beaumont Heath System, Dearborn, MI, USA, (5)University of Michigan Heath System, Ann Arbor, MI, USA High Reative Abundance of Kebsiea Pneumoniae Carbapenemase-Producing Kebsiea pneumoniae (KPC-Kp) within the Gut Microbiota is Associated with Increased Risk of Boodstream Infection (BSI) in Long-Term Acute Care Hospita (LTACH) Patients Teppei Shimasaki, M.D. 1, Anna M. Seekatz, Ph.D. 2, Christine M. Bassis, Ph.D. 2, Yoona Rhee, M.D., Sc.M. 1, Rache D. Yein, M.P.H. 1, Louis Fogg, Ph.D. 1, Thema Dangana, M.B.B.S., M.S. 1, Enrique Cornejo Cisneros, M.D. 3, Robert A. Weinstein, M.D. 1, Koh Okamoto, M.D. 4, Karen Loans, B.S. 1, Michae Schoeny, Ph.D. 1, Michae Y. Lin, M.D., M.P.H. 1, Nichoas M. Moore, Ph.D. 1, Vincent B. Young, M.D., Ph.D. 2 and Mary K. Hayden, M.D. 1, (1) Rush University Medica Center, Chicago, IL, USA, (2)University of Michigan Medica Schoo, Ann Arbor, MI, USA, (3)Hospita Naciona Cayetano Heredia, Lima, Peru, (4)University of Tokyo Hospita, Tokyo, Japan Use of a Computer-based Prediction Too (WISCA) for Improving Empiric Antibiotic Prescribing Mary Een Acree, MD 1, Lance Peterson, MD 1, Nirav Shah, MD 1, Jessica P Ridgway, MD, MS 2 and Kamajit Singh, MD 1, (1) NorthShore University HeathSystem, Evanston, IL, USA, (2) University of Chicago, Chicago, IL, USA Further Reduction in Antimicrobia Use After Institution of Handshake Stewardship in a Preexisting Pediatric ASP Natasha A Nakra, MD 1, Jean Wiedeman, MD 2 and Danie Tancredi 3, (1)University Of Caifornia Davis Schoo of Medicine, Sacramento, CA, USA, (2)University Caifornia Davis Schoo of Medicine, Sacramento, CA, USA, (3)University of Caifornia Davis Schoo of Medicine, Sacramento, CA, USA SHEA/CDC TRAINING COURSE OCCUPATIONAL INFECTION PREVENTION 10:00 11:00 a.m. Paviion Baroom Thomas Tabot, MD, MPH Iustrate the roe of heathcare personne (HCP) in the transmission of heathcare-associated infections Identify the recommended strategies, incuding immunization and use of screening tests, designed to prevent HCP-associated transmission of pathogens Identify the approach to HCP infected with a bood borne virus Summarize the management of contagious disease exposures among HCP, incuding the use of post-exposure prophyaxis 42 SHEA Spring 2018 Conference

45 THE ROLE OF THE LABORATORY IN HEALTHCARE EPIDEMIOLOGY 11:00 a.m. 12:00 p.m. Paviion Baroom Joost Hopman, DTMH, MD Discuss the major roes of the cinica aboratory in infection prevention, outbreak response, and antibiotic stewardship Identify promising deveopments in rapid and/or moecuar diagnostic testing in the microbioogy ab, incuding when and how such testing shoud be incorporated into infection prevention efforts Assess test characteristics (e.g. sensitivity, specificity, positive and negative predictive vaue) and that a change in testing methodoogy may resut in an apparent change in incidence or prevaence of an infection or pathogen Deveop and interpret an antibiogram that is consistent with Cinica and Laboratory Standards Institute (CLSI) recommendations Know when to utiize moecuar typing methods for infection prevention and outbreak response, and describe the strengths and imitations of existing typing methods SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE STEWARDSHIP AT THE BEDSIDE: ENGAGING FRONT-LINE PROVIDERS 10:45 11:15 a.m. Gaeria David Ha, PharmD Recognize the roe of staff nurses in antibiotic stewardship programs Expain the various heathcare personne roes in ong term care faciities invoved in antibiotic therapy decisions STEWARDSHIP AND INFORMATICS 11:15 a.m. 12:00 p.m. Gaeria Utiizing Informatics to Grow Your Stewardship Program Kristi Kuper, PharmD Identify how information technoogy infrastructure may assist stewardship programs Describe how to assess IT resources and externa proprietary software programs List exampes of how information technoogy has assisted successfu stewardship programs in various settings CASE STUDY #6: ADULT CASE INTERVENTION TO IMPROVE MANAGEMENT OF COMMUNITY ACQUIRED PNEUMONIA 10:00 10:45 a.m. Gaeria Priya Nori, MD Discuss practica exampes of Antibiotic stewardship impementation Identify strategies for impementing effective Antibiotic stewardship targeting an institution-specific probem and specia popuations such as the neonates and the immunosuppressed FRIDAY, Apri 20 SCIENCE GUIDING PREVENTION 43

46 POSTER PRESENTATIONS: FRIDAY, Apri 20 NETWORKING LUNCH WITH POSTER PRESENTATIONS 12:00 1:30 p.m. Exhibit/Poster Ha 400 Aternative Doffing Strategies of Persona Protective Equipment (PPE) to Prevent Sef-Contamination Michee Do 1, Kathryn Osei-Bonsu 1, Nadia Masroor, MPH 2, Kaia Cooper, MSN, RN, CIC 2, Christopher Doern, PHD 1, Kimbery Jefferson, PHD 1, Savion Adamson 2, Justin Thomas 2, Ian Lovern 1, Heather Abert, BSN, RN, CIC 2, Yvette Major, MBA, MT(ASCP) 2, Mike Stevens, MD, MPH 3, Gordon Archer, MD 1 and Gonzao Bearman, MD 4, (1)VCU Schoo of Medicine, Richmond, VA, USA, (2)VCU Heath, Richmond, VA, USA, (3)Virginia Commonweath University Schoo of Medicine, Richmond, VA, USA, (4)Virginia Commonweath University Heath System, Richmond, VA, USA 401 Decines in Heathcare-Associated, Community- Onset Methiciin-Resistant Staphyococcus aureus Boodstream Infections, Key Jackson 1, Cedric Brown 1, Joee Nade, MPH 2, Susan Petit 3, Susan Ray, MD 4,5, Ruth Lynfied, MD 6, Ghinwa Dumyati, MD 7, Wiiam Schaffner, MD 8 and Isaac See, MD 1, (1)Division of Heathcare Quaity Promotion, Centers for Disease Contro and Prevention, Atanta, GA, USA, (2)Caifornia Emerging Infections Program, Oakand, CA, USA, (3)Connecticut Department of Pubic Heath, Hartford, CT, USA, (4)Atanta Veterans Affairs Medica Center, Decatur, GA, USA, (5)Georgia Emerging Infections Program, Decatur, GA, USA, (6)Minnesota Department of Heath, St. Pau, MN, USA, (7)University of Rochester Medica Center, Rochester, NY, USA, (8)Vanderbit University Schoo of Medicine, Nashvie, TN, USA 402 Knowedge, Attitude, and Practices on Vaccination and Occupationa Heath Among Heathcare Workers in a Teaching Hospita Mexico City Lucia Martinez-Hernandez, MD 1, Lopez-Enriquez Caudia, MD 2, Donis-Hernandez Jose, MD 3 and Virgen-Cuevas Margarita, MD 3, (1)Hospita Españo, Mexico City, Mexico, (2)Hodpita Españo de México, Mexico City, Mexico, (3)Hospita Españo de México, Mexico City, Mexico 403 Roe of Hand Hygiene Ambassador and Impementation of Directy Observed Hand Hygiene among Residents in Nursing Homes Shuk Ching Wong, MNurs, Chi Chung Vincent CHENG, MD and Kwok Yung Yuen, MD, Queen