The irreducible minimum in cross-infection control and isolation nursing

This is a survey of 10 years experience in trying to find out how to control hospital sepsis economically. We appear to have obtained reasonable improvements in hygiene by applying the teaching which has been given to students since the time of Leonard Colebrook. For our investigations we used only routine methods.The order of importance of the factors in reducing cross-infection would appear to be: (1) single rooms for all septic cases and for those requiring protective isolation; (2) a sister supported in complete authority over anyone entering the unit; (3) a simple, inflexible drill to introduce an impermeable layer between the nurse or doctor and the patient-gloves and apron provide this; (4) overshoes and barrier mats; (5) hygienic disposal of linen; (6) an efficient wet dusting and floor cleaning system. Anything beyond this must be justified by saving of nursing time or some factor other than prevention of infection.