In this episode of The ICHE Podcast, David Calfee joined by three experts who contributed to the development of the updated SHEA guidance on high-level disinfection (HLD) and sterilization: Dr. Emily Sickbert-Bennett, Dr. Audrey Calderwood, and Dr. Erica Shenoy. Together, they bring expertise in infection prevention and hospital epidemiology to a discussion of what’s new, what’s changed, and how this guidance can be applied in real-world settings.

The episode begins by exploring why an update to the 2008 CDC guideline was necessary and how this new document builds upon and clarifies existing practices. The speakers walk through the multi-year process that began in 2018, outlining the rigorous evidence review and unanimous consensus required for each recommendation. They also clarify what was considered out of scope, including topics such as low-level disinfection, environmental cleaning, and access or cost concerns.

Listeners will learn how to interpret the guidance within their own institutions, including when no formal recommendation is provided due to insufficient evidence. The episode highlights emerging technologies like disposable scopes, 3D printed devices, and borescopes—discussing which are ready for clinical use and which require further evaluation.

To close, each guest offers a practical action item to help listeners improve safety and quality related to HLD and sterilization in their own facilities. This is a must-listen for anyone involved in infection prevention, reprocessing, or clinical safety.