Mary Hospita, Hong Kong, Hong Kong 404 Risk Factors of Heathcare-Associated Infections in ICU Are Effectivey Identified by Machine Learning Approach Ksenia I. Ershova, M.D., M.Sc. 1, Oga N. Ershova, M.D., Ph.D. 2, Oeg Khomenko, M.Sc. 1, Ivan Savin, M.D., Ph.D. 2, Nataiya Kurdyumova, M.D., Ph.D. 2 and Geb Daniov, M.D., Ph.D. 2, (1) Skokovo Institute of Science and Technoogy, Moscow, Russian Federation, (2)Burdenko Neurosurgery Institute, Moscow, Russian Federation 405 Do Universa Chorhexidine Baths Increase the Prevaence of Antiseptic Resistance Genes in MRSA and Reduce Susceptibiity To Chorhexidine? Angea Chow, MBBS, MPH, MS, PhD, Pei-Yun Hon, Wei Zhang and Brenda Ang, MBBS, MPH, Tan Tock Seng Hospita, Singapore, Singapore 406 Wi the Use of Nasa Octenidine Ge Increase the Prevaence of Antiseptic Resistance Genes And Reduce Octenidine Susceptibiity in MRSA? Angea Chow, MBBS, MPH, MS, PhD, Pei-Yun Hon, Wei Zhang and Brenda Ang, MBBS, MPH, Tan Tock Seng Hospita, Singapore, Singapore 407 Do Nasa Antiseptics and Universa Antiseptic Baths Increase the Prevaence of Antiseptic Resistance Qac Genes in Methiciin-Resistant Staphyococcus aureus (MRSA) in Extended Care Faciities? Angea Chow, MBBS, MPH, MS, PhD and Pei-Yun Hon, Tan Tock Seng Hospita, Singapore, Singapore 408 Antifunga Prescribing Patterns in the Outpatient Setting -- United States, 2015 Sharon Tsay, MD, Monina Bartoces, PhD, Snigdha Vaabhaneni, MD MPH, Brendan R. Jackson, MD MPH and Lauri Hicks, D.O., Centers for Disease Contro and Prevention, Atanta, GA, USA 409 Are Academic Hospitas Treated Fairy in the CMS Hospita Acquired Condition Reduction Program? Mayar A Mohajer, MD MBA CAQ FACP 1, David Nix, PharmD 2 and Keith Joiner, MD MPH 3, (1)Bayor Coege of Medicine, Houston, TX, USA, (2)University of Arizona- Department of Pharmacy Practice and Science, Tucson, AZ, USA, (3)University of Arizona- Eer Coege of Management, Tucson, AZ, USA 410 Prevaence and Contact Precautions Status of CRE Coonized Patients at Hospita Unit Admission Katherine E Goodman, JD 1, Patricia J Simner, PhD, D(ABMM) 2, Abida Kazmi, MS 2, Avinash Gadaa, MS, B.Pharm 3, Care Rock, MD, MS 3,4,5, Lisa Maragakis, MD, MPH 5,6, Sara E. Cosgrove, MD, MS 6 and Aaron M Mistone, MD, MHS 6, (1)Department of Epidemioogy, Johns Hopkins Schoo of Pubic Heath, Batimore, MD, USA, (2)Schoo of Medicine, Division of Medica Microbioogy, Johns Hopkins University, Batimore, MD, USA, (3)The Johns Hopkins Hospita, Batimore, MD, USA, (4)Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quaity, Batimore, MD, USA, (5)Johns Hopkins University Schoo of Medicine, Batimore, MD, USA, (6)Johns Hopkins Medica Institutions, Batimore, MD, USA 411 Adapting CDC Infection Prevention Guidance: Addressing the Chaenges and Needs of Speciaty Outpatient Settings Barbara I. Braun, PhD, Beth Ann Longo, DrPH, MSN, MBA, RN, Brette Tschurtz, MPH, Kristine Donofrio and Hasina Hafiz, MPH, The Joint Commission, Oakbrook Terrace, IL, USA 412 Beyond the Abacus: Leveraging the Eectronic Medica Record for Reporting Centra Line-Days Patrick C. Burke, Lori Eichmuer, Steven M. Gordon, MD and Thomas G. Fraser, MD, Ceveand Cinic, Ceveand, OH, USA 413 Methiciin Resistant Staphyococcus (MRSA) Isoation tied to Hand Hygiene (HH) compiance Anupama Neeakanta, MD, MPH 1, Kristi Cutts, RN, CIC 2, Wendy Betts, RN, CIC 3 and Catherine Passaretti, MD 4, (1)Caroinas HeathCare System, charotte, NC, USA, (2)Caroinas Heathcare system, charotte, NC, USA, (3)Caroinas Heathcare system, Charotte, NC, USA, (4)Caroinas Heathcare System, Charotte, NC, USA 414 Incidence, Risk Factors, and Outcomes Associated with Hospita-Onset Periphera Intravenous Catheter- Associated Staphyococcus aureus Bacteremia Mica M Bauw, BS 1,2, Betsy Foxman, PhD 1, Juan Wu, ScD, MS 2, Janice E Rey, BSMT(ASCP), CIC 2, Neeay Kothari, MD, MPH 2 and Anurag N. Maani, MD 2, (1)University of Michigan Schoo of Pubic Heath, Ann Arbor, MI, USA, (2)Saint Joseph Mercy Heath System, Ann Arbor, MI, USA 44 SHEA Spring 2018 Conference Top Poster Abstract

47 416 Utiity of the RAND-Modified Dephi Method for Determining the Components of a Nationa Surveiance System to Impement an Antimicrobia Resistance Action Pan in Japan Nobuaki Matsunaga, M.D., M.P.H., Ph.D. 1, Kayoko Hayakawa, M.D., Ph.D. 1, Fumie Sakamoto, BSN, MPH, CIC 2, Shigeki Misawa, Ph.D. 3, Yuichi Muraki, Ph.D 4, Shuhei Fujimoto, MD, Ph.D. 5, Hiroshige Mikamo, M.D., Ph.D. 6, Nobuo Murakami, M.D., Ph.D. 7, Keigo Shibayama, M.D., Ph.D. 8, Tetsuya Yagi, M.D., Ph.D. 9, Katsunori Yanagihara, M.D., Ph.D. 10, Taichi Tajima, R.N. 1, Yoshiaki Gu, M.D., M.P.H., Ph.D. 1 and Norio Ohmagari, M.D., M.Sc., Ph.D. 1, (1)AMR Cinica Reference Center, Nationa Center for Goba Heath and Medicine, Tokyo, Japan, (2)Infection Contro Division, Quaity Improvement Center, St.Luke s Internationa Hospita, Tokyo, Japan, (3)Department of Cinica LaboratorJuntendo University Hospita, Tokyo, Japan, (4)Department of Cinica Pharmacoepidemioogy, Kyoto Pharmaceutica University, Kyoto, Japan, (5)Department of Bacterioogy and Bacteria Infection, Division of Host Defense Mechanism, Tokai University Schoo of Medicine, Kanagawa, Japan, (6)Department of Cinica Infectious Diseases, Aichi Medica University, Aichi, Japan, (7)Center for nutrition support & infection contro, Gifu university hospita, Gifu, Japan, (8)Department of Bacterioogy II, Nationa Institute of Infectious Diseases, Tokyo, Japan, (9)Department of Infectious Diseases Nagoya University Graduate Schoo of Medicine, Aichi, Japan, (10)Department of Laboratory Medicine, Nagasaki University Graduate Schoo of Biomedica Sciences, Nagasaki, Japan 417 Impact of Targeted Decoonization on Transmission of Methiciin-Resistant Staphyococcus aureus in a NICU Michae Bozzea, DO, MS, Tracie Harris, MT(ASCP), Lamia Soghier, MD, FAAP, CHSE, Lisa Ze, BSN, RN, Biie Lou Short, MD and Xiaoyan Song, PhD, MBBS, CIC, Chidren s Nationa Heath System, Washington, DC, USA 418 Increased 30-Day Mortaity among Chidren with Carbapenem-resistant Enterobacteriaceae Katheen Chiotos, MD, MSCE 1, Pranita D. Tamma, MD, MHS 2, Key B. Fett, MD, MMSc 3, Matthew Naumann, BS 2, Manjiree V. Karandikar, MD, MBS 4 and Jennifer Han, MD, MSCE 5, (1)Chidren s Hospita of Phiadephia, Phiadephia, PA, USA, (2)Johns Hopkins University Schoo of Medicine, Batimore, MD, USA, (3)Chidren s Hospita Boston, Boston, MA, USA, (4)Boston Chidren s Hospita, Boston, MA, USA, (5)University of Pennsyvania Pereman Schoo of Medicine, Phiadephia, PA, USA 419 