Considering today's increased concerns about outcome measures, cost containment, emergence of resistant organisms and appropriate use of antimicrobials, epidemiologists have become critical in hospitals quality improvement programs. PID specialists play an important role in children's HEIC. However, data regarding their role are lacking. We conducted a survey among PID specialist listed in the directory of PID society to collect information regarding their current role in children's HEIC. We analyzed the data only from respondents who participated in HEIC at children's hospitals(n=97). Not all respondents answered all questions. 52% were IC committee chairpersons, 38% were IC committee members and 10% participated in HEIC in other capacities. 67% were at university-based hospitals, 31% at private hospitals, and 2% at city/county hospitals. 80% had a full time infection control practitioner (ICP), 20% had a part-time ICP. 72% had secretarial support. Regarding time spent in HEIC, 18% spent less than 10%, 71% spent 10-50%, and 1% did more than 50%. HEIC is required as part of the job description in 55%. 77% do not have a formal contact to do HEIC; 13 of 32 respondents do not have salary support for HEIC in the contract. Other sources of salary support include clinical practice (43%), Department of Pediatrics(22%), affiliated university (13%), others (28%). We conclude that the majority of PID specialists at children's hospitals have active participation in HEIC programs, spent 10-50% of their time in doing so, and have adequate ICP and secretarial support. However, only minority had their role in HEIC well-defined in contracts, and/or had salary support for it. These data suggest the need to develop guidelines for time commitment and reimbursement of PID specialists for HEIC.