patient isolation

Summary

Summary: The segregation of patients with communicable or other diseases for a specified time. Isolation may be strict, in which movement and social contacts are limited; modified, where an effort to control specified aspects of care is made in order to prevent cross infection; or reverse, where the patient is secluded in a controlled or germ-free environment in order to protect him or her from cross infection.

Top Publications

  1. ncbi [Evaluation of the efficacy of a program to control nosocomial spread of methicillin-resistant Staphylococcus aureus]
    A Pan
    Istituti Ospitalieri di Cremona, Brescia, Italy
    Infez Med 9:163-9. 2001
  2. ncbi Outbreak of invasive disease caused by methicillin-resistant Staphylococcus aureus in neonates and prevalence in the neonatal intensive care unit
    Sumathi Nambiar
    Department of Pediatrics, Division of Infectious Diseases, Childrens National Medical Center, George Washington University School of Medicine, Washington, DC 20010, USA
    Pediatr Crit Care Med 4:220-6. 2003
  3. ncbi Isolation of patients in single rooms or cohorts to reduce spread of MRSA in intensive-care units: prospective two-centre study
    Jorge A Cepeda
    Department of Clinical Microbiology, University College London Hospitals, London W1T 4 JF, UK
    Lancet 365:295-304. 2005
  4. pmc Transmission dynamics and control of severe acute respiratory syndrome
    Marc Lipsitch
    Department of Epidemiology, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
    Science 300:1966-70. 2003
  5. pmc Intervention to reduce transmission of resistant bacteria in intensive care
    W Charles Huskins
    Division of Pediatric Infectious Diseases, Mayo Clinic, Rochester, MN 55905, USA
    N Engl J Med 364:1407-18. 2011
  6. ncbi Evaluating the efficacy of antimicrobial cycling programmes and patient isolation on dual resistance in hospitals
    Karen Chow
    Mathematical, Computational Modeling Sciences Center, Arizona State University, PO Box 871904, Tempe, AZ 85287, USA
    J Biol Dyn 5:27-43. 2011
  7. pmc Methicillin-resistant Staphylococcus aureus in hospitals and the community: stealth dynamics and control catastrophes
    B S Cooper
    Department of Medical Microbiology, Royal Free and University College Medical School, University of London, WC1E 7HU, United Kingdom
    Proc Natl Acad Sci U S A 101:10223-8. 2004
  8. ncbi Methicillin-resistant Staphylococcus aureus: psychological impact of hospitalization and isolation in an older adult population
    S Tarzi
    Shrodells Psychiatric Unit, Watford General Hospital, London, UK
    J Hosp Infect 49:250-4. 2001
  9. pmc Practical and affordable measures for the protection of health care workers from tuberculosis in low-income countries
    A D Harries
    College of Medicine, University of Malawi, Chichiri
    Bull World Health Organ 75:477-89. 1997
  10. ncbi Systematic review of isolation policies in the hospital management of methicillin-resistant Staphylococcus aureus: a review of the literature with epidemiological and economic modelling
    B S Cooper
    Academic Department of Geriatric Medicine, Royal Free Campus, Royal Free and University College Medical School, University of London, London, UK
    Health Technol Assess 7:1-194. 2003

Detail Information

Publications223 found, 100 shown here

  1. ncbi [Evaluation of the efficacy of a program to control nosocomial spread of methicillin-resistant Staphylococcus aureus]
    A Pan
    Istituti Ospitalieri di Cremona, Brescia, Italy
    Infez Med 9:163-9. 2001
    ..The cost effectiveness of the program seems very favourable...
  2. ncbi Outbreak of invasive disease caused by methicillin-resistant Staphylococcus aureus in neonates and prevalence in the neonatal intensive care unit
    Sumathi Nambiar
    Department of Pediatrics, Division of Infectious Diseases, Childrens National Medical Center, George Washington University School of Medicine, Washington, DC 20010, USA
    Pediatr Crit Care Med 4:220-6. 2003
    ..To describe an outbreak of severe invasive disease caused by methicillin-resistant Staphylococcus aureus (MRSA) and the epidemiology of MRSA in a neonatal intensive care unit during a 12-yr period from 1989 to 2001...