Rapid Containment of an Infuenza A Outbreak in a Locked Behaviora Unit Michee Ordoveza, MD 1, Angea Gabasan, RN, MSN, CIC 2 and Emiia Mia Sordio, MD, PhD, FACP, FIDSA 1, (1)Mount Sinai St Luke s & Mount Sinai West, Icahn Schoo of Medicine at Mount Sinai, New York, NY, USA, (2)Mount Sinai West, New York, NY, USA 420 Impact of a Nove, Mobie Air Purification System on the Bacteria Air Burden during Routine Care Werner Bischoff, MD PhD 1, Gregory Bryan Russe, MS 1, Eisabeth Susanne Wiard, BS 1 and John Stehe Jr., PhD 2, (1)Wake Forest Schoo of Medicine, Winston Saem, NC, USA, (2)Wake Forest Baptist Medica Center, Winston Saem, NC, USA 421 Investigation of Hospita-Onset (HO) Methiciin- Resistant Staphyococcus aureus (MRSA) Bood Stream Infections (BSIs) at High Burden Acute Care Faciities in 2 States, 2016 D. Ca Ham, MD, MPH 1, Isaac See, MD 1, Shannon Novosad, MD MPH 1, Matthew Crist 2, Garrett Mahon, MPH 1, Kevin Spicer 2, Pamea Taey 3, Andrea Finchum 4, Marion Kainer, MD, MPH 3, Maroya S. Waters, PhD, ScM 5 and Aexander J. Kaen, MD, MPH 1, (1)Division of Heathcare Quaity Promotion, Centers for Disease Contro and Prevention, Atanta, GA, USA, (2)Division of Heathcare Quaity Promotion, CDC, Atanta, GA, USA, (3) Tennessee Department of Heath, Nashvie, TN, USA, (4)Kentucky Department for Pubic Heath, Frankfort, KY, USA, (5)Centers for Disease Contro and Prevention, Atanta, GA, USA 422 Hand Hygiene before Donning Non-Sterie Goves: Heathcare Workers Beiefs and Practices Jure Baoh, PhD 1, Kerri A. Thom, MD, MS 2, Ei Perencevich, MD, MS 1,3, Care Rock, MD, MS 4,5,6, Gwen Robinson, MPH 2, Meissa A Ward, MS 1, Loreen Herwadt, MD 1 and Heather Schact Reisinger, PhD 1,3, (1)University of Iowa Carver Coege of Medicine, Iowa City, IA, USA, (2)University of Maryand Schoo of Medicine, Batimore, MD, USA, (3)Iowa City VA Heathcare System, Iowa City, IA, USA, (4)The Johns Hopkins Hospita, Batimore, MD, USA, (5)Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quaity, Batimore, MD, USA, (6)Johns Hopkins University Schoo of Medicine, Batimore, MD, USA 423 A Critica Examination of the Practice of Active Surveiance for Vancomycin-Resistant Enterococcus in the Neonata Intensive Care Unit Juia R Ganternik, MD 1, Sonai Advani, MBBS, MPH 2, Michae Aniskiewicz, M (ASCP), CIC 3, Christina Murdzek, M(ASCP), MHS 3, Matthew Bizzarro, MD 4, Robert S Batimore, MD 1,3 and Richard A Martineo, MD 3,5, (1)Yae Schoo of Medicine, Department of Pediatrics, Section of Pediatric Infectious Diseases, New Haven, CT, USA, (2)Yae Schoo of Medicine, Department of Medicine, Section of Infectious Diseases, New Haven, CT, USA, (3)Yae New Haven Hospita, Department of Infection Prevention, New Haven, CT, USA, (4)Yae Schoo of Medicine, Department of Pediatrics, Section of Neonata-Perinata Medicine, New Haven, CT, USA, (5) Yae Schoo of Medicine, Department of Medicine and Pediatrics, Section of Infectious Diseases, New Haven, CT, USA 424 Impact of an Infection Contro Assessment and Response Visit on Diaysis Event Rates Phiip D. Hahn, MPH, CPH 1, Tiina Peritz, RN, BSN, MSc 1, Kristin S. Privette, MPH 1 and Susan E. Coffin, MD, MPH 1,2, (1)Phiadephia Department of Pubic Heath, Phiadephia, PA, USA, (2)Chidren s Hospita of Phiadephia, Phiadephia, PA, USA 425 Use Meaningfu Data to Drive Hand Hygiene Improvement in Heathcare Providers Xiaoyan Song 1,2, Deena Levey, RN 3, Jennifer Yin, RN 4, Rusty Siedsch 3, Roberta L DeBiasi, MD, MS 5 and Rahu Shah, MD, MBA 3,6, (1)Chidrens Nationa Medica Center, Washington, DC, USA, (2)The George Washington University Schoo of Medicine, Washington, DC, USA, (3)Chidren s Nationa Heath System, Washington, DC, USA, (4)Chidren s Nationa Heath System, Washington, DC, USA, (5)George Washington University Schoo of Medicine, Washington, DC, USA, (6)George Washington University Schoo of Medicine, Washington,, DC, USA 426 Hand Hygiene Compiance Assessment Using Covert Embedded Medica Student Monitors Mark Lacy, MD 1 and Ai R Ghergherehchi, BS 2, (1)Schoo of Medicine Texas Tech University Heath Sciences Center, Lubbock, TX, USA, (2)Texas Tech University Schoo of Medicine, Lubbock, TX, USA 427 First Report of Eizabethkingia anopheis in New York: Re-Emerging Pathogen or Better Detection? Emi Lesho 1, Erik C. Snesrud, MS 2, Edward Wash, MD 3, Ana Ong, BS 2, Rossyn Maybank 2, Yoon I Kwak, MS 2, Jean Campbe 1, Anthony Jones 2, Maryrose Laguio-Via 1, Patrick McGann, PhD 2 and Mary Hinke, MD 2, (1)Rochester Regiona Heath, Rochester, NY, USA, (2)Water Reed Army Institute of Research, Siver Spring, MD, USA, (3)University of Rochester Schoo of Medicine, Rochester, NY, USA 428 Got GAS? Ease the Boat with Rapid Turnaround Sequencing Meissa Z. Bronstein, MPA, RN, CIC 1, Erik C. Snesrud, MS 2, Ana Ong, BS 2, Rossyn Maybank 2, Yoon I Kwak, MS 2, Anthony Jones 2, Mary Hinke, MD 2, Patrick McGann, PhD 2, Margaret Pettis 1 and Emi Lesho 1, (1)Rochester Regiona Heath, Rochester, NY, USA, (2)Water Reed Army Institute of Research, Siver Spring, MD, USA POSTER PRESENTATIONS: FRIDAY, Apri 20 SCIENCE GUIDING PREVENTION 45

48 POSTER PRESENTATIONS: FRIDAY, Apri Predicting the Impact of a Regiona Strategy for Containing a Nove Mutidrug-Resistant Organisms (MDRO) Prabasaj Pau, PhD, MPH 1, Rache Sayton, PhD, MPH 2, Aexander J. Kaen, MD, MPH 2, Maroya S. Waters, PhD, ScM 3 and John Jernigan, MD, MS 2, (1)Division of Heathcare Quaity Promotion, CDC, Atanta, GA, USA, (2)Division of Heathcare Quaity Promotion, Centers for Disease Contro and Prevention, Atanta, GA, USA, (3)Centers for Disease Contro and Prevention, Atanta, GA, USA 430 Antimicrobia Stewardship in Arkansas: A Statewide Antimicrobia Stewardship Initiative Approach Corey Lance, PharmD 1, Keey Garner, MPH, MLS(ASCP) 1 and Marsha Crader, PharmD 2, (1)Arkansas Department of Heath, Litte Rock, AR, USA, (2)University of Arkansas for Medica Sciences, Litte Rock, AR, USA 431 Neonata Intensive Care Unit Mutidrug Resistant Organism Coonization: The Growing Threat of Gram Negative Rods Abigai E Mudd, BA 1, Jane M Goud, MD 2, Patricia Hennessey, RN 3 and Andrea Levine 3, (1)Dornsife Schoo of Pubic Heath, Drexe University, Phiadephia, PA, USA, (2)Drexe University Coege of Medicine, St. Christopher s Hospita for Chidren, Phiadephia, PA, USA, (3)St. Christopher s Hospita for Chidren, Phiadephia, PA, USA 432 Thinking Beyond the Hospita Was: Adaptive Preparedness Strategies for US Eboa Assessment Hospitas Robert Nicka, BS, M(ASCP), Oregon Heath Authority State Pubic Heath