Algorithm to reduce unnecessary isolation days in patients with a history of colonization by antimicrobial-resistant organisms - 30/10/13
Doi : 10.1016/j.ajic.2013.04.013
Dominik Mertz, MD, MSc a, b, c, ⁎ 
, Khuloud Nuri, MD a, Cindy O'Neill, MLT c, Mark Loeb, MD, MSc a, b, c, d, e
, Khuloud Nuri, MD a, Cindy O'Neill, MLT c, Mark Loeb, MD, MSc a, b, c, d, eHamilton Health Sciences Infection Prevention and Control Team
a Department of Medicine, McMaster University, Hamilton, Ontario, Canada
b Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
c Hamilton Health Sciences, Hamilton, Ontario, Canada
d Michael G. DeGroote Institute for Infectious Diseases Research, McMaster University, Hamilton, Ontario, Canada
e Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada
∗Address correspondence to Dominik Mertz, MD, MSc, Juravinski Hospital and Cancer Center, 711 Concession St, Section M, Level 1, Room 3, Hamilton, ON L8V 1C3, Canada.
Abstract |
To determine the need of isolation precautions upon admission, we created and tested an algorithm based on a total of 474 patients with a history of carriage of an antibiotic-resistant organism. Using the algorithm upon patient admission reduced unnecessary isolations by almost 60% while maintaining a high sensitivity to predict persisting antibiotic-resistant organism colonization.
El texto completo de este artículo está disponible en PDF.Key Words : Screening, MRSA, VRE, Carrier, Precautions, Management
Esquema
| D. Mertz is a recipient of a Research Early Career Award from Hamilton Health Sciences Foundation (Jack Hirsh Fellowship). |
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| Conflicts of Interest: None to report. |
© 2013
Association for Professionals in Infection Control and Epidemiology, Inc.. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
Vol 41 - N° 11
P. 1119-1121 - novembre 2013 Regresar al número
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Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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