Reviewing the efficacy of infection control isolation (original) (raw)
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Cyprus Journal of Medical Sciences, 2021
BACKGROUND/AIMS Healthcare-associated infections (HAIs) are a major issue in hospitals worldwide. Isolation precautions are considered necessary to reduce the spread of HAIs. The failure of nurses to comply with isolation precautions may have a negative impact on both nursing care and the psychological and social lives of patients and their families. Therefore, this study aims to identify the level of nurse compliance with isolation precautions taken to prevent HAIs and to develop suggestions in line with the results obtained. MATERIAL and METHODS This work consisted of a cross-sectional descriptive study. The study population was 180 nurses working in a private hospital in Nicosia, the Turkish Republic of Northern Cyprus. Although it aimed to reach the entire population, the study sample consisted of 110 nurses. Data were collected between May and June 2017, using an Information Form and the Compliance with Isolation Precautions Scale. RESULTS Nearly all the nurses had adequate knowledge about HAIs and isolation precautions. The study results showed that nurses had a high level of compliance with isolation precautions for preventing hospital infections. CONCLUSION These results suggest that it may be advisable to increase the number of continuous education programs that encourage nurses and healthcare professionals to comply with infection control measures and isolation precautions at the highest level and to raise their awareness about the importance of hand hygiene habits and immunization against HAIs.
CDC development and support of infection control programs. 6. Continued increase in the incidence of HAIs caused by multidrug-resistant organisms (MDROs) in all healthcare settings and the expanded body of knowledge concerning prevention of transmission of MDROs created a need for more specific recommendations for surveillance and control of these pathogens that would be practical and effective in various types of healthcare settings.
Patient isolation for infection control and patient experience
Infection Control & Hospital Epidemiology, 2018
ObjectiveHospitalized patients placed in isolation due to a carrier state or infection with resistant or highly communicable organisms report higher rates of anxiety and loneliness and have fewer physician encounters, room entries, and vital sign records. We hypothesized that isolation status might adversely impact patient experience as reported through Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys, particularly regarding communication.DesignRetrospective analysis of HCAHPS survey results over 5 years.SettingA 1,165-bed, tertiary-care, academic medical center.PatientsPatients on any type of isolation for at least 50% of their stay were the exposure group. Those never in isolation served as controls.MethodsMultivariable logistic regression, adjusting for age, race, gender, payer, severity of illness, length of stay and clinical service were used to examine associations between isolation status and “top-box” experience scores. Dose response to incre...
BMC Health Services Research, 2019
Background: Healthcare associated infection (HCAI) is a major cause of morbidity and mortality. In recent years, there have been high profile successes in infection prevention control (IPC), such as the dramatic reductions in methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections (which is viewed as one proxy indicator of overall harm) and Clostridium difficile in the UK. Nevertheless, HCAI remains a costly burden to health services, a source of concern to patients and the public and at present, is receiving priority from policy makers as it contributes to the global threat of antimicrobial resistance. Methods: The study involves qualitative case studies within isolation settings at two National Health Service (NHS) district general hospitals (DGHs) in Wales, in the UK. The 18-month study incorporates Manchester Patient Safety Framework (MaPSaF) workshops with health workers and other hospital staff, in depth interviews with patients and their relative / informal carer, health workers and hospital staff, and periods of hospital ward observation. Discussion: The present study aims to investigate the ways in which engagement of health workers with IPC strategies and principles, shape and inform organisational patient safety culture within the context of isolation in surgical, medical and admission hospital settings; and vice-versa. We want to understand the meaning of IPC 'ownership' for health workers; the ways in which IPC is promoted, how IPC teams operate as new challenges arise, how their effectiveness is assessed and the positioning of IPC within the broader context of organisational patient safety culture, within hospital isolation settings.
Universal isolation precautions for patients at an academic hospital
Acta Paulista de Enfermagem, 2012
OBJECTIVE: To apply universal isolation precautions for patients at an academic hospital by a nursing team. METHODS: This descriptive and prospective study used data from advice service of quality control and nursing care that were gathered in observational reports of universal isolation precautions for patients admitted in two surgical inpatient units during 2008 and 2010. RESULTS: The mean general classification for both units was between desirable and adequate in the observational analysis of universal precaution. A borderline effect was observed only in November 2008 at the Men's Surgical Unit. The units assessed had compromised biosecurity, however, as time advanced data showed an improvement on their performance. CONCLUSION: The effective involvement of nurses in the unit is critical to prevent and control nosocomial infections.
