An inter-facility infection prevention transfer form has been developed as part of a regional effort to improve communication between acute and long-term healthcare facilities. The purpose of the form is to convey information about a patient’s isolation precautions and the reason for their implementation to the receiving facility. The sending facility should record current infection and colonization information. The form is not intended to be a comprehensive documentation of microbiologic history and does not replace review of medical records and communication between care providers.
Please fill out this form and send it with all patients being transferred between facilities, regardless of whether or not they require isolation.
Please click here for the form.
Questions or feedback about the form may be addressed by the CDPH HAI Unit: firstname.lastname@example.org
Vaccination Recommendations Ahead of 2019 Pride Events
Upcoming Pride events, students returning home from college, and travel from other states may increase the risk of hepatitis A, mumps, and measles transmission.
This is the time of year to get all high-risk adults, including men who have sex with men (MSM), up to date on recommended vaccines including:
- Hepatitis A vaccine: One-time vaccination series (2 doses of Vaqta® or Havrix® or 3 doses of Twinrix®).
- Measles, Mumps, Rubella (MMR) vaccine: 2 documented doses, serologic proof of immunity, or at least 1 dose now if vaccination status is unknown to protect against measles and mumps.
- Meningococcal conjugate vaccine: Revaccination every 5 years for persons at increased risk.
Please see the June 6, 2019 HAN message for more information.
:: Chicago Department of Public Health (CDPH)
:: Centers for Disease Control (CDC)
:: Morbidity & Mortality Weekly Report (MMWR)
:: World Health Organization (WHO)
:: Illinois State Medical Society (ISMS)
:: Illinois Department of Public Health (IDPH)
:: Illinois Department of Pubilc Health HAN
:: Infectious Diseases Society of America (IDSA)
:: Chicago Medical Society (CMS)
:: Food and Drug Administration (FDA)
:: American Public Health Association (APHA)