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The purpose of this document is to provide recommendations for:
This document is targeted to senior administration in health care settings, medical officers of health, as well as others in a management role, and may be of interest to administrators in local health integration networks. These best practices will be useful for developing and prioritizing IPAC programs and engaging in future strategic planning activities. The responsibility for the infection prevention and control program in the health care setting lies primarily with the senior administration of the organization. Implementation of the program rests not only with the IPAC team, but also with nursing managers, environmental services, occupational health and safety, directors of medical services, central reprocessing and other departments and individuals in the facility impacted by the effective delivery of the program.
The recommendations in this document reflect the best evidence and expert opinion available at the time of writing. These recommendations will be reviewed and updated as new information becomes available or, at a minimum, every two years. The recommendations in this document are based on Level AII evidence unless stated otherwise. Level AII evidence is good evidence to support a recommendation for use with evidence from at least one well-designed clinical trial without randomization, from cohort or case-controlled analytic studies, preferably from more than one centre, from multiple time series, or from dramatic results in uncontrolled experiments.
It is expected that all settings in Ontario where health care is provided, across the continuum of health care, will work towards implementing the basic infection prevention and control practices and principles set out in this document. This includes settings where emergency (including pre-hospital) care is provided, hospitals, long-term care homes, outpatient clinics, community health centres and clinics, physicians’ offices, dental offices, offices of allied health professionals and home health care. Access to infection prevention and control expertise is required in all health care settings, including the community and clinics, so that the recommendations in this document may be met. For non-institutional settings, guidance may be sought from other sources of published recommendations (e.g. College of Physicians and Surgeons of Ontario’s “Infection Control in the Physician’s Office”).
Click below to download Best Practices for Infection Prevention and Control in Programs in Ontario in All Health Care Settings (88 pages, PDF, 654 Kb). English
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