The overuse of single patient isolation in hospitals.

Abstract:

:Single patient isolation of adults to prevent spread of infection was studied in five high occupancy community hospitals. The acceptable standard was a guideline for isolation in hospitals, published by the Center for Disease Control (CDC). Overusage of single patient isolation was found to vary between 4% and 96% of physician's isolation orders. Diagnoses of viral hepatitis, surgical wound infections, skin infections and respiratory infections accounted for the majority of overisolated patients. When infection control personnel rather than attending physicians determined the type and duration of isolation, a decrease in overisolation and a saving of patient (or third party payer) charges could be demonstrated. Reduction in overisolation does not bring about savings for hospitals unless bed occupancy is high and few single rooms are available. No evidence of cross-infection was observed in one hospital as a result of implementation of the CDC guidelines.

journal_name

Am J Epidemiol

authors

Hyams PJ,Ehrenkranz NJ

doi

10.1093/oxfordjournals.aje.a112468

subject

Has Abstract

pub_date

1977-10-01 00:00:00

pages

325-9

issue

4

eissn

0002-9262

issn

1476-6256

journal_volume

106

pub_type

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