Abstract:
:OBJECTIVE To determine whether the use of enhanced isolation precautions (droplet and contact precautions) for inpatients with respiratory tract viral infections is associated with a reduction in rate of nosocomial viral respiratory infections. DESIGN Quasi-experimental study with the rate of nosocomial respiratory virus infection as the primary dependent variable and rate of nosocomial Clostridium difficile infection as a nonequivalent dependent variable comparator. SETTING Cohen Children's Medical Center of NY, a tertiary-care children's hospital attached to a large general hospital. INTERVENTION During years 1 and 2 (July 2012 through June 2014), the Centers for Disease Control and Prevention/Healthcare Infection Control Practices Advisory Committee's recommended isolation precautions for inpatients with selected respiratory virus infections were in effect. Enhanced isolation precautions were in effect during years 3 and 4 (July, 2014 through June, 2016), except for influenza, for which enhanced precautions were in effect during year 4 only. RESULTS During the period of enhanced isolation precautions, the rate of nosocomial respiratory virus infections with any of 4 virus categories decreased 39% from 0.827 per 1,000 hospital days prior to enhanced precautions to 0.508 per 1,000 hospital days (P<.0013). Excluding rhinovirus/enterovirus infections, the rates decreased 58% from 0.317 per 1,000 hospital days to 0.134 per 1,000 hospital days during enhanced precautions (P<.0014). During these periods, no significant change was detected in the rate of nosocomial C. difficile infection. CONCLUSIONS Enhanced isolation precautions for inpatients with respiratory virus infections were associated with a reduction in the rate of nosocomial respiratory virus infections. Infect Control Hosp Epidemiol 2018;39:152-156.
journal_name
Infect Control Hosp Epidemioljournal_title
Infection control and hospital epidemiologyauthors
Rubin LG,Kohn N,Nullet S,Hill Mdoi
10.1017/ice.2017.282subject
Has Abstractpub_date
2018-02-01 00:00:00pages
152-156issue
2eissn
0899-823Xissn
1559-6834pii
S0899823X17002823journal_volume
39pub_type
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journal_title:Infection control and hospital epidemiology
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abstract:OBJECTIVE:Bloodstream infections due to methicillin-resistant Staphylococcus aureus (MRSA) have been associated with significant risk of in-hospital mortality. The acute physiology and chronic health evaluation (APACHE) II score was developed and validated for use among intensive care unit (ICU) patients, but its utili...
journal_title:Infection control and hospital epidemiology
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
doi:10.1086/662380
更新日期:2011-11-01 00:00:00
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更新日期:2003-03-01 00:00:00
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journal_title:Infection control and hospital epidemiology
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doi:10.1086/502310
更新日期:2004-10-01 00:00:00
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journal_title:Infection control and hospital epidemiology
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doi:10.1086/646281
更新日期:1991-12-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章,多中心研究
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更新日期:2016-03-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
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更新日期:2010-05-01 00:00:00
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journal_title:Infection control and hospital epidemiology
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更新日期:2003-08-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
doi:10.1086/646767
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
doi:10.1086/646248
更新日期:1991-10-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1086/646419
更新日期:1992-01-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章
doi:10.1086/649220
更新日期:2010-01-01 00:00:00
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journal_title:Infection control and hospital epidemiology
pub_type: 杂志文章,多中心研究
doi:10.1086/523280
更新日期:2007-12-01 00:00:00
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更新日期:2017-10-01 00:00:00
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更新日期:2017-03-01 00:00:00
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更新日期:2008-05-01 00:00:00
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doi:10.1086/646642
更新日期:1993-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1086/666346
更新日期:2012-07-01 00:00:00
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更新日期:2016-06-01 00:00:00
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journal_title:Infection control and hospital epidemiology
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更新日期:2002-06-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2015-11-01 00:00:00