Discontinuing contact precautions for multidrug-resistant organisms: A systematic literature review and meta-analysis

Marra, Alexandre R.; Edmond, Michael B.; Schweizer, Marin L.; Ryan, Grace; Diekema, Daniel J.

doi:10.1016/j.ajic.2017.08.031

Cited by 70 publications

(53 citation statements)

References 31 publications

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“…2 In addition, all this information, would be useful to a more targeted and selective use of contact precautions or decolonization in Argentina, where more than 50% of S. aures infections are caused by MRSA, at both community and hospital setting, 13 in agreement with recent reports. 52 On the other hand, little is known about the transmissibility in hospital setting of distinct MRSA genotypes involved in each region. There is evidence of lower transmissibility of CA-MRSA G vs. HA-MRSA G strains in Danish hospitals, 53 and for LA-MRSA strains (ST398-IV) vs. non LA-MRSA in Dutch hospitals.…”

Section: Discussionmentioning

confidence: 99%

MRSA dynamic circulation between the community and the hospital setting: New insights from a cohort study

Barcudi

Sosa

Lamberghini

et al. 2020

Journal of Infection

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Section: Discussionmentioning

confidence: 99%

MRSA dynamic circulation between the community and the hospital setting: New insights from a cohort study

Barcudi

Sosa

Lamberghini

et al. 2020

Journal of Infection

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“…9 A recent meta-analysis suggests that contact precautions for MRSA and VRE may be safely discontinued with optimization of hand hygiene and horizontal infection prevention strategies. 10 Gown and glove use is associated with significant cost for PPE. 1,7 Several prior studies have reported substantial cost savings after the discontinuation of contact precautions for MRSA-and VRE-infected or -colonized patients.…”

Section: Discussionmentioning

confidence: 99%

Impact of Discontinuing Contact Precautions for Methicillin-ResistantStaphylococcus aureusand Vancomycin-ResistantEnterococcus: An Interrupted Time Series Analysis

Bearman

Abbas

Masroor

et al. 2018

Infect. Control Hosp. Epidemiol.

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Single-center, quasi-experimental study conducted between 2011 and 2016.METHODSWe employed an interrupted time series design to evaluate the impact of 7 horizontal infection prevention interventions across intensive care units (ICUs) and hospital wards at an 865-bed urban, academic medical center. These interventions included (1) implementation of a urinary catheter bundle in January 2011, (2) chlorhexidine gluconate (CHG) perineal care outside ICUs in June 2011, (3) hospital-wide CHG bathing outside of ICUs in March 2012, (4) discontinuation of contact precautions in April 2013 for MRSA and VRE, (5) assessments and feedback with bare below the elbows (BBE) and contact precautions in August 2014, (6) implementation of an ultraviolet-C disinfection robot in March 2015, and (7) 72-hour automatic urinary catheter discontinuation orders in March 2016. Segmented regression modeling was performed to assess the changes in the infection rates attributable to the interventions.RESULTSThe rate of HAI declined throughout the study period. Infection rates for MRSA and VRE decreased by 1.31 (P=.76) and 6.25 (P=.21) per 100,000 patient days, respectively, and the infection rate decreased by 2.44 per 10,000 patient days (P=.23) for device-associated HAI following discontinuation of contact precautions.CONCLUSIONThe discontinuation of contact precautions for patients infected or colonized with MRSA or VRE, when combined with horizontal infection prevention measures was not associated with an increased incidence of MRSA and VRE device-associated infections. This approach may represent a safe and cost-effective strategy for managing these patients.Infect Control Hosp Epidemiol 2018;39:676-682.

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“…Es gibt zunehmend wissenschaftliche Hinweise, dass Isolationsmaßnahmen negative Auswirkungen auf den Patienten und die Mitarbeiter habenaber nicht unbedingt einen Vorteil hinsichtlich der Übertragung von Keimen bedeuten müssen [7,8]. Gleichzeitig sind Isolationsmaßnahmen assoziiert mit geringerer Aufmerksamkeit durch die klinischen Mitarbeiter und mit psychischer Belastung für Patient und Personal.…”

Section: Studienergebnisseunclassified

Isolieren wir Keime oder Patienten? Isolationsmaßnahmen unter der Lupe

Haeberle¹

2020

Anästhesiol Intensivmed Notfallmed Schmerzther

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ZusammenfassungIsolationsmaßnahmen zur Prävention der Übertragung multiresistenter Erreger (MRE) gehören in Anbetracht der steigenden Resistenzentwicklung auf Intensivstationen mittlerweile zur Routine. Noch wichtiger sind allerdings Basishygiene und der verantwortungsvolle Umgang mit antiinfektiven Therapien. Dieser Beitrag widmet sich den verschiedenen Präventionsmaßnahmen, die nur in Kombination effektiv und zielführend sind.

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Discontinuing contact precautions for multidrug-resistant organisms: A systematic literature review and meta-analysis

Cited by 70 publications

References 31 publications

MRSA dynamic circulation between the community and the hospital setting: New insights from a cohort study

MRSA dynamic circulation between the community and the hospital setting: New insights from a cohort study

Impact of Discontinuing Contact Precautions for Methicillin-ResistantStaphylococcus aureusand Vancomycin-ResistantEnterococcus: An Interrupted Time Series Analysis

Isolieren wir Keime oder Patienten? Isolationsmaßnahmen unter der Lupe

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