Laboratory, Hisboro, OR, USA 433 A Longitudina Comparison of Oregon Costridium difficie Infection Data Reported to EIP and NHSN, Roza Tammer, MPH, CIC 1, Vaerie L. S. Ocampo, RN, BSN, MIPH 1 and Rosaie D. Waker Patterson, RN, MSN 2, (1)Oregon Heath Authority, Portand, OR, USA, (2)Sky Lakes Medica Center, Kamath Fas, OR, USA 434 Anaysis of Heathcare Associated Tubercuosis Exposures at an Academic Medica Center Dana Pepe, MD, MPH 1, Sonai Advani, MBBS, MPH 1, Michae Aniskiewicz, M (ASCP), CIC 2, George Paci, RN 2, Een Macone, RN 3, Linda Suivan, BSN, MBA 2 and Richard A. Martineo, MD 4, (1)Yae Schoo of Medicine, Department of Medicine, Section of Infectious Diseases, New Haven, CT, USA, (2)Yae New Haven Hospita, Department of Infection Prevention, New Haven, CT, USA, (3)Yae New Haven Hospita, Department of Quaity and Safety, New Haven, CT, USA, (4)Yae Schoo of Medicine, Department of Medicine and Pediatrics, Section of Infectious Diseases, New Haven, CT, USA 435 Outbreak of Scabies in a Neonata Intensive Care Unit Vini Vijayan, MD 1, Eizabeth Marrero, MSN, RN, CNOR, CIC 2, Michee Honeycutt, BSN, RN, BSN, CIC 2, Anna Gaspar, MSN, RN, CCRN 2, Christy Wisdom, MSN, RN, CIC, FAPIC 2 and Matthew Linam, MD, MS 3, (1)University of Arkansas for Medica Sciences, Litte Rock, AR, USA, (2)Arkansas Chidren s Hospita, Litte Rock, AR, USA, (3)Emory University and Chidren s Heathcare of Atanta, Atanta, GA, USA 436 Assessing Dispersion of Mycobacterium chimaera in the Operating Room Bryan E. Christensen, PhD, MEPC, Division of Heathcare Quaity Promotion, Nationa Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Contro and Prevention, Atanta, GA, USA 437 Carbapenemase-Producing Enterobacteriaceae Surveiance in Ontario, Emiy Shing, MPH, Samir N Pate and Gary Garber, Pubic Heath Ontario, Toronto, ON, Canada 438 Just-In-Time Hand Hygiene Coaching Improves Hand Hygiene and the Quaity of Hand Hygiene Observations Jorge P. Parada, MD, MPH 1,2, Cynthia Koehn, RNC MSM 2, Katheen M Fujiu, MBA RN BSN 2, Ayat Abuihmoud, MS 2, Dominique Wright, MPH 2 and Kevin R Smith, MD 2,3, (1)Loyoa University Chicago, Maywood, IL, USA, (2)Loyoa University Medica Center, Maywood, IL, USA, (3)Loyoa University Chicago, Chicago, IL, USA 439 Do Patients in Contact Precautions Receive Education on Patient Hand Hygiene? Anubhav Kanwar, MD 1 and Curtis Donskey, MD 2, (1)Geriatric Research Education and Cinica Center (GRECC), Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA, (2)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA 440 Visit the Past to Predict the Future: History of Methiciin-Resistant Staphyococcus aureus (MRSA) Carriage Predicts Future MRSA Surgica-Site Infection Anubhav Kanwar, MD 1 and Curtis Donskey, MD 2, (1)Geriatric Research Education and Cinica Center (GRECC), Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA, (2)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA 441 Cothing and Shoes of Physicians Leaving the Hospita Are Often Contaminated with Heathcare- Associated Pathogens Anubhav Kanwar, MD 1, Jennifer Cadnum, BS 2, Annette Jencson, BSMT, CIC 3 and Curtis Donskey, MD 4, (1)Geriatric Research Education and Cinica Center (GRECC), Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA, (2)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (3)Geriatric Research, Education, and Cinica Center, Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA, (4)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA 442 Common Gaps in Hemodiaysis Infection Contro Practices Reveaed by Standardized Infection Contro Assessments Tiina Peritz, RN, BSN, MSc 1, Dana Higgins, MPH 1, Heather Bayko, MPH 1,2, Phiip D. Hahn, MPH, CPH 1, Ami Pate, PhD 1,2, Susan E. Coffin, MD, MPH 1,3, Kristin S. Privette, MPH 1 and Eieen Farnon, MD 1, (1)Phiadephia Department of Pubic Heath, Phiadephia, PA, USA, (2)Centers for Disease Contro and Prevention, Atanta, GA, USA, (3)Chidren s Hospita of Phiadephia, Phiadephia, PA, USA 443 Laboratory Practices for Identification and Reporting of Carbapenem-resistant Enterobacteriaceae Charesnika T. Evans, PhD, MPH 1,2, Katie J. Suda, PharmD, MS 3,4, Margaret Fitzpatrick, MD, MS 4,5, Swetha Ramanathan, MPH 4, Nasia Safdar, MD, PhD 6,7, Martin E. Evans, MD 8,9, Makoto Jones, MD, MS 10,11, Christopher Pfeiffer, MD 12,13, J. Stacey Kutts, MD, PhD 14,15, Michae S. Icardi, MD 14, Ei Perencevich, MD, MS 16,17 and Michae Rubin, MD, PhD 18,19, (1)Northwestern University, Chicago, IL, USA, (2)Center of Innovation for Compex Chronic Heathcare, Hines, IL, USA, (3)University of Iinois at Chicago, Coege of Pharmacy, Chicago, IL, USA, (4)VA Center of Innovation for Compex Chronic Heathcare, Hines, IL, USA, (5)Loyoa University, Maywood, IL, USA, (6)Wiiam S. Middeton Memoria Veterans Hospita, Madison, WI, USA, (7)University of Wisconsin Schoo of Medicine & Pubic Heath, Division of Infectious Diseases, Madison, WI, USA, (8)VHA Nationa Infectious Diseases Service, Lexington, KY, USA, (9)Lexington VA Medica Center, Lexington, KY, USA, (10)Sat Lake City VA Medica Center, Sat Lake City, UT, USA, (11)University of Utah, Sat Lake City, UT, USA, (12)Division of Infectious Disease, Oregon Heath & Science University, Portand, OR, USA, (13)VA Portand Heath Care System, Portand, OR, USA, (14)Centra Iowa VA Heathcare System, Iowa City, IA, USA, (15) University of Iowa Hospitas and Cinics, Iowa City, IA, USA, (16) Iowa City VA Heathcare System, Iowa City, IA, USA, (17)University of Iowa Carver Coege of Medicine, Iowa City, IA, USA, (18) University of Utah Schoo of Medicine, Sat Lake City, UT, USA, (19) VA Sat Lake City Heath Care System, Sat Lake City, UT, USA 46 SHEA Spring 2018 Conference

