Virginia Infection Prevention & Control Training Alliance (VIPTA)

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Is it Really a Penicillin Allergy?

Did you know that 10% of U.S. patients report a penicillin allergy, but fewer than 1% are actually allergic? Taking the time to clarify whether a penicillin allergy is real or not can make a big difference in patient care. As we approach U.S. Antibiotic Awareness Week (USAAW), November 18-24, it’s the perfect opportunity to confirm if that reported allergy is accurate.

By doing so, healthcare providers can help reduce the unnecessary use of broad-spectrum antibiotics—lowering healthcare costs and decreasing the risk of antimicrobial resistance. A simple conversation or assessment can go a long way!

Ready to take action? Here are some helpful resources to get started:

  • Penicillin Allergy Education: The CDC’s flyer “Is it Really a Penicillin Allergy?” provides key insights for healthcare professionals on the importance of evaluating reported penicillin allergies.
  • Allergy Assessment Tool: The AHRQ tool helps clinicians safely evaluate reported penicillin allergies, supporting accurate diagnosis and improved patient care.
  • CDC Toolkit for USAAW: Use the toolkit and daily themes to inspire your activities throughout Antibiotic Awareness Week.

Target Audience: Intermediate IPC education level


Guidance & Regulation Updates

VIPTA members track guidance and regulation resources to share source documents that guide infection prevention and control practices for public health staff and clinical and non-clinical healthcare personnel.

The date of the regulation or guidance update is included in each post.  Please check linked content to be sure it is the most up to date and recommended practice.

AHRQ: Toolkit for Improving Skin Care and MDRO Prevention in Long-Term Care Settings
AHRQ
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Assisted Living Facility (ALF)
Behavioral Health Facilities
Hospice and Palliative Care
Nursing Home / Skilled Nursing Facility (SNF)
Antimicrobial & Diagnostic Stewardship
Toolkit for Improving Skin Care and Multidrug-Resistant Organism (MDRO) Prevention in Long-Term Care Settings   Clinical topics in the toolkit center around four key strategies to protect skin and prevent infection: (1) Keep skin clean and safe; (2) Reduce MDRO transmission; (3) Use antibiotics wisely; and (4) Clean high-touch surfaces.   The toolkit also includes “teachable moments.” These documents use real-world healthcare scenarios to reinforce concepts related to skin care and infection prevention.
APIC: Updated Monkeypox Playbook (11/07/2025)
APIC
Acute Care Hospital
Ambulatory (Outpatient) Care
Department of Health
Emergency Medical Services (EMS)
Mobile Clinic
Outbreak Investigation
Patient and Family Engagement
Surveillance
Recent updates to the Monkeypox Playbook include the CDC’s Traveler Health Notice advising enhanced precautions and an updated Risk/Triage Scale recommending increased awareness. Additional information covers the current global situation of monkeypox and the latest outbreak reports.
SHEA: Multisociety Guidance for Infection Prevention and Control in Nursing Homes (10/20/2025)
SHEA
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Assisted Living Facility (ALF)
Hospice and Palliative Care
Nursing Home / Skilled Nursing Facility (SNF)
The guidance offers recommendations for infection prevention and control (IPC) in nursing homes to address challenges including medical acuity and the rise of multidrug-resistant organisms. It emphasizes the importance of IPC leadership, training, and adherence to precautions while also considering the balance between maintaining a home-like environment and ensuring effective infection prevention measures.
SHEA/APIC: Multisociety Guidance for Infection Prevention and Control in Nursing Homes (10/28/2025)
APIC
SHEA
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Assisted Living Facility (ALF)
Hospice and Palliative Care
Nursing Home / Skilled Nursing Facility (SNF)
Cleaning and Disinfection
Employee/Occupational Health
Hand Hygiene
High Level Disinfection
Outbreak Investigation
Physical Environment / Environment of Care (EOC)
This guidance document updates the 2008 SHEA/Association for Professionals in Infection Control and Epidemiology (APIC) guideline: Infection Prevention and Control in the Long-Term Care Facility and is intended to assist nursing homes in the United States in defining and implementing their infection prevention and control (IPC) programs and practices. Recommendations and implementation suggestions address IPC leadership, staffing, and resources, healthcare personnel and residents‘ adherence to precautions and effective hand hygiene, outbreak preparedness, training, occupational health, cleaning and disinfection in the care environment, and the involvement of IPC in the facility.
VDH Clinician Letter: Updates to CDC Immunization Schedule (10/10/2025)
CDC
VDH
Ambulatory (Outpatient) Care
Department of Health
Pediatric / NICU
Vaccination
This clinician letter outlines updates to immunization schedules for MMRV (measles, mumps, rubella, and varicella) and COVID-19 vaccines, emphasizing their essential role in community health and safety in Virginia. It discusses the new guidelines, including the separate administration of the MMR and varicella vaccines for children under 4 years, the COVID-19 vaccine's availability for individuals aged 6 months and older, and the importance of verifying insurance coverage prior to vaccination.

What’s In Your Water?

Hayley Andrews, an infection preventionist in the southwest region of Virginia, used her curious mind and a desire to educate others to help uncover environmental contamination that caused an illness in one of her patients.

Hayley’s facility admitted a patient with sepsis, and blood cultures grew Aeromonas hydrophilaBecause Hayley had never heard of this organism, she researched it and learned that it is typically a waterborne organism.  Hayley took this information to the nursing unit where the patient was located and the patient’s son heard her educating the nurses about Aeromonas.  He joined in and mentioned that his mom had a well and he was concerned that it may be contaminated.

The health department visited the home and tested the water. Sure enough, it was contaminated with Aeromonas and other organisms, and failed potability testing. The health department was able to get the patient an alternate, safe water source upon her discharge to prevent further infection until her well water could be remediated. 

Thank you, Hayley! Your diligence prevented this patient from getting sick again, and perhaps prevented other neighbors from a similar outcome! 


IPC Education & Training Library

Search the VIPTA library of curated infection prevention and control (IPC) education and training resources. The IPC Education & Training Resource Library includes state and national resources related to healthcare-associated infections, antimicrobial resistance and/or IPC. Visit the VIPTA FAQ page to learn more about VIPTA library content.

 

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Last Updated: June 30, 2025