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_43
Snippet: The evidence to support isolation in the intensive care unit is limited. In a 2011 cluster randomized controlled trial involving 10 intensive care units [101] , surveillance for MRSA and VRE and expanded barrier precautions for colonized patients was not effective in reducing transmission rates. In a recent post-hoc analysis of a large cohort encompassing three intensive care units, a number of medical errors and adverse events were observed more.....
Document: The evidence to support isolation in the intensive care unit is limited. In a 2011 cluster randomized controlled trial involving 10 intensive care units [101] , surveillance for MRSA and VRE and expanded barrier precautions for colonized patients was not effective in reducing transmission rates. In a recent post-hoc analysis of a large cohort encompassing three intensive care units, a number of medical errors and adverse events were observed more frequently in the patients under contact isolation [102 & ]. This occurred despite the higher staffing ratios in the ICU compared with other wards. Despite these issues, isolation in ICU is still recommended.
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