49 444 Evauation of the First Nine Months of the CDC Enhanced Strategy to Sow the Spread of Emerging Carbapenemases Kate Russe, MD, MPH, Aicia Shugart, MA, Garrett Mahon, MPH, Sarah Maik, PhD, Paige Gabe, David Lonsway, MMedSc, Aison Brown, PhD, MPH, Aexander J. Kaen, MD, MPH and Maroya Waters, PhD, ScM, Division of Heathcare Quaity Promotion, Centers for Disease Contro and Prevention, Atanta, GA, USA 445 Reporting Accuracy of CLABSI and CAUTI in NHSN: Findings from Data Vaidation from State Heath Departments. Suparna Bagchi, DrPH 1 and Jennifer Watkins, MPH, BSN, RN 2, (1)CDC, Atanta, GA, USA, (2)DeKab Medica Center, Decatur, GA, USA 446 Carbapenem-resistant Enterobacteriaceae, What s in a Name? Assessment of the Modified 2015 CDC Criteria in a Major Teaching Hospita Michae Ben-Aderet, MD 1, Meghan Madhusudhan, MPH 1, Matthew Amario, MPH 1, Johan Koev, MD 2, Margie Morgan, PhD 1 and Jonathan Grein, MD 1, (1)Cedars-Sinai Medica Center, Los Angees, CA, USA, (2)UCLA Muti-Campus Infectious Disease Program, Los Angees, CA, USA 447 A Preiminary Case Series of the Ongoing Hepatitis A Outbreak in Michigan: Observation from a Tertiary Medica Center in Greater Detroit. Suganya Chandramohan, MD 1, Parminder Virdi, MD 1, Aeena Saeem, MD 1, Nikhia Thammineni, MD 1, Anupamdeep Singh Mehar, MD 1, Reda Awai 1, Amir Laktineh, MD 2, Angad Singh Gi, MD 1, Amar Krishna, MD 1, Jennifer LeRose, MPH 3 and Teena Chopra, MD, MPH 4, (1)Division of Infectious Diseases, Detroit Medica Center/Wayne State University, Detroit, MI, USA, (2) Department of Medicine,Detroit Medica Center/Wayne State University, Detroit, MI, USA, (3)Division of Infection Prevention and Epidemioogy,Detroit Medica Center, Detroit, MI, USA, (4)Infection Prevention and Hospita Epidemioogy, Detroit Medica Center, Detroit, MI, USA 448 Risk Factors and Nove Risk Prediction Mode for Community Onset ESBL Urinary Tract Infections Sarah Nei, MD, MPH 1, Dheeraj Goya, MD, MPH 2, Nathan Dean, MD 1,3, Peter Jones, MSLS 4 and Kristin Dascomb, MD, PhD 5, (1)University of Utah, Sat Lake City, UT, USA, (2)Mercy Heath, Fairfied, OH, USA, (3)Intermountain Medica Center, Murry, UT, USA, (4)Intermountain Medica Center, Murray, UT, USA, (5) Intermountain Heathcare, Murray, UT, USA 449 Attributabe Mortaity of Resistances to Quinoone and Cephaosporin in Nosocomia Gram-negative Rod Bacteremia Hiroyuki Suzuki, MD 1, Danie J Livorsi, MD, MSc 1,2, Ei Perencevich, MD, MS 1,2, Key K Richardson, PhD 3, Brice F Beck, MA 3, Bruce Aexander, PharmD 3 and Michihiko Goto, MD, MSCI 1,2, (1)University of Iowa Carver Coege of Medicine, Iowa City, IA, USA, (2)Iowa City VA Heathcare System, Iowa City, IA, USA, (3) Iowa City VA Medica Center, Iowa City, IA, USA 450 Interfaciity Communication Gaps: A Carbapenem- Resistant Enterobacteriaceae (CRE) Outbreak Investigation in a Skied Nursing Faciity (SNF) Wendy Manue Knight, MPH 1, Prabhu Gounder, MD, MPH 1, Karen Cho, BSN/RN 1, Audrey Manao, PHM, M(ASCP)CM 2, Nicoe Green, PhD, D(ABMM) 2 and Dawn Terashita, MD, MPH 1, (1)Los Angees County Department of Pubic Heath Acute Communicabe Disease Contro Program, Los Angees, CA, USA, (2)Los Angees County Department of Pubic Heath, Pubic Heath Laboratory, Downey, CA, USA 451 The Effect of Universa Decoonization on MRSA and CRE Acquisition in Adut ICUs: A Pre and Post Intervention Anaysis Jason Moss, DO, Derek Forster, MD, Lovisa Bjork Oafsdottir, MD, David Burgess, PharmD, FCCP, FIDP, Aric Schader, MS and Kuwinder Sekhon, MPH, University of Kentucky, Lexington, KY, USA 452 The Fraser Heath Experience with Carbapenemase- Producing Organisms: Seven Years of Epidemioogy and Contro Measures Katy Short, MPH, Tara Donovan, MSc, Petra Wesh, MA and Eizabeth Brodkin, MD, FRCPC, Fraser Heath, Surrey, BC, Canada 453 Down the Drain: Sink Drains as a Reservoir for Carbapenemase-Producing Organisms Eizabeth Brodkin, MD, FRCPC, Dae Purych, MD, FRCPC, Katy Short, MPH, Marc Dagneau, BA and Sandeep Baddan, RN, Fraser Heath, Surrey, BC, Canada 454 A Muticenter Investigation to Characterize the Risk for Pathogen Transmission from Heathcare Faciity Sinks Scott Gestrich, M.D. 1, Annette Jencson, BSMT, CIC 2, Scott Livingston, B.A. 3, Jennifer Cadnum, BS 4, Brigid Wison, PhD 5 and Curtis Donskey, MD 1, (1)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA, (2)Ceveand VA Medica Center, Ceveand, OH, USA, (3)Case Western Reserve University, Ceveand, OH, USA, (4)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (5)Louis Stokes Ceveand Veterans Aff Med Ctr, Ceveand, OH, USA 455 Bacteria Burden and Risk Factors for Transmission of Vancomycin-Resistant Enterococcus to Heathcare Workers Sarah S. Jackson, MPH 1, Anthony Harris, MD, MPH 1, Laurence S. Magder, PhD 1, Kristen A. Stafford, PhD, MPH 1, J. Kristie Johnson, PhD 2, Loren Mier, MD, MPH 3, David Cafee, MD, MS 4 and Kerri A. Thom, MD, MS 5, (1)Department of Epidemioogy and Pubic Heath, University of Maryand Batimore, Batimore, MD, USA, (2)Department of Epidemioogy and Pubic Heath, University of Maryand Schoo of Medicine, Batimore, MD, USA, (3) LA BioMed at Harbor-UCLA Medica Center, Torrance, CA, USA, (4)Wei Corne Medicine, New York, NY, USA, (5)University of Maryand Schoo of Medicine, Batimore, MD, USA 456 Geographic Distribution and Resistance Profie of Muti-Drug Resistant Escherichia coi in the Dominican Repubic Afredo J Mena Lora, MD 1, Patricia Gonzaez, MD 2, Magnoia Luberes 2, Gabrie Grau 2 and Susan Beasdae, MD 1, (1)University of Iinois at Chicago, Coege of Medicine, Chicago, IL, USA, (2) Laboratorios Amadita, Santo Domingo, Dominican Repubic 457 The First Year of Testing Carbapenem-Resistant Enterobacteriaceae and Pseudomonas in the Antimicrobia Resistance Laboratory Network: Increasing Detection for More Rapid Prevention Sarah Maik, PhD 1,2, Jennifer Huang, MPH 1, Garrett Mahon, MPH 1,3 and Aison Brown, PhD, MPH 1, (1)Division of Heathcare Quaity Promotion, Centers for Disease Contro and Prevention, Atanta, GA, USA, (2)CFD Research Corporation, Huntsvie, AL, USA, (3)Eage Medica Services, Atanta, GA, USA 458 Investigating a Human Parainfuenza Virus Type-3 Outbreak in a Leve 3 Neonata Intensive Care Unit Michae D Wiiams, D.O. 1, Angea Gabasan, RN, MSN, CIC 2 and Krystina Woods, M.D. 1, (1)Mount Sinai West - Mount Sinai Heath System, New York, NY, USA, (2)Mount Sinai West, New York, NY, USA POSTER PRESENTATIONS: FRIDAY, Apri 20 Top Poster Abstract SCIENCE GUIDING PREVENTION 47

