Impact of contact precautions on falls, pressure ulcers and transmission of MRSA and VRE in hospitalized patients

Journal of Hospital Infection

Volumn 88, Issue 3, 2014, Pages 170-176

  Gandra, S ^a   Barysauskas, C M ^a   Mack, D A ^b   Barton, B ^a   Finberg, R ^a   Ellison, R T ^a  

^a UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^b UMASS MEMORIAL MEDICAL CENTER   (United States)

Author keywords

Contact precautions; Falls; MRSA; Pressure ulcers; Transmission; VRE

Indexed keywords

ADULT; AGED; ARTICLE; CHARLSON COMORBIDITY INDEX; COHORT ANALYSIS; DECUBITUS; DISEASE TRANSMISSION; ENTEROCOCCAL INFECTION; EPIDEMIOLOGY; FALLING; FEMALE; HOSPITAL INFECTION; HOSPITAL PATIENT; HOSPITAL POLICY; HUMAN; INFECTION CONTROL; MAJOR CLINICAL STUDY; MALE; METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS; METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS INFECTION; PATIENT SAFETY; SENSITIVITY ANALYSIS; SURGICAL PATIENT; VANCOMYCIN RESISTANT ENTEROCOCCUS; VANCOMYCIN RESISTANT ENTEROCOCCUS INFECTION; CROSS INFECTION; GRAM-POSITIVE BACTERIAL INFECTIONS; GROWTH, DEVELOPMENT AND AGING; HOSPITAL; ISOLATION AND PURIFICATION; MICROBIOLOGY; MIDDLE AGED; PATIENT CARE; PRESSURE ULCER; RETROSPECTIVE STUDY; STAPHYLOCOCCAL INFECTIONS; STATISTICS AND NUMERICAL DATA; TRANSMISSION;

ACCIDENTAL FALLS; AGED; COHORT STUDIES; CROSS INFECTION; GRAM-POSITIVE BACTERIAL INFECTIONS; HOSPITALS; HUMANS; INFECTION CONTROL; MALE; METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS; MIDDLE AGED; PATIENT ISOLATION; PRESSURE ULCER; RETROSPECTIVE STUDIES; STAPHYLOCOCCAL INFECTIONS; VANCOMYCIN-RESISTANT ENTEROCOCCI;

EID: 84927576438     PISSN: 01956701     EISSN: 15322939     Source Type: Journal    
DOI: 10.1016/j.jhin.2014.09.003     Document Type: Article

References (25)

1. Siegel J.D., Rhinehart E., Jackson M., Chiarello L. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in health care settings. Am J Infect Control 2007, 35:S65-S164.
2. Morgan D.J., Pineles L., Shardell M., et al. The effect of contact precautions on healthcare worker activity in acute care hospitals. Infect Control Hosp Epidemiol 2013, 34:69-73.
3. Manian F.A., Ponzillo J.J. Compliance with routine use of gowns by healthcare workers (HCWs) and non-HCW visitors on entry into the rooms of patients under contact precautions. Infect Control Hospital Epidemiol 2007, 28:337-340.
4. Huskins W.C., Huckabee C.M., O'Grady N.P., et al. Intervention to reduce transmission of resistant bacteria in intensive care. NEngl J Med 2011, 364:1407-1418.
5. Kirkland K.B. Improving healthcare worker hand hygiene: show me more!. Qual Saf Health Care 2009, 18:419.
6. Morgan D.J., Diekema D.J., Sepkowitz K., Perencevich E.N. Adverse outcomes associated with contact precautions: a review of the literature. Am J Infect Control 2009, 37:85-93.
7. Abad C., Fearday A., Safdar N. Adverse effects of isolation in hospitalised patients: a systematic review. JHosp Infect 2010, 76:97-102.
8. Kirkland K.B., Weinstein J.M. Adverse effects of contact isolation. Lancet 1999, 354:1177-1178.
9. Saint S., Higgins L.A., Nallamothu B.K., Chenoweth C. Do physicians examine patients in contact isolation less frequently? A brief report. Am J Infect Control 2003, 31:354-356.
10. Evans H.L., Shaffer M.M., Hughes M.G., et al. Contact isolation in surgical patients: a barrier to care?. Surgery 2003, 134:180-188.
11. Masse V., Valiquette L., Boukhoudmi S., et al. Impact of methicillin resistant Staphylococcus aureus contact isolation units on medical care. PloS One 2013, 8:e57057.
12. Harris A.D., Pineles L., Belton B., et al. Universal glove and gown use and acquisition of antibiotic-resistant bacteria in the ICU: a randomized trial. JAMA 2013, 310:1571-1580.
13. Stelfox H.T., Bates D.W., Redelmeier D.A. Safety of patients isolated for infection control. JAMA 2003, 290:1899-1905.
14. Karki S., Leder K., Cheng A.C. Patients under contact precautions have an increased risk of injuries and medication errors: a retrospective cohort study. Infect Control Hosp Epidemiol 2013, 34:1118-1120.
15. Zahar J.R., Garrouste-Orgeas M., Vesin A., et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. Intens Care Med 2013, 39:2153-2160.
16. Karki S., Leder K., Cheng A.C. Delays in accessing radiology in patients under contact precautions because of colonization with vancomycin-resistant enterococci. Am J Infect Control 2013, 41:1141-1142.
17. Morgan D.J., Day H.R., Harris A.D., Furuno J.P., Perencevich E.N. The impact of contact isolation on the quality of inpatient hospital care. PloS One 2011, 6:e22190.
18. Centers for Disease Control and Prevention. The National Healthcare Safety Network (NHSN) manual. Patient safety component protocol. Atlanta, GA: Division of Healthcare Quality Promotion, CDC. Available at: (last accessed 07.08.14). http://www.cdc.gov/ncidod/dhqp/pdf/nhsn/NHSN_Manual_PatientSafetyProtocol_CURRENT.pdf.
19. Bergstrom N., Braden B.J., Laguzza A., Holman V. The Braden scale for predicting pressure sore risk. Nurs Res 1987, 36:205-210.
20. Bates D.W., Pruess K., Souney P., Platt R. Serious falls in hospitalized patients: correlates and resource utilization. Am J Med 1995, 99:137-143.
21. Kalava U.R., Cha S.S., Takahashi P.Y. Association between vitamin Dand pressure ulcers in older ambulatory adults: results of a matched case-control study. Clin Intervent Aging 2011, 6:213-219.
22. Charlson M.E., Pompei P., Ales K.L., MacKenzie C.R. Anew method of classifying prognostic comorbidity in longitudinal studies: development and validation. JChronic Dis 1987, 40:373-383.
23. Evans D., Hodgkinson B., Lambert L., Wood J. Falls risk factors in the hospital setting: a systematic review. Int J Nurs Pract 2001, 7:38-45.
24. Coleman S., Gorecki C., Nelson E.A., et al. Patient risk factors for pressure ulcer development: systematic review. Int J Nurs Stud 2013, 50:974-1003.
25. Muto C.A., Jernigan J.A., Ostrowsky B.E., et al. SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and enterococcus. Infect Control Hosp Epidemiol 2003, 24:362-386.