Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-16T18:54:20.771Z Has data issue: false hasContentIssue false
  • English
  • Français

Compliance With Isolation Precautions at a University Hospital

Published online by Cambridge University Press:  02 January 2015

David J. Weber ,
Emily E. Sickbert-Bennett ,
Vickie M. Brown ,
Rebecca H. Brooks ,
Irene P. Kittrell ,
Brenda J. Featherstone ,
Tina L. Adams  and
William A. Rutala
David J. Weber*
Affiliation:
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill Division of Infectious Diseases, School of Medicine, University of North Carolina, Chapel Hill
Emily E. Sickbert-Bennett
Affiliation:
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill
Vickie M. Brown
Affiliation:
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill
Rebecca H. Brooks
Affiliation:
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill
Irene P. Kittrell
Affiliation:
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill
Brenda J. Featherstone
Affiliation:
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill
Tina L. Adams
Affiliation:
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill
William A. Rutala
Affiliation:
Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill Division of Infectious Diseases, School of Medicine, University of North Carolina, Chapel Hill
*
CB #7030 Bioinformatics, 130 Mason Farm Road, Chapel Hill, NC 27599-7030 (dweber@unch.unc.edu)
Get access Rights & Permissions [Opens in a new window]

Abstract

Compliance with isolation precautions recommended by the Centers for Disease Control and Prevention (CDC) was evaluated in 3 hospital-wide observational surveys. The compliance rate, by type of isolation, was as follows: droplet transmission, 100% (4 observations); airborne transmission, 61.5% (13 observations); contact isolation, 73.3% (165 observations); and protective isolation, 73.6% (72 observations). As with hand hygiene, there is suboptimal compliance with recommended isolation precautions.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 3 , March 2007 , pp. 358 - 361
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Boyce, JM, Pittet, D. Centers for Disease Control and Prevention. Guideline for hand hygiene in health care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Am J Infect Control 2002;30:S1–46.CrossRefGoogle Scholar
2.Garner, JS. Guideline for isolation precautions in hospitals. Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1996;24:24–31.Google ScholarPubMed
3.Christie, CD, Glover, AM, Willke, MJ, Marx, ML, Reising, SF, Hutchinson, NM. Containment of pertussis in the regional pediatric hospital during the Greater Cincinnati epidemic of 1993. Infect Control Hosp Epidemiol 1995;16:556-63.CrossRefGoogle ScholarPubMed
4.Teleman, MD, Boudville, IC, Heng, BH, Zhu, D, Leo, YS. Factors associated with transmission of severe acute respiratory syndrome among healthcare workers in Singapore. Epidemiol Infect 2004;132:797–803.CrossRefGoogle ScholarPubMed
5.Kerstiens, B, Matthys, F. Interventions to control virus transmission during an outbreak of Ebola hemorrhagic fever: experience from Kikwit, Democratic Republic of the Congo, 1995. J Infect Dis 1999;179:S263–267.CrossRefGoogle ScholarPubMed
6. Centers for Disease Control and Prevention. Tuberculosis outbreak in a community hospital—District of Columbia, 2002. MMWR Morb Mortal Wkly Rep 2004;53:214–216.Google Scholar
7.Dwosh, HA, Hong, HHL, Austgarden, D, Herman, S, Schabas, R. Identification and containment of an outbreak of SARS in a community hospital. CMAJ 2003;168:1415–1420.Google Scholar
8.Jernigan, JA, Titus, MG, Groschel, DH, Getchell-White, S, Farr, BM. Effectiveness of contact isolation during a hospital outbreak of methicillin-resistant Staphylococcus aureus. Am J Epidemiol 1996;143:496–504.CrossRefGoogle ScholarPubMed
9.Kotilainen, P, Routamaa, M, Peltonen, R, et al. Elimination of epidemic methicillin-resistant Staphylococcus aureus from a university hospital and district institutions, Finland. Emerg Infect Dis 2003;9:169–175.CrossRefGoogle ScholarPubMed
10.Montecalvo, MA, Jarvis, WR, Uman, J, et al. Infection-control measures reduce transmission of vancomycin-resistant enterococci in an endemic setting. Ann Intern Med 1999;131:269–272.CrossRefGoogle Scholar
11.Rupp, ME, Marion, N, Fey, PD, et al. Outbreak of vancomycin-resistant Enterococcus faecium in a neonatal intensive care unit. Infect Control Hosp Epidemiol 2001;22:301–303.CrossRefGoogle Scholar
12.Weber, DJ, Sickbert-Bennett, EE, Vinjé, J, et al. Lessons learned from a norovirus outbreak in a locked pediatric inpatient psychiatry unit. Infect Control Hosp Epidemiol 2005;26:841–3.CrossRefGoogle Scholar
13.Chaberny, IE, Schnitzler, P, Geiss, HK, Wendt, C. An outbreak of epidemic keratoconjunctivitis in a pediatric unit due to adenovirus type 8. Infect Control Hosp Epidemiol 2003;24:514–519.CrossRefGoogle Scholar
14.Podnos, YD, Cinat, ME, Wilson, SE, Cooke, J, Gornick, W, Thrupp, LD. Eradication of multi-drug resistant Acinetobacter from an intensive care unit. Surg Infect (Larchmt) 2001;2:297–301.CrossRefGoogle ScholarPubMed
15.Siddiqui, AH, Mulligan, ME, Mahenthiralingam, E, et al. An episodic outbreak of genetically related Burkholderia cepacia among non-cystic fibrosis patients at a university hospital. Infect Control Hosp Epidemiol 2001;22:419–422.CrossRefGoogle ScholarPubMed
16.Lucet, J-C, Decré, D, Fichelle, A, et al. Control of a prolonged outbreak of extended-spectrum ß-lactamase-producing Enterobacteriaceae in a university hospital. Clin Infect Dis 1999;29:1411–1418.CrossRefGoogle Scholar
17.Larson, E. Compliance with isolation technique. Am J Infect Control 1983;11:221–225.CrossRefGoogle ScholarPubMed
18.Pettinger, A, Nettleman, MD. Epidemiology of isolation precautions. Infect Control Hosp Epidemiol 1991;12:303–307.CrossRefGoogle ScholarPubMed
19.Richet, H, Wiesel, M, LeGallou, F, André-Richet, B, Espaze, E. Methicillin-resistant Staphylococcus aureus control in hospitals: the French experience. Infect Control Hosp Epidemiol 1996;17:509–511.CrossRefGoogle ScholarPubMed
20.Vidal-Trecan, GM, Delamare, N, Tcherny-Lessenot, S, et al. Multidrug-resistant bacteria infection control: study of compliance with isolation precautions in a Paris university hospital. Infect Control Hosp Epidemiol 2001;22:109–111.CrossRefGoogle Scholar
21.Afif, W, Huor, P, Brassard, P, Loo, VG. Compliance with methicillin-resistant Staphylococcus aureus precautions in a teaching hospital. Am J Infect Control 2002;30:430–433.CrossRefGoogle ScholarPubMed
22.Rutala, WA, Sarubbi, FA Jr. Comparative evaluation of a traditional and a “tissue technique” for determining air pressure differentials in hospital isolation rooms. Am J Infect Control 1984;12:96–99.CrossRefGoogle Scholar