50 POSTER PRESENTATIONS: FRIDAY, Apri Evauation of a Nove Approach for Disinfection of Sinks in Heathcare Faciities Jennifer Cadnum, BS 1, Scott Gestrich, M.D. 2, Scott Livingston, B.A. 3, Annette Jencson, BSMT, CIC 4 and Curtis Donskey, MD 2, (1)Louis Stokes Veterans Affairs Medica Center, Ceveand, OH, USA, (2)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA, (3)Case Western Reserve University, Ceveand, OH, USA, (4)Geriatric Research, Education, and Cinica Center, Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA 460 Combining Epidemioogy with Sequencing to Investigate Methiciin Resistant Staphyococcus aureus Transmission Andrea Ankrum, MS MS MT(ASCP) CIC 1, Matthew C Washam, MD MPH 2, Joe E Mortensen, PhD 1, Xinhua Zhang, MD 1, Heidi Andersen, MD MS 1, Joshua Schaffzin, MD PhD 1 and David B Hasam, MD 1, (1)Cincinnati Chidren s Hospita Medica Center, Cincinnati, OH, USA, (2)UF Heath Shands Chidren s Hospita, Gainesvie, FL, USA 461 Factors Affecting Persona Protective Equipment Use Among Heathcare Personne: Views from their Side Moy Harrod, PhD 1, Lauren Weston, MPH 1, Lynn A Gregory, MSN 2,3, Laura Petersen, MHSA 4 and Sarah L. Krein, PhD, RN 1,4, (1)VA Ann Arbor Center for Cinica Management Research, Ann Arbor, MI, USA, (2)University of Michigan Department of Interna Medicine, Ann Arbor, MI, USA, (3)Center for Cinica Management Research, Ann Arbor, MI, USA, (4)University of Michigan, Ann Arbor, MI, USA 462 Yikes: Less Than Anticipated Efficacy of Acoho- Based Hand Sanitizer in Reducing the Burden of Methiciin-Resistant Staphyococcus aureus (MRSA) on Hands of MRSA-Coonized Patients Anubhav Kanwar, MD 1, Aisha Mustapha, BS, MPH 2, Jennifer L. Cadnum, BS 3 and Curtis Donskey, MD 3, (1)Geriatric Research Education and Cinica Center (GRECC), Louis Stokes Ceveand VA Medica Center, Ceveand, OH, USA, (2)Case Western Reserve University Schoo of Medicine, Ceveand, OH, USA, (3)Louis Stokes Ceveand Veterans Affairs Medica Center, Ceveand, OH, USA 463 Transmission Threshods in Heathcare Faciities: Appication to Outbreaks in Long-term Acute Care Hospitas Damon J.A. Toth, PhD 1,2, Karim Khader, PhD 1,2, Christopher D. Mitche, PhD 1 and Matthew H Samore, MD 1,2, (1)Division of Epidemioogy, University of Utah Schoo of Medicine, Sat Lake City, UT, USA, (2)VA Sat Lake City Heath Care System IDEAS Center, Sat Lake City, UT, USA 464 Inadequate Hand Hygiene (HH) and Contamination During Doffing of Persona Protective Equipment (PPE) for Serious Communicabe Diseases Puja Y. Shah, MPH 1, Victoria L. Wash, MPH 1, Joe M. Mumma 2, Jeremy Posey 3, Francis T Durso, PhD 2, Kimbery Erukunuakpor, MPH 3, Lisa M. Casanova, PhD 3, Coen K. Kraft, MD 4, Andi L. Shane, MD, MPH, MSc 5, Susan Ray, MD 5, Jennifer DuBose 2, Craig Zimring, PhD 2, Ashey Tippett, MPH, MLS(ASCP)CM 1, James P. Steinberg, MD 1 and Jesse Jacob, MD 5,6, (1)Emory University, Atanta, GA, USA, (2)Georgia Institute of Technoogy, Atanta, GA, USA, (3)Georgia State University, Atanta, GA, USA, (4)Emory University Hospita, Atanta, GA, USA, (5)Emory University Schoo of Medicine, Atanta, GA, USA, (6)Division of Infectious Disease, Emory University Schoo of Medicine, Atanta, GA, USA 465 Hand Hygiene (HH) Adherence among Heathcare Workers Variation by Time of Day Victoria Wash, MPH 1, Ashey A. Tippett, MPH, MLS(ASCP)CM 2, Jesse T. Jacob, MD 3, Puja Y. Shah, MPH 2 and James P. Steinberg, MD 2, (1)Emory University, Schoo of Medicine, Division of Infectious Diseases, Atanta, GA, USA, (2)Emory University, Atanta, GA, USA, (3)Division of Infectious Disease, Emory University Schoo of Medicine, Atanta, GA, USA 466 Survey of Methiciin Resistant Staphyococcus Aureus Infection Prevention Practices Across U.S. Burn Centers Saranya Seetharaman, MBBS, MPH 1, Ruth Bertuzzi, MSN, RN, CMSRN, CIC 1, Jackie Steinberg, RN, BSN, MPH 1, Mark Moore, RN, CIC 1, Myioshi Gubbings 1, Juie Caffrey, DO, MS 2 and Geeta Sood, MD 2, (1)Johns Hopkins Bayview Medica Center, Batimore, MD, USA, (2)Johns Hopkins Medica Institutions, Batimore, MD, USA 467 Cinica Faiure of Tazobactam-Based Beta-actam for ESBL Infections: A Meta-Anaysis Khaid Ejaay, PharmD, MS, BCPS, University of Arizona, Tucson, AZ, USA, King Abduaziz University, Jeddah, Saudi Arabia Top Poster Abstract 48 SHEA Spring 2018 Conference

51 Don t miss the premier internationa infectious diseases meeting of the year REGISTER NOW Eary Bird Discounts End June 29 Submit an Abstract or Case Trave Grants and Awards Avaiabe Deadine May 1 Accepting Ideas for IDea Incubator A JOINT MEETING OF

52 Primer on Heathcare Epidemioogy Infection Contro & Antimicrobia Stewardship ONLINE ID FELLOWS COURSE The Society for Heathcare Epidemioogy of America (SHEA) reeased its Primer on Heathcare Epidemioogy, Infection Contro & Antimicrobia Stewardship: Onine Course. It s an onine training course for Infectious Diseases students and trainees as we as other physicians and heathcare practitioners interested in increasing and soidifying their understanding of heathcare epidemioogy, infection contro & antimicrobia stewardship. This course meets the requirements for infectious disease feows for course work in heathcare epidemioogy & infection prevention as outined by the American Board for Interna Medicine (ABIM). Idea for remote earning, the modues were designed using state-of-the-art onine earning toos based on expert knowedge from eading speciaists in heathcare epidemioogy. The course is comprised of 12 onine modues using interactive, engaging case-based scenarios: 1. Pathogen transmission: Diarrhea iness, airborne infections, respiratory vira iness 2. Impementing antimicrobia stewardship 3. Outbreak management in the heathcare setting 4. Approach to contro of bioterrorism agents 5. Advanced occupationa heath management 6. Prevention and management of mutidrug resistant organisms incuding: MRSA, CRE, VRE, ESBL, C. difficie 7. Device Associated Infection: CLABSI, CAUTI and VAP 8. Surgica site infections: Impact, frequency, risk factors Accreditation Statement The Society for Heathcare Epidemioogy of America (SHEA) is accredited by the Accreditation Counci for Continuing Medica Education (ACCME) to provide continuing medica education for physicians. Maintenance of Certification Successfu competion of this CME activity, which incudes participation in the evauation component, enabes the participant to earn up to 4 MOC points in the American Board of Interna Medicine s (ABIM) Maintenance of Certification (MOC) program. Participants wi earn MOC point s equivaent to the amount of CME credits caimed for the activity. It is the CME activity provider s responsibiity to submit participant competion information to ACCME for the purpose of granting ABIM MOC credit. Physicians The Society for Heathcare Epidemioogy of America (SHEA) designates this ive activity for a maximum of 4 AMA PRA Category 1 Credit(s). Physicians shoud caim ony the credit commensurate with the extent of their participation in the activity. Sign Up to take the Course Registration Costs Physician Member: $349 Physician Non-Member: $399 Feows/Aied Professionas Member: $149 Feows/Aied Professionas Non-Member: $199

