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Outbreak Investigation

Introduction

Date of Last Review 9/5/08
SME:
Infection Control Manager

This topic provides guidance to the Infection Control Practitioner and the Infection Control Committee in the investigation of a suspected outbreak of a communicable disease.

Notification

This table lists who to notify for each type of disease outbreak:

Type of Outbreak

Description

Who to Notify

Community Acquired

Examples: Possible foodborne outbreak, measles

Health authorities

Nosocomial

Investigated when two or more cases appear to be epidemiologically related

Infection Control Committee Chairman

Appropriate Department Managers

Texas Department of Health as required

Investigating

The Infection Control Committee follows these steps to investigate a suspected outbreak of communicable disease:

Step

Action

1

Define a case based on the following common factors:

Population risk factors:

Age

Race

Sex

Symptoms

Clinical indicators
Example
: Lab results

2

Define the population at risk using the following information:

People
Example
: All male patients

Place
Example
: Hospital wing

Time
Example
: Month

Practitioner

Other variables dependent on the situation

3

Define the scope of the problem.

Examples:

Possible outbreak within endemic levels

Possible outbreak of epidemic levels

4

Derive an epidemic curve.

5

Issue an initial report to the hospital committees.

6

Institute interventions.

Taking action

The Infection Control Committee follows these steps to coordinate action after investigating a suspected outbreak of communicable disease:

Step

Action

1

Make a hypothesis based on epidemiological and clinical data.

2

Test the hypothesis using the appropriate statistical methods and controls.

3

Issue a progress report to the hospital committees.

4

Report the situation to the outside authorities.

In compliance with: The Communicable Disease Report statutes.

5

Communicate any changes necessitated by the outbreak analysis to the appropriate departments.

6

Issue a concluding report to the hospital committees.

Related standards

The Joint Commission : Surveillance, Prevention, and Control of Infection

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Harris County Psychiatric Center University of Texas Health Science Center