Contact precautions in the intensive care unit setting: 12 years of surveillance

Felipe Maia de Toledo Piza1, Alexandre R Marra, Moacyr Silva

  • 1Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil.

Insights

Increased multidrug-resistant organisms (MDROs) in hospitals necessitate isolation precautions. This study tracked MDROs driving contact precaution use in an intensive care unit (ICU) over 12 years.

Area of Science:

  • Infectious Diseases
  • Hospital Epidemiology
  • Microbiology

Background:

  • Rising colonization rates of multidrug-resistant organisms (MDROs) in healthcare settings.
  • Increased utilization of isolation precautions in tertiary care hospitals.
  • Need to understand the specific MDROs driving these precautions.

Purpose of the Study:

  • To assess the frequency of MDROs necessitating contact precautions.
  • To analyze trends in MDROs over a 12-year period.
  • To inform infection control strategies in intensive care units (ICUs).

Main Methods:

  • Retrospective analysis of data from a tertiary care hospital ICU.
  • Identification and quantification of MDROs associated with contact precaution implementation.
  • 12-year study period (specify years if known, otherwise state 'over 12 years').

Main Results:

  • Identification of key MDROs frequently requiring contact precautions.
  • Trends in the prevalence of specific MDROs over the 12-year period.
  • Data on the impact of MDROs on infection control resource allocation.

Conclusions:

  • Understanding MDRO trends is crucial for effective infection control.
  • Contact precautions are driven by specific resistant microorganisms.
  • Long-term surveillance informs hospital infection prevention policies.

Related Concept Videos

Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
PPE Use in Healthcare Settings I: Donning01:22

PPE Use in Healthcare Settings I: Donning

Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...