Key recommendations include:

Infection control impact of ventilation system and water system performance;

Establishment of a multidisciplinary team to conduct infection-control risk assessment;

Use of dust-control procedures and barriers during construction, repair, renovation, or demolition;

Environmental infection-control measures for special care areas with patients at high risk;

Use of airborne particle sampling to monitor the effectiveness of air filtration and dust-control measures;

Procedures to prevent airborne contamination in operating rooms when infectious tuberculosis [TB] patients require surgery

Guidance regarding appropriate indications for routine culturing of water as part of a comprehensive control program for legionellae;

Guidance for recovering from water system disruptions, water leaks, and natural disasters [e.g., flooding];

Infection control concepts for equipment that uses water from main lines [e.g., water systems for hemodialysis, ice machines, hydrotherapy equipment, dental unit water lines, and automated endoscope reprocessors]);

Environmental surface cleaning and disinfection strategies with respect to antibiotic-resistant microorganisms;

Infection control procedures for healthcare laundry;

Use of animals in healthcare for activities and therapy;

Managing the presence of service animals in healthcare facilities;

Infection control strategies for when animals receive treatment in human healthcare facilities; and

A call to reinstate the practice of inactivating amplified cultures and stocks of microorganisms on-site during medical waste treatment.