The Feasibility of an Infection Control “Safe Zone” in a Spinal Cord Injury Unit

Lones, Keshonna; Ramanathan, Swetha; Fitzpatrick, Margaret A.; Hill, Jennifer N.; Guihan, Marylou; Richardson, Miles; Evans, Charlesnika T.

doi:10.1017/ice.2016.37

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…As a result, standard protocols may need to be modified for these types of interactions when MDROs are involved. 102 The evidence base on infection prevention in special populations or alternative care settings has evolved over the past five years, but significant research gaps remain.…”

Section: Special Populations and Settingsmentioning

confidence: 99%

Research agenda for transmission prevention within the Veterans Health Administration, 2024–2028

Smith,

Crnich,

Donskey

et al. 2024

Infect. Control Hosp. Epidemiol.

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Section: Special Populations and Settingsmentioning

confidence: 99%

Research agenda for transmission prevention within the Veterans Health Administration, 2024–2028

Smith,

Crnich,

Donskey

et al. 2024

Infect. Control Hosp. Epidemiol.

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“…1 Use of the red-box strategy has been shown to improve isolation practices and to be cost-effective through preservation of PPE. [1][2][3][4][5] Prior studies have used direct observers to document compliance with PPE protocols [2][3][4][5] ; however, the method has multiple limitations. 6,7 We used remote video auditing to compare the rates of HCP compliance with infection prevention protocols in isolation rooms with and without the red box.…”

mentioning

confidence: 99%

Evaluating compliance with infection prevention protocols in red-box rooms via remote video auditing

Singh

Malhotra

Khatri

et al. 2021

Infect. Control Hosp. Epidemiol.

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The timing of the positive result did not show a trend. Furthermore, 2 employees tested positive at initiation of the protocol: 1 was asymptomatic and 1 with mild symptoms. Of the remaining 3 employees, 2 developed symptoms and tested positive on the second test. The last employee remained asymptomatic and tested positive on the final test in the protocol.The cycle threshold (Ct) values for the asymptomatic individuals were 37 and 38, and the Ct values were 21, 26, and 30 for the symptomatic employees (Table 1). These relatively high Ct values are consistent with reports that viral loads, as measured by Ct values, are lower >12 days after mRNA vaccination compared to nonvaccinated individuals. 7 All 5 vaccinated employees who tested positive had a domestic partner as the positive household contact. None of employees who were exposed to a positive child or nonsignificant other adult became infected. Spousal relationship has previously been shown to be a high risk for secondary infection, with a mean household secondary attack rate of spouses of 37.8% in prevaccination data. 8 In our limited sample, the rate of secondary infection in vaccinated healthcare workers when exposed to a SARS-CoV-2-positive partner was 22.7%, which represents a significant risk of infection.Although our study had a small sample size, the data demonstrate a persistent risk of acquisition of infection following exposure to a household member, particularly a partner with COVID-19. None of the vaccinated employees developed severe disease, which is encouraging but could also be due to risk profile. Further research into COVID-19 after vaccination is needed, including the likelihood of transmission by fully vaccinated, asymptomatic individuals in different settings.

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Reengineering the patient's environment: Establishment of a “Red Box” to improve communications with patients on isolation precautions

Malhotra

Khameraj

Salim

et al. 2019

American Journal of Infection Control

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The Feasibility of an Infection Control “Safe Zone” in a Spinal Cord Injury Unit

Cited by 3 publications

References 10 publications

Research agenda for transmission prevention within the Veterans Health Administration, 2024–2028

Research agenda for transmission prevention within the Veterans Health Administration, 2024–2028

Evaluating compliance with infection prevention protocols in red-box rooms via remote video auditing

Reengineering the patient's environment: Establishment of a “Red Box” to improve communications with patients on isolation precautions

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