Infection Prevention & Control Topic: Cleaning and Disinfection

SHEA/APIC: Multisociety Guidance for Infection Prevention and Control in Nursing Homes (10/28/2025)

  • 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.

CDC: Interim Infection Prevention and Control Recommendations for Measles (8/19/2025)

  • This updated webpage provides fundamental elements to prevent measles transmission within healthcare facilities.
  • Healthcare personnel (HCP) immunization is highlighted as a first-line defense as well as the rapid identification and isolation of patients with suspected/confirmed measles. HCP education on respiratory protection and hand hygiene are also mentioned.

CDC: Health Alert- Use Only Sterile Ultrasound Gel for Percutaneous Procedures (5/13/2025)

  • Health Alert: Use Only Sterile Ultrasound Gel for Percutaneous Procedures (5/13/2025)
    • An ongoing multistate investigation involves the use of non-sterile ultrasound gel during ultrasound-guided percutaneous procedures. An environmental bacterium Paraburkholderia fungorum has been identified from patient cultures and non-sterile ultrasound gel products.
    • CDC recommends using only single-use ultrasound gel products labeled as "sterile" to reduce the risk of infection during ultrasonography for preparatory and procedural applications, including central and peripheral intravenous line placement, amniocentesis, paracentesis, tissue biopsies, and surgical interventions.

EVS Educational Video Series

1 – Essentials
Any Practice Setting
Cleaning and Disinfection
Closed Captioning
English
Free
Non-Clinical / Indirect Healthcare Personnel
Spanish
Video

Project Firstline Training Toolkit for Certified Nursing Assistants (CNA) ​

3 – Intermediate
Activity Included
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
CDC
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
Downloadable
English
Facilitator Guide
Free
Infection Preventionists
Nursing Home / Skilled Nursing Facility (SNF)
Personal Protective Equipment (PPE)
Physical Environment / Environment of Care (EOC)
Post-Training Support Materials
Print Resources
Slideshow
Spanish
Standard Precautions
Toolkit
Urinary Catheter
Webinar (Pre-recorded)

C. difficile Module (part of SHEA Prevention CHKC)

2 – Foundational
ABIM-MOC
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Antimicrobial & Diagnostic Stewardship
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
Clostridioides difficile
CME
CNE
English
Gastrointestinal Infections
Hand Hygiene
Infection Preventionists
Nursing Home / Skilled Nursing Facility (SNF)
Paid
Pediatric / NICU
Personal Protective Equipment (PPE)
SHEA
Standard Precautions
Video

MRSA and MDROs Module (part of SHEA Prevention CHKC)

2 – Foundational
ABIM-MOC
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Antimicrobial & Diagnostic Stewardship
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
CME
CNE
English
Paid
Hand Hygiene
Infection Preventionists
Multidrug-Resistant Organism (MDRO)
Nursing Home / Skilled Nursing Facility (SNF)
Pediatric / NICU
Personal Protective Equipment (PPE)
SHEA
Standard Precautions
Video

Legionella Environmental Assessment Form (LEAF)

This fillable form can be used to document a facility’s water systems, help determine whether to conduct Legionella environmental sampling, and, if so, develop a sampling plan. An accompanying guide provides instructions and additional considerations for using the fillable form. The guide helps the evaluation team to understand form questions and also more fully assess potential risks in the facility’s water system. The form is available at: https://www.cdc.gov/legionella/downloads/legionella-environmental-assessment-marking-guide-508.pdf

3 – Intermediate
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Adult Day Care
All settings
Ambulatory (Outpatient) Care
Ambulatory Surgery
Any Practice Setting
Assisted Living Facility (ALF)
Auditing / Observation / Monitoring / Assessment Tools
Behavioral Health Facilities
CDC
Checklist
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
Construction
Dental
Department of Health
Dialysis
Downloadable
Emergency Medical Services (EMS)
English
Free
Home Health
Hospice and Palliative Care
Infection Preventionists
Mobile Clinic
Non-Clinical / Indirect Healthcare Personnel
Nursing Home / Skilled Nursing Facility (SNF)
Pediatric / NICU
Physical Environment / Environment of Care (EOC)
Print Resources
Quality Improvement
Respiratory Infections
Risk Assessment
Select pathogens of public health concern
Water Management

Infection Control Actions for Respiratory Viruses

This is a 2-paged infographic that shows how respiratory viruses are transmitted, how masks and respirators reduce risk and how hand hygiene and disinfecting surfaces are other behaviors that reduce risk

1 – Essentials
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Adult Day Care
All settings
Ambulatory (Outpatient) Care
Ambulatory Surgery
Any Practice Setting
Assisted Living Facility (ALF)
Behavioral Health Facilities
CDC
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
COVID-19
Dental
Department of Health
Dialysis
Downloadable
Emergency Medical Services (EMS)
Employee/Occupational Health
English
Free
Hand Hygiene
Home Health
Hospice and Palliative Care
Infection Preventionists
Influenza (Flu)
Mobile Clinic
Non-Clinical / Indirect Healthcare Personnel
Nursing Home / Skilled Nursing Facility (SNF)
Patients, Family, Visitors, Unpaid Caregivers
Pediatric / NICU
Personal Protective Equipment (PPE)
Physical Environment / Environment of Care (EOC)
Print Resources
Respiratory Infections
Standard Precautions
Transmission-Based Precautions