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Evaluation in general practice of the patient's feelings about a recent hospitalization and isolation for a multidrug-resistant infection.

Abstract：

BACKGROUND:Isolation precautions used against multidrug-resistant (MDR) organisms are responsible for many emotional side effects. We evaluated patient's feeling after a hospitalization for an MDR infection. METHODS:We conducted a qualitative study that included 11 interviews from August 2017 to June 2018. We used phenomenology and verbatim transcription analysis was performed using NVivo software. Patients reported mainly negative feelings. Among them, 4 main themes were expressed: a desire to "be free from carriage," self-questioning regarding its nosocomial origin, the reduction of the therapeutic arsenal, and the expression of many fears especially relapse. RESULTS:For most of the participants (n = 6/11), the type of bacteria that colonized their digestive tract was precisely known including the MDR characteristics of the infection. Participants were convinced that the infection was strongly linked to the hospital and considered it as nosocomial that led to anxiety, especially regarding the origin of the infection and the absence of formal source of infection. CONCLUSIONS:MDR infections are negatively impacting patient's lived experience even after hospital discharge, partly owing to prior implementation of isolation precautions. We need to improve communication between specialists and general practitioners to reassure the patient and his surroundings regarding the anxiety resulting from such hospitalization.

journal_name

Am J Infect Control

journal_title

American journal of infection control

authors

Hereng O,Dinh A,Salomon J,Davido B

doi

10.1016/j.ajic.2019.03.018

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

1077-1082

issue

9

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(19)30178-6

journal_volume

47

pub_type

杂志文章

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