  3. ncbi Isolation of patients in single rooms or cohorts to reduce spread of MRSA in intensive-care units: prospective two-centre study
    Jorge A Cepeda
    Department of Clinical Microbiology, University College London Hospitals, London W1T 4 JF, UK
    Lancet 365:295-304. 2005
    ..We aimed to assess the effectiveness of moving versus not moving infected or colonised patients in intensive-care units to prevent transmission of MRSA...
  4. pmc Transmission dynamics and control of severe acute respiratory syndrome
    Marc Lipsitch
    Department of Epidemiology, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
    Science 300:1966-70. 2003
    ..Public-health efforts to reduce transmission are expected to have a substantial impact on reducing the size of the epidemic...
  5. pmc Intervention to reduce transmission of resistant bacteria in intensive care
    W Charles Huskins
    Division of Pediatric Infectious Diseases, Mayo Clinic, Rochester, MN 55905, USA
    N Engl J Med 364:1407-18. 2011
    ..Intensive care units (ICUs) are high-risk settings for the transmission of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE)...
  6. ncbi Evaluating the efficacy of antimicrobial cycling programmes and patient isolation on dual resistance in hospitals
    Karen Chow
    Mathematical, Computational Modeling Sciences Center, Arizona State University, PO Box 871904, Tempe, AZ 85287, USA
    J Biol Dyn 5:27-43. 2011
    ..b>Patient isolation and high compliance to a cycling programme is also shown to dramatically decrease dual resistance in ..
  7. pmc Methicillin-resistant Staphylococcus aureus in hospitals and the community: stealth dynamics and control catastrophes
    B S Cooper
    Department of Medical Microbiology, Royal Free and University College Medical School, University of London, WC1E 7HU, United Kingdom
    Proc Natl Acad Sci U S A 101:10223-8. 2004
    ..Attempts to reduce the spread of MRSA have largely depended on hospital hygiene and patient isolation. These measures have met with mixed success: although some countries have almost eliminated MRSA or remained ..
  8. ncbi Methicillin-resistant Staphylococcus aureus: psychological impact of hospitalization and isolation in an older adult population
    S Tarzi
    Shrodells Psychiatric Unit, Watford General Hospital, London, UK
    J Hosp Infect 49:250-4. 2001
    ..Future studies should examine the best ways of managing the detrimental effects of isolation...
  9. pmc Practical and affordable measures for the protection of health care workers from tuberculosis in low-income countries
    A D Harries
    College of Medicine, University of Malawi, Chichiri
    Bull World Health Organ 75:477-89. 1997
    ..More resources are also needed to ensure full implementation of currently recommended measures to decrease the risk of nosocomial and laboratory-acquired TB...
  10. ncbi Systematic review of isolation policies in the hospital management of methicillin-resistant Staphylococcus aureus: a review of the literature with epidemiological and economic modelling
    B S Cooper
    Academic Department of Geriatric Medicine, Royal Free Campus, Royal Free and University College Medical School, University of London, London, UK
    Health Technol Assess 7:1-194. 2003
    ..To develop transmission models to study the effectiveness and cost-effectiveness of isolation policies in controlling MRSA...
  11. ncbi Impact of routine intensive care unit surveillance cultures and resultant barrier precautions on hospital-wide methicillin-resistant Staphylococcus aureus bacteremia
    Susan S Huang
    Channing Laboratory, Brigham and Women s Hospital, Boston, MA 02115, USA
    Clin Infect Dis 43:971-8. 2006
    ..To our knowledge, the relative impact of these interventions has not previously been ascertained...
