Variability of Contact Precaution Policies in US Emergency Departments

2014 ◽  
Vol 35 (3) ◽  
pp. 310-312 ◽  
Author(s):  
Daniel J. Pallin ◽  
Carlos A. Camargo ◽  
Deborah S. Yokoe ◽  
Janice A. Espinola ◽  
Jeremiah D. Schuur
Keyword(s):  
Emergency Medicine ◽  
Staphylococcus Aureus ◽  
Clostridium Difficile ◽  
Random Sample ◽  
Emergency Departments ◽  
Contact Precaution ◽  
Methicillin Resistant ◽  
Contact Precautions ◽  
Stool Incontinence

Contact precautions policies in US emergency departments have not been studied. We surveyed a structured random sample and found wide variation; for example, 45% required contact precautions for stool incontinence or diarrhea, 84% for suspected Clostridium difficile, and 79% for suspected methicillin-resistant Staphylococcus aureus infection. Emergency medicine departments and organizations should enact policies.

Evaluation of the Microbiology of Soft-Tissue Abscesses in the Era of Community-Associated Strains of Methicillin-ResistantStaphylococcus aureus: An Argument for Empirical Contact Precautions

2007 ◽  
Vol 28 (6) ◽  
pp. 730-732 ◽  
Author(s):  
Thomas R. Talbot ◽  
Joseph J. Nania ◽  
Patty W. Wright ◽  
Ian Jones ◽  
Dominik Aronsky
Keyword(s):  
Emergency Department ◽  
Staphylococcus Aureus ◽  
Soft Tissue ◽  
Methicillin Resistant ◽  
Contact Precautions

To ascertain the microbiology of skin abscesses, emergency department records were reviewed to identify patients with debrided skin abscesses. Methicillin-resistantStaphylococcus aureuswas isolated from 255 (67.6%) of 377 culture samples from episodes in the adult cohort and from 145 (79.7%) of 182 culture samples from episodes in the pediatric cohort. Thus, empirical use of contact precautions for patients with skin abscesses should be strongly considered.

Evaluation of a Sporicidal Peracetic Acid/Hydrogen Peroxide–Based Daily Disinfectant Cleaner

2014 ◽  
Vol 35 (11) ◽  
pp. 1414-1416 ◽  
Author(s):  
Abhishek Deshpande ◽  
Thriveen S. C. Mana ◽  
Jennifer L. Cadnum ◽  
Annette C. Jencson ◽  
Brett Sitzlar ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Staphylococcus Aureus ◽  
Clostridium Difficile ◽  
Sodium Hypochlorite ◽  
Peracetic Acid ◽  
Infect Control Hosp ◽  
Organic Load ◽  
Methicillin Resistant

OxyCide Daily Disinfectant Cleaner, a novel peracetic acid/hydrogen peroxide–based sporicidal disinfectant, was as effective as sodium hypochlorite for in vitro killing of Clostridium difficile spores, methicillin-resistant Staphylococcus aureus, and vancomcyin-resistant enterococci. OxyCide was minimally affected by organic load and was effective in reducing pathogen contamination in isolation roomsInfect Control Hosp Epidemiol 2014;35(11):1414–1416

scholarly journals Differences in Hospital-Associated Multidrug-Resistant Organisms and Clostridium difficile Rates Using 2-Day versus 3-Day Definitions

2014 ◽  
Vol 35 (11) ◽  
pp. 1417-1420 ◽  
Author(s):  
Adrijana Gombosev ◽  
Salah E. Fouad ◽  
Eric Cui ◽  
Chenghua Cao ◽  
Leah Terpstra ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Clostridium Difficile ◽  
Infection Prevention ◽  
Prevention Programs ◽  
Multidrug Resistant ◽  
Infect Control Hosp ◽  
Methicillin Resistant ◽  
Vancomycin Resistant Enterococci ◽  
Multidrug Resistant Organisms ◽  
Vancomycin Resistant

We surveyed infection prevention programs in 16 hospitals for hospital-associated methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci, extended-spectrum β-lactamase, and multidrug-resistant Acinetobacter acquisition, as well as hospital-associated MRSA bacteremia and Clostridium difficile infection based on defining events as occurring >2 days versus >3 days after admission. The former resulted in significantly higher median rates, ranging from 6.76% to 45.07% higherInfect Control Hosp Epidemiol 2014;35(11):1417–1420

Electronic Clostridium difficile Infection Bundle Reduces Time to Initiation of Contact Precautions

2016 ◽  
Vol 38 (2) ◽  
pp. 242-244 ◽  
Author(s):  
Courtney M. Dewart ◽  
Natalia Blanco ◽  
Betsy Foxman ◽  
Anurag N. Malani
Keyword(s):  
Clostridium Difficile ◽  
Clostridium Difficile Infection ◽  
Infect Control Hosp ◽  
Contact Precaution ◽  
Order Entry ◽  
Contact Precautions ◽  
Computerized Order Entry ◽  
Time To Initiation ◽  
The Impact ◽  
Reduced Time

The impact of computerized order-entry bundles on timing of contact precaution initiation for C. difficile infection (CDI) remains largely unexplored. Implementation of an electronic CDI prevention and management bundle that included an automatic isolation component significantly reduced time to initiation of contact precautions from 33.7 to 22.4 hours.Infect Control Hosp Epidemiol 2016;242–244

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