Author: Lin Huang, G. Khai; Stewardson, Andrew J.; Lindsay Grayson, M.
Title: Back to basics: hand hygiene and isolation Document date: 2014_7_2
ID: q4nzhbvt_42
Snippet: In a prospective cohort study by Mehrotra et al. [99] , patients who were managed under contact precautions perceived problems with care twice as frequently as those not under precautions. Although this difference may be attributable to bias, it appears that patient perception of care is negatively impacted by isolation. Dhar ] conducted a multicentre, prospective cohort study that evaluated whether the proportion of patients in isolation is a de.....
Document: In a prospective cohort study by Mehrotra et al. [99] , patients who were managed under contact precautions perceived problems with care twice as frequently as those not under precautions. Although this difference may be attributable to bias, it appears that patient perception of care is negatively impacted by isolation. Dhar ] conducted a multicentre, prospective cohort study that evaluated whether the proportion of patients in isolation is a determinant of compliance with contact isolation precautions. They observed a stepwise increase in noncompliance as the overall proportion of patients in isolation in a unit increased, with an apparent 'tipping point' when 40% of patients was reached. They hypothesized that at this point 'compliance fatigue' became more common, particularly for hand hygiene prior to gloving.
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