Nurses' compliance with isolation precautions and the affecting factors
Applied nursing research : ANR, 2017
This study aims at identifying nurses' compliance with isolation precautions and the affecting factors. The present study is descriptive and relational in nature. Data were collected through Descriptive Features Form and The Isolation Precautions Compliance Scale (TIPCS), which was developed in Turkey in 2010. Isolation Precautions Compliance Scale mean score of the 130 nurses participating in the study was found 76.55±8.48. Statistically significant differences were found between the groups in terms of nurses' gender, working unit, duration of working, type of isolation applied, and problems experienced in isolation practices (p<0.05, p<0.01). There was a positive and significant relationship between the Isolation Precautions Compliance Scale scores and age, education level, and duration of working. The nurses participating in the study were found to have generally good compliance with isolation precautions; and the scale mean scores of the nurses working in intensive...
Factors Hindering Compliance of Critical Care Nurses With Isolation Precautions
2019
Background: Nosocomial infection (NI) is one of the most frequent adverse events threatening patients’ safety worldwide and presents a challenge for all health personnel that resulting in longer hospital/ Intensive care unit (ICU) stay, more utilization of resources, more unnecessary suffering for patients and their families. Objective: To assess critical care nurses' compliance with isolation precautions and determine the factors that hinder their compliance with these precautions. Research design: A descriptive research design was used to conduct this study. Setting: This study was conducted in seven ICUs in the Alexandria Main University Hospital, namely: General ICU "unit I", General ICU "unit II", General ICU "unit III", Medical ICU, Respiratory ICU, Neurosurgery ICU and Emergency anesthesia ICU. Results:100% of the study nurses agree that understaffing and unavailability of places for patient isolation were the most hindering factors for non-c...
The role of Isolation of the Patients on Hospital Admission for Prevention of Nosocomial Infections
2021
Objective: Contact precautions (CP) for the prevention of multidrug-resistant organisms (MDROs) in endemic countries is a critical element of infection control (IC) practices. In this study, we assessed the effectiveness of empiric CP on admission to the hospital in an MDRO endemic region. Methods: The study was carried out in a 300-bed private hospital from January 2016 to September 2018. The CP indications on the day of hospital admission were decided based on determining risk factors such as long term care patients (Group 1), patients with catheters and/or interventions (Group 2), transferred from another hospital (Group 3), patients with known colonisation with MDRO (Group 4), patients with other risk factors (Group 5). Results: In total, 539 consequent patients were observed. The mean age was 63.4 years, and 57% of the patients were male. Most of the patients were from Turkey (94%); however, the rest were mainly from Middle-Eastern and North-African countries. Among 101 out of 539 (18.7%) patients, at least one pathogen was grown, and among 73 out of 539 patients (13.5%), CP requiring pathogen was isolated. The CP requiring pathogens were detected in group 2 (24%), group 1 (19.4%) and group 3 (13%). The most common pathogens were ESBLproducing Enterobacterales (5.8%), carbapenemase-producing Enterobacterales (3.9%), Pseudomonas spp. (3.53%), Acinetobacter spp. (2.97%), vancomycin-resistant enterococci (2.6%) and methicillin-resistant Staphylococcus (1.86%). Conclusion: Risk assessment-based isolation precautions from the day of hospitalisation in an MDRO endemic country were found to be important among high-risk patients such as patients with catheters and/or interventions, long-term care patients and patients transferred from another medical centre. Implementation of risk-based CP than the culture-based IC strategies might be an effective approach in an MDRO endemic region while pending culture results.
Journal of general internal medicine, 2016
Isolation precautions have negative effects on patient safety, psychological well-being, and healthcare worker contact. However, it is not known whether isolation precautions affect certain hospital-related outcomes. To examine the effect of isolation precautions on hospital-related outcomes and cost of care. Retrospective, propensity-score matched cohort study of inpatients admitted to general internal medicine (GIM) services at three academic hospitals in Toronto, Ontario, Canada between January 2010 and December 2012. Adult (≥18 years of age) patients on isolation precautions for respiratory illnesses and methicillin-resistant Staphylococcus aureus (MRSA) were matched to controls based on propensity scores derived from nine covariates: age, sex, Resource Intensity Weight, number of hospital readmissions within 90 days, total length of stay for hospital admissions within 90 days, site of admission, month of isolation, year of isolation, and Case Mix Group. Thirty-day readmission r...