  12. ncbi Meticillin-resistant Staphylococcus aureus (MRSA): screening and decolonisation
    Barry Cookson
    Laboratory of HealthCare Associated Infection, Centre for Infections, Health Protection Agency, 61 Colindale Avenue, London NW95EQ, UK
    Int J Antimicrob Agents 37:195-201. 2011
    ..European initiatives designed to provide further information on the cost/benefit value of particular strategies in the control of infection, including those involving MRSA, are in progress...
  13. ncbi 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings
    Jane D Siegel
    Am J Infect Control 35:S65-164. 2007
  14. pmc Assessing the role of undetected colonization and isolation precautions in reducing methicillin-resistant Staphylococcus aureus transmission in intensive care units
    Theodore Kypraios
    School of Mathematical Sciences, University of Nottingham, Nottingham, UK
    BMC Infect Dis 10:29. 2010
    ..Recent methodological developments have made it possible to estimate these quantities using routine surveillance data...
  15. ncbi International variation in containment measures for disturbed psychiatric inpatients: a comparative questionnaire survey
    Len Bowers
    St Bartholomew School of Nursing and Midwifery, City University, London, UK
    Int J Nurs Stud 44:357-64. 2007
    ..g. seclusion, mechanical restraint) whose use differs by country. Little is known about why these differences exist, or about how staff choose between the different methods available to them...
  16. ncbi Safety of patients isolated for infection control
    Henry Thomas Stelfox
    Department of Medicine, University of Toronto, Toronto, Ontario
    JAMA 290:1899-905. 2003
    Hospital infection control policies that use patient isolation prevent nosocomial transmission of infectious diseases, but may inadvertently lead to patient neglect and errors.
  17. pmc Factors that make an infectious disease outbreak controllable
    Christophe Fraser
    Department of Infectious Disease Epidemiology, Imperial College, St Mary s, London W2 1PG, United Kingdom
    Proc Natl Acad Sci U S A 101:6146-51. 2004
    ..Direct estimation of the proportion of asymptomatic and presymptomatic infections is achievable by contact tracing and should be a priority during an outbreak of a novel infectious agent...
  18. ncbi A performance assessment of airborne infection isolation rooms
    Stefan A Saravia
    Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA
    Am J Infect Control 35:324-31. 2007
    ..Airborne infection isolation rooms (AIIRs) help prevent the spread of infectious agents in hospitals. The performance of 678 AIIRs was evaluated and compared with construction design guidelines...
  19. ncbi Pennsylvania State Hospital system's seclusion and restraint reduction program
    Gregory M Smith
    Office of Mental Health and Substance Abuse Services of the Commonwealth of Pennsylvania, Harrisburg, Pennsylvania 18109 2498, USA
    Psychiatr Serv 56:1115-22. 2005
    ..This study examined the use of seclusion and mechanical restraint from 1990 to 2000 and the rate of staff injuries from patient assaults from 1998 to 2000 in a state hospital system...
  20. ncbi Isolation effectively prevents the transmission of hepatitis C virus in the hemodialysis unit
    Chwei Shiun Yang
    Division of Nephrology, Department of Internal Medicine, Cathay General Hospital, Taipei Medical University, 280 Jen Ai Road, Section 4, Taipei, Taiwan
    J Formos Med Assoc 102:79-85. 2003
    ..The effectiveness of isolation as a preventive policy remains unclear. The aim of this study was to evaluate the effect of an isolation policy on the incidence of hepatitis C in our hemodialysis unit...
  21. ncbi Effective cohorting and "superisolation" in a single intensive care unit in response to an outbreak of diverse multi-drug-resistant organisms
    Laura H Rosenberger
    Department of Surgery, University of Virginia Health System, Charlottesville, Virginia 22908, USA
    Surg Infect (Larchmt) 12:345-50. 2011
    ..We hypothesized that cohorting isolation patients in one geographic location in a single ICU and using enhanced isolation procedures ("superisolation") can prevent the further spread of highly multi-drug-resistant organisms (MDRO)...
