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Impact of discontinuation of contact precautions on central-line associated bloodstream infections in an academic children’s hospital

Published online by Cambridge University Press:  19 February 2019

Emily J. Godbout*
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatrics, Children’s Hospital of Richmond at Virginia Commonwealth University Health System, Richmond, Virginia
Barry J. Rittmann
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Michele Fleming
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Heather Albert
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Yvette Major
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Huong Jane Nguyen
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Andrew J. Noda
Affiliation:
Department of Pharmacy, Virginia Commonwealth University Health System, Richmond, Virginia
Kaila Cooper
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Michelle Doll
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Michael P. Stevens
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Gonzalo Bearman
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
*
Author for correspondence: Emily J. Godbout, Email: emily.godbout@vcuhealth.org

Abstract

We investigated the impact of discontinuation of contact precautions for methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus infected or colonized patients on central-line associated bloodstream infection rates at an academic children’s hospital. Discontinuation of contact precautions with a bundled horizontal infection prevention platform resulted in no adverse impact on CLABSI rates.

Type
Concise Communication
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

Harris, AD, Pineles, L, Belton, B, et al. Universal glove and gown use and acquisition of antibiotic-resistant bacteria in the ICU: a randomized trial. JAMA 2013;310:15711580.Google ScholarPubMed
Catalano, G, Houston, SH, Catalano, MC, et al. Anxiety and depression in hospitalized patients in resistant organism isolation. South Med J 2003;96:141145.CrossRefGoogle ScholarPubMed
Day, HR, Morgan, DJ, Himelhoch, S, Young, A, Perencevich, EN. Association between depression and contact precautions in veterans at hospital admission. Am J Infect Control 2011;39:163165.CrossRefGoogle ScholarPubMed
Stelfox, HT, Bates, DW, Redelmeier, DA. Safety of patients isolated for infection control. JAMA 2003;290:18991905.CrossRefGoogle ScholarPubMed
Edmond, MB, Masroor, N, Stevens, MP, Ober, J, Bearman, G. The impact of discontinuing contact precautions for VRE and MRSA on device-associated infections. Infect Control Hosp Epidemiol 2015;36:978980.CrossRefGoogle ScholarPubMed
Bearman, G, Abbas, S, Masroor, N, et al. Impact of discontinuing contact precautions for methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus: an interrupted time series analysis. Infect Control Hosp Epidemiol 2018;39:676682.CrossRefGoogle ScholarPubMed
HAI data and statistics. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/surveillance/. Published 2016. Accessed May 16, 2018.Google Scholar
Huskins, WC, Huckabee, CM, O’Grady, NP, et al. Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med 2011; 364:14071418.CrossRefGoogle ScholarPubMed
Gandra, S, Barysauskas, CM, Mack, DA, Barton, B, Finberg, R, Ellison, RT. Impact of contact precautions on falls, pressure ulcers and transmission of MRSA and VRE in hospitalized patients. J Hosp Infect 2014;88:170176.CrossRefGoogle ScholarPubMed