miércoles, 26 de febrero de 2014

Variability of Contact Precaut... [Infect Control Hosp Epidemiol. 2014] - PubMed - NCBI

Variability of Contact Precaut... [Infect Control Hosp Epidemiol. 2014] - PubMed - NCBI

Use of Contact Precautions in Emergency Departments Varies, AHRQ Study Finds

In a survey of 301 emergency departments (EDs) in 49 states, AHRQ-funded researchers found that policies on the use of contact precautions to prevent the spread of antimicrobial resistant organisms and Clostridium difficile varied greatly, according to a study published online February 3 in Infection Control and Hospital Epidemiology. The researchers found that, while most EDs require their staff to use contact precautions (wearing a gown and gloves) when treating patients suspected of having an infection caused by a specific organism, less than half of EDs require such contact precautions when treating patients with symptoms often caused by those organisms. For example, 79 percent of EDs required isolation (including contact precautions) when treating patients with suspected methicillin-resistant Staphylococcus aureus (MRSA), but only 49 percent required contact precautions for all patients with purulent skin infections, which are predominantly caused by community-acquired MRSA. The authors also found that most EDs had not participated in quality improvement projects related to decreasing the spread of these organisms. The authors suggest, based on the variations they observed, that ED organizations and leaders enact policies on the use of contact precautions in the ED. Select to access anabstract of the study’s findings.

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 2014 Mar;35(3):310-2. doi: 10.1086/675285. Epub 2014 Feb 3.

Variability of Contact Precaution Policies in US Emergency Departments.


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.

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