  22. pmc The impact of Contact Isolation on the quality of inpatient hospital care
    Daniel J Morgan
    Department of Epidemiology and Public Health, University of Maryland, School of Medicine, Baltimore, Maryland, United States of America
    PLoS ONE 6:e22190. 2011
    ..Contact Isolation is a common hospital infection prevention method that may improve infectious outcomes but may also hinder healthcare delivery...
  23. ncbi Factors contributing to mental health professionals' decision to use seclusion
    Patricia S Mann-Poll
    Pro Persona Mental Health Care, Wolfheze, Gelderland 6870 AA, Netherlands
    Psychiatr Serv 62:498-503. 2011
    ..The authors constructed an explanatory model of factors contributing to the decision to use seclusion...
  24. ncbi Rapid screening of methicillin-resistant Staphylococcus aureus using PCR and chromogenic agar: a prospective study to evaluate costs and effects
    M W M Wassenberg
    Department of Medical Microbiology Department of Internal Medicine and Infectious Diseases, University Medical Center, Utrecht, The Netherlands
    Clin Microbiol Infect 16:1754-61. 2010
    ..79 per patient. Rapid diagnostic testing safely reduces the number of unnecessary isolation days, but only chromogenic screening, and not PCR-based screening, can be considered as cost saving...
  25. ncbi Contact isolation in surgical patients: a barrier to care?
    Heather L Evans
    Department of Surgery, UVA Health System, Charlottesville, VA 22908, USA
    Surgery 134:180-8. 2003
    ..Contact isolation is commonly used to prevent transmission of resistant organisms. We hypothesized that contact isolation negatively impacts the amount of direct patient care...
  26. ncbi 5 years of experience implementing a methicillin-resistant Staphylococcus aureus search and destroy policy at the largest university medical center in the Netherlands
    Margreet C Vos
    Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center Rotterdam, The Netherlands
    Infect Control Hosp Epidemiol 30:977-84. 2009
    ..To evaluate the effectiveness of a rigorous search and destroy policy for controlling methicillin-resistant Staphylococcus aureus (MRSA) infection or colonization...
  27. ncbi Knowledge of standard and isolation precautions in a large teaching hospital
    Hugo Sax
    Infection Control Program, Department of Internal Medicine, University Hospitals of Geneva, Geneva, Switzerland
    Infect Control Hosp Epidemiol 26:298-304. 2005
    ..To assess the level of knowledge regarding and attitudes toward standard and isolation precautions among healthcare workers in a hospital...
  28. ncbi Do physicians examine patients in contact isolation less frequently? A brief report
    Sanjay Saint
    Ann Arbor Department of Veterans Affairs Medical Center, USA
    Am J Infect Control 31:354-6. 2003
    ..We assessed whether patients who are hospitalized and placed under contact precautions are examined less often by second- and third-year medical residents (ie, senior medical residents), and attending physicians during morning rounds...
  29. pmc Isolation measures in the hospital management of methicillin resistant Staphylococcus aureus (MRSA): systematic review of the literature
    B S Cooper
    University Department Medical Microbiology, Royal Free Campus, Royal Free and University College Medical School, University London, UK
    BMJ 329:533. 2004
    ..To evaluate the evidence for the effectiveness of isolation measures in reducing the incidence of methicillin resistant Staphylococcus aureus (MRSA) colonisation and infection in hospital inpatients...
  30. ncbi Staff and patient perceptions of seclusion: has anything changed?
    Tom Meehan
    The Park, Centre for Mental Health, University of Queensland, Wacol, Queensland, Australia
    J Adv Nurs 47:33-8. 2004
    ..While early research on the topic highlighted significant differences in staff and patient perceptions, there are few recent data to indicate if these differences still exist...
