期刊
AMERICAN JOURNAL OF INFECTION CONTROL
卷 38, 期 2, 页码 105-111出版社
MOSBY-ELSEVIER
DOI: 10.1016/j.ajic.2009.08.008
关键词
Contact precautions; adherence; isolation; antimicrobial resistance; compliance
资金
- Association for Prevention Teaching and Research-Centers for Disease Control and Prevention Cooperative [5U50CD3000-860-21]
- National Institute of Nursing Research in Columbia University [5T90NR010824-02]
Background: Contact precautions are recommended for interactions with patients colonized/infected with multidrug- resistant organisms; however, actual rates of implementation of contact precautions are unknown. Methods: Observers recorded the availability of supplies and staff/visitor adherence to contact precautions at rooms of patients indicated for contact precautions. Data were collected at 3 sites in a New York City hospital network. Results: Contact precautions signs were present for 85.4% of indicated patients. The largest proportions were indicated for isolation for vancomycin-resistant enterococci and methicillin-resistant Staphylococcus aureus cultures. Isolation carts were available outside 93.7% to 96.7% of rooms displaying signs, and personal protective equipment was available at rates of 49.4% to 72.1% for gloves (all sizes: small, medium, and large) and 91.7% to 95.2% for gowns. Overall adherence rates on room entry and exit, respectively, were 19.4% and 48.4% for hand hygiene, 67.5% and 63.5% for gloves, and 67.9% and 77.1% for gowns. Adherence was significantly better in intensive care units (P<.05) and by patient care staff (P<.05), and patient care staff compliance with one contact precautions behavior was predictive of adherence to additional behaviors (P<.001). Conclusions: Our findings support the recommendation that methods to monitor contact precautions and identify and correct nonadherent practices should be a standard component of infection prevention and control programs.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据