53 FULL CONFERENCE INTERRUPTING THE SLIPPERY SLOPE OF OVER-TESTING TO OVER-TREATING THE URINE 1:30 2:30 p.m. Grand Baroom II Moderators: Moy Harrod, PhD, and Vaerie Vaughn, MSc, MD CAUTI Evoution: From Improving the Cuture of Cuturing to Reducing Device Harm Mohamad G. Fakih, MD, MPH A Tae of Two Projects: Stewardship for ABS in Pubic/ Private Settings Barbara Trautner, MD, PhD Identify key considerations for improving cuturing practices Describe a practica approach and ongoing work to reduce over-treatment of asymptomatic bacteriuria HEALTHCARE ASSOCIATED VIRUSES 1:30 2:30 p.m. Broadway Room Moderators: Martha Mueer, MS, and Patsy Stinchfied, MS, NP, RN Pro Hospita Acquired Respiratory Viruses Shoud Be Used as a Pediatric Quaity Measure Matthew Linam, MD, MS Con Hospita Associated Respiratory Vira Infections Shoud NOT Be Used as a Pediatric Quaity Measure Susan E Coffin, MD, MPH Describe efforts surrounding reduction of respiratory HAIs: improving surveiance definitions, infection contro practices, and parent/patient engagement and the potentia benefits Discuss barriers to impementation of respiratory viruses as HAIs tracked nationay as quaity measures SHEA/CDC TRAINING COURSE LEVERAGING THE SYNERGY OF ANTIMICROBIAL STEWARDSHIP AND INFECTION PREVENTION AND CONTROL PROGRAMS 1:30 2:30 p.m. Grand Baroom I Moderators: Sarah Kabbani, MD, MSc, and Edward Septimus, MD The CDC Core Eements Across the Continuum of Care Edward A Stenehjem, MD, MSc The Impact of Reguations and Standards Marion Kainer, MBBS, MPH IPC s Supportive Roe in Advancing Antimicrobia Stewardship Interventions across the Continuum of Care Janet Haas, PhD, RN, CIC Iustrate how the CDC core eements of antibiotic stewardship programs can be used as a framework for ASPs in any heathcare setting Examine how the antibiotic stewardship reguatory environment has changed in the past 5 years Expore the infection prevention and contro program s supportive roe in advancing antibiotic stewardship interventions across the continuum of care HOW TO READ A STUDY & PERFORM RESEARCH 1:30 2:00 p.m. Paviion Baroom Danie Morgan, MD, MS Examine concepts of study design, impementation of a study infrastructure, anaytic methods, data needs and interpretation of data for observationa and intervention studies Distinguish approaches to evauate the impact of an intervention, incuding: Decreases in rates of HAIs Changes in prevaence or incidence of resistant organisms Reductions in inappropriate device use Reductions in Antibiotic use Reductions in ength of hospitaization Decreases in cost Assess when to use various study designs such as before after and custer randomized trias, and when to use various anayses such as time-series anaysis Cacuate p vaues, confidence intervas and effect estimates/ odds ratios to evauate data for identification of epidemioogic trends, anaysis of outbreaks and in the conduct of forma epidemioogic studies Assess the process for presentation of anaytic study data in varying formats, incuding summary presentations FRIDAY, Apri 20 This session is co-sponsored by APIC. SCIENCE GUIDING PREVENTION 51

54 FRIDAY, Apri 20 BUSINESS OF INFECTION PREVENTION: PROMOTING GROWTH OF A PROGRAM 2:00 2:30 p.m. Paviion Baroom Waeed Javaid, MD Expain the importance of physician and administrative eader buy in for an infection prevention Program Indicate how to write and present to institutiona eadership a strategic pan and business case for instituting, maintaining, and expanding of an infection contro program Learn how to successfuy recruit physician and administrative champions for panned programs Discuss how to deveop and present a report detaiing the rationae and proposed benefits of a Program or intervention, incuding financia anaysis, improvement in patient safety, and justification for funding of proposed team members Demonstrate how to deveop and present annua reports detaiing interventions, cost-savings/maintenance, improved patient safety SHEA ANTIBIOTIC STEWARDSHIP TRAINING COURSE DEVELOPING AN ANTIBIOTIC STEWARDSHIP PROGRAM IN AMBULATORY CARE 1:30 2:00 p.m. Gaeria Matthew Kronman, MD, MSCE Define the unique chaenges for resources, team deveopment and measurement in ambuatory care settings Identify starter strategies for impementing effective antibiotic stewardship in ambuatory settings Discuss the roe of the patient in decision-making CASE STUDY #7: ADULT CASE INTERVENTION TO IMPROVE ANTIBIOTIC USE IN THE IMMUNOCOMPROMISED 2:00 2:30 p.m. Gaeria Catherine Liu, MD Discuss practica exampes of Antibiotic stewardship impementation Identify strategies for impementing effective Antibiotic stewardship targeting an institution-specific probem and specia popuations such as the neonates and the immunosuppressed NETWORKING BREAK 2:30 2:45 p.m. Grand Baroom Foyer FULL CONFERENCE BEST ORAL ABSTRACT SESSION 2:45 4:00 p.m. Grand Baroom II Moderators: Hiary Babcock, MD, MPH, and Beinda Ostrowsky, MD, MPH Predictive Patient-Specific Antibiograms Coud Improve Precision of Empiric Antibiotic Therapy: A Performance Evauation in an Academic Heath System Shannon Overy, MS 1, Jimish Mehta, PharmD, MSCE 1, Lauren N Hunt, PharmD, BCPS 1, Brandon Paermo, MD 1, W Joseph Ketcherside, MD 1, Ya-Ting Chen, PhD, MPH 1 and Keith Hamiton, MD 2, (1)ILUM Heath Soutions, Keniworth, NJ, USA, (2)Hospita of the University of Pennsyvania, Phiadephia, PA, USA Utiization of Predictive Modeing to Identify Emerging Statewide Antibiotic Resistance Trends Kirthana Beauac, PharmD 1, Monica Lauren Tachac 2, Eke A Rundensteiner, PhD 2, Kerri Barton, MPH 3, Scott Troppy, MPH, PMP 3 and Shira Doron, MD 1, (1)Tufts Medica Center, Boston, MA, USA, (2)Worcester Poytechnic Institute, Worcester, MA, USA, (3) Massachusetts Department of Pubic Heath, Boston, MA, USA Impementation of a Femae Externa Urinary Device to Decrease Catheter Associated Urinary Tract Infections Dayana De Carmen Maita Corone, MD 1,2, Leanne O Conne, RN, MPH 1, Anne Mooy, RN, MSN 1 and Susan C. Beasdae, MD 1,3, (1)University of Iinois Hospita & Heath Sciences System, Chicago, IL, USA, (2)University of Iinois Coege of Medicine, Chicago, IL, USA, (3)University of Iinois at Chicago, Coege of Medicine, Chicago, IL, USA Carbapenemase-Producing Enterobacteriaceae Surveiance in Washington State, Key Kauber, MPH, Tashina Robinson, MS, Wiiam GLover, PhD and Marisa A D Angei, MD, MPH, Washington State Department of Heath, Shoreine, WA, USA 9885 Assessment and Impementation of Antimicrobia Stewardship Programs in Sma and Critica Access Hospitas Phiip Chung, PharmD, MS 1, Scott Bergman, PharmD 1,2, Muhammad Saman Ashraf, MBBS 3, Regina Naion, PhD, RN 1, Mark E Rupp, MD 3, Michee Schwedhem, MSN, RN, NEA-BC 1, Maureen Tierney, MD 4, L. Kate Tyner, BSN, RN 1 and Trevor C van Schooneved, MD 3, (1)Nebraska Medicine, Nebraska Antimicrobia Stewardship Assessment and Promotion Program, Omaha, NE, USA, (2)Coege of Pharmacy, University of Nebraska Medica Center, Omaha, NE, USA, (3)Division of Infectious Diseases, University of Nebraska Medica Center, Omaha, NE, USA, (4)Nebraska DHHS, Lincon, NE, USA 52 SHEA Spring 2018 Conference

55 CDC/SHEA Outbreak Response Training Program (ORTP) Designed to provide US hospita epidemioogists who oversee infection contro programs with the skis, knowedge, and toos avaiabe to effectivey ead outbreaks at both faciity-eve outbreaks & arge-scae pubic heath emergencies. Upcoming DecisionSim Modues! This onine simuation-based education enhances decision-making and deivers feedback and improves outcomes through rea-word training. Thanks to funding from the Centers for Disease Contro and Prevention (CDC), ORTP programming is at NO COST to the participants. Leadership DecisionSim Modue: Hospita Epidemioogist-Led Hospita Incident Command Systems: What to Expect? Content Authors: Jennifer Hanrahan, DO, MA MetroHeath Medica Center Teena Chopra MD, MPH Detroit Medica Center/Wayne State University Study DecisionSim Modue: Defending Against Superbugs: An Interactive Case Study Managing an Outbreak of Carbapenem-Resistant Enterobacteriaceae (CRE) in a Hospita Setting Content Authors: Christopher Pfeiffer, MD, MS VA Portand Heath Care System Priya Nori MD Montefiore Heath System Abert Einstein Coege of Medicine SHEA/CDC Outbreak Response Training Program (ORTP) Visit us onine for the atest information and onine resources.

56 Join SHEA Today Because #SHEAMembershipMatters The Society for Heathcare Epidemioogy of America (SHEA) improves pubic heath by estabishing infection prevention and antibiotic stewardship guidance for successfu impementation across heathcare settings and decreasing antimicrobia resistance. #SHEAMembershipMatters because SHEA and SHEA members get this done by eading research studies, transating research into cinica practice, deveoping careers of heathcare epidemioogists, advocating smart poicy, promoting antibiotic stewardship, combatting antimicrobia resistance, and advancing the fied of heathcare epidemioogy. #SHEAMembershipMatters because we are: VALUABLE Heathcare professionas vaue SHEA information and educationa resources as essentia to professiona deveopment and ifeong earning in heathcare epidemioogy and antibiotic stewardship. LEADERS IN RESEARCH SHEA sets priorities and eads research in heathcare epidemioogy and antibiotic stewardship. KNOWLEDGEABLE SHEA is the indispensabe source of scientific information in the non-governmenta sector that informs poicy makers and estabishes guidance on heathcare epidemioogy and antibiotic stewardship. STEWARDS SHEA is a eader in promoting the impementation of practica strategies for safe heathcare deivery wordwide, incuding heathcare associated infection prevention and antibiotic stewardship. CONNECTORS SHEA Members benefit from strategic reationships between SHEA and other organizations with simiar objectives. Stop by the SHEA booth and find out how you can become a member and take advantage of SHEA membership benefits. As a specia incentive, we re offering $50 off new members who join during SHEA Spring #SHEAMembershipMatters because together, we are a advocates for buiding a safer, heathier future for a.

57 FULL CONFERENCE HOW MUCH IS TRULY PREVENTABLE AND HOW HARD SHOULD WE TRY 2:45 4:00 p.m. Grand Baroom I Moderators: Marci Drees, MD, MS, and Jennifer Han, MD, MSc Infection Prevention Science: How Much is Truy Preventabe and How Hard Shoud We Try? Gonzao Bearman, MD, MPH Trying for Zero: Progress or Propaganda? Substance vs Soundbite? Lynne Batshon, BS Hard Questioning of CMS HAC: Does Punitive Poicy ead to Improved Infection Prevention Outcomes? Lynne Batshon, BS Understand the extent to which HAIs can be eiminated by the current state of infection prevention science Re-expore the getting to zero debate and reated progress Assess the successes and pitfas of CMS HAC with respect to improved patient car and heightened safety SHEA/CDC TRAINING COURSE REGULATORY & EMERGENCY PREPAREDNESS 2:45 3:15 p.m. Paviion Baroom Katheen Gase, MD, MPH State the roe and functions of pubic heath entities at oca, state, and nationa eves Review core emergency preparedness concepts, incuding emergency response panning, incident command functions, and faciity response to emergent events Assist in poicy and response pan deveopment and evauation for infection-reated events, such as bioterrorism or pandemic respiratory pathogens Recite an overview of the system of state, federa, and accrediting organization oversight and requirements for heathcare faciities prepare for and survive a visit from CMS, TJC, and State DPH PUTTING IT ALL TOGETHER 3:15 4:00 p.m. Paviion Baroom Sarah Haesser, MD Review an interactive case which eads course participants through the work up of a massive exposure in their heathcare faciity Identify skis earned to identify which pathogen is responsibe, and the mode of transmission Identify which heathcare workers and patients were exposed and who needs prophyaxis and/or isoation. Appy communication skis to effectivey convey information within the heathcare organization and to the media List eadership skis to hep respond, organize, and manage the massive exposure JOINT SESSIONS ASK THE ANTIBIOTIC STEWARDSHIP EXPERTS 2:45 4:00 p.m. Gaeria Our Greatest Antibiotic Stewardship Achievement Whitney Bucke, PharmD Lessons Learned from a Faied Stewardship Intervention Pranita Tamma, MD, MHS How Nursing Driven ASP Rounds Advanced our Program David Ha, PharmD Patient Perspective Brenna Darazs Expore aternative soutions to impementing ASP interventions Consider the patient perspective when designing and impementing an ASP CLOSING PLENARY: CHANGING THE WORLD THROUGH BETTER COMMUNICATION 4:15 5:45 p.m. Grand Baroom I Moderators: Judy Guzman-Cottri, DO, and Matthew Linam, MD, MS A Ca to Action! How to Communicate with Government Leader Bradford Fitch Lessons Learned from The Hi: Pears and Pitfas Jason Newand, MD, MEd List benefits of engaging government eaders in advancing infection prevention and antibiotic stewardship poicies Demonstrate how to effectivey communicate infection prevention and antibiotic stewardship with government eaders FRIDAY, Apri 20 SCIENCE GUIDING PREVENTION 55

58 SEE YOU NEXT YEAR! SHEA Spring 2019 Conference Apri 24-26, Boston, MA