  31. ncbi Reducing restraints: alternatives to restraints on an inpatient psychiatric service--utilizing safe and effective methods to evaluate and treat the violent patient
    Ann M Sullivan
    Elmhurst Hospital Center Mt Sinai School of Medicine, Elmhurst, New York 11373, USA
    Psychiatr Q 76:51-65. 2005
    ..In addition, types and frequency of alternative methods utilized to avoid restraints and seclusion are described...
  32. ncbi Rapid creation of a temporary isolation ward for patients with severe acute respiratory syndrome in Taiwan
    Chang Phone Fung
    Section of Infectious Diseases, Department of Emergency Service, Taipei Veterans General Hospital and National Yang Ming University, Taipei, Taiwan
    Infect Control Hosp Epidemiol 25:1026-32. 2004
    ....
  33. ncbi Outbreak of multidrug-resistant Acinetobacter baumannii in a Belgian university hospital after transfer of patients from Greece
    I Wybo
    Department of Microbiology and Hospital Infection Control, Universitair Ziekenhuis Brussel, Brussels, Belgium
    J Hosp Infect 67:374-80. 2007
    ..Introduction of single-use ventilator circuits was considered but the outbreak was controlled before implementation...
  34. ncbi Transmission dynamics of the etiological agent of SARS in Hong Kong: impact of public health interventions
    Steven Riley
    Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College London, Exhibition Road, London SW7 2AZ, UK
    Science 300:1961-6. 2003
    ..We estimate that most currently infected persons are now hospitalized, which highlights the importance of control of nosocomial transmission...
  35. ncbi Comparison of routine glove use and contact-isolation precautions to prevent transmission of multidrug-resistant bacteria in a long-term care facility
    William E Trick
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
    J Am Geriatr Soc 52:2003-9. 2004
    ....
  36. ncbi Containment testing of isolation rooms
    J P Rydock
    Norwegian Building Research Institute, Høgskoleringen 7, NO 7491 Trondheim, Oslo, Norway
    J Hosp Infect 57:228-32. 2004
    ..The study also demonstrates that the tracer testing procedure yields comparable results for equivalent isolation room suites, suggesting good reproducibility of the testing method...
  37. ncbi A simple method for tracer containment testing of hospital isolation rooms
    James P Rydock
    Norwegian Building Research Institute, Oslo
    Appl Occup Environ Hyg 17:486-90. 2002
    ..Possible practical applications of the method are discussed...
  38. pmc Limits of patient isolation measures to control extended-spectrum beta-lactamase-producing Enterobacteriaceae: model-based analysis of clinical data in a pediatric ward
    Matthieu Domenech de Cellès
    Unité de Pharmacoépidémiologie et Maladies Infectieuses, Institut Pasteur, Paris, France
    BMC Infect Dis 13:187. 2013
    ..How to control the nosocomial ESBL-E transmission is a matter of debate. Contact isolation of patients has been recommended but evidence supporting it in non-outbreak settings has been inconclusive...
  39. ncbi Isolation rooms for highly infectious diseases: an inventory of capabilities in European countries
    F M Fusco
    National Institution for Infectious Diseases Lazzaro Spallanzani, Rome, Italy
    J Hosp Infect 73:15-23. 2009
    ..HIRs could also have a role in the initial phases of an influenza pandemic. However, large outbreaks due to natural or to bioterrorist events will need management strategies involving healthcare facilities other than HIRs...
  40. ncbi Medical response planning for pandemic flu
    Jeffrey P Harrison
    University of North Florida, Jacksonville, USA
    Health Care Manag (Frederick) 29:11-21. 2010
    ..The study has managerial implications associated with local medical disaster response and policy implications on the allocation of disaster resources...
  41. ncbi Control and prevention of healthcare-associated tuberculosis: the role of respiratory isolation and personal respiratory protection
    H Humphreys
    Department of Clinical Microbiology, Royal College of Surgeons in Ireland and Beaumont Hospital, Dublin, Ireland
    J Hosp Infect 66:1-5. 2007
    ....
  42. ncbi The effect of pressure differential and care provider movement on airborne infectious isolation room containment effectiveness
    