Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-28T04:23:24.423Z Has data issue: false hasContentIssue false

The impact of isolation precautions on caregiver-infant interactions in the neonatal intensive care unit: A case–control study

Published online by Cambridge University Press:  26 November 2020

Rebekah C. Gardea*
Affiliation:
Bachelor of Science in Nursing, School of Nursing, University of Texas Health San Antonio, San Antonio, Texas
Matthew Petershack
Affiliation:
Texas A&M University, College Station, Texas
Joseph B. Cantey
Affiliation:
Doctor of Medicine, Department of Pediatrics, University of Texas Health San Antonio, San Antonio, Texas
*
Author for correspondence: Rebekah C. Gardea, E-mail: gardear@uthscsa.edu

Abstract

This case–control study investigated the association between isolation precautions and the frequency of infant–caregiver interaction in the NICU. Interactions were discretely counted; cases and controls were matched by isolation status. Cases had fewer interactions than controls (median, 4 vs 8; P < .0001). Further research is needed to determine whether this reduction impacts patient outcomes.

Type
Concise Communication
Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Siegel, JD, Rhinehart, E, Jackson, M, Chiarello, L. 2007 guideline for isolation precautions: preventing transmission of infectious agents in health care settings. Am J Infect Control 2007;35(10):S65S164.CrossRefGoogle ScholarPubMed
McMicken, E. Reducing MRSA transmission in the NICU: a quality improvement project. J. Neonatal Nurs 2017;23:286289.CrossRefGoogle Scholar
Morgan, DJ, Diekema, DJ, Sepkowitz, K, Perencevich, EN. Adverse outcomes associated with contact precautions: a review of the literature. Am J Infect Control 2009;37:8593.CrossRefGoogle ScholarPubMed
Abad, C, Fearday, A, Safdar, N. Adverse effects of isolation in hospitalised patients: a systematic review. J Hosp Infect 2010;76:97102.CrossRefGoogle ScholarPubMed
Morgan, DJ, Pineles, L, Shardell, M, et al. The effect of contact precautions on healthcare worker activity in acute-care hospitals. Infect Control Hosp Epidemiol 2013;34:6973.CrossRefGoogle ScholarPubMed
Saint, S, Higgins, LA, Nallamothu, BK, Chenoweth, C. Do physicians examine patients in contact isolation less frequently? A brief report. Am J Infect Control 2003;31:354356.CrossRefGoogle ScholarPubMed
Boundy, EO, et al. Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics 2016;137(1):e20152238.CrossRefGoogle ScholarPubMed
Weber, A, Harrison, TM. Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes. Nurs Outlook 2019;67:169189.CrossRefGoogle ScholarPubMed
Meredith, JL, Jnah, A, Newberry, D. The NICU Environment: infusing single-family room benefits into the open-bay setting. Neonatal Netw 2017;36:6976.CrossRefGoogle ScholarPubMed
Cipolla, D, Giuffrè, M, Mammina, C, Corsello, G. Prevention of nosocomial infections and surveillance of emerging resistances in NICU. J Matern Fetal Med 2011;24 suppl 1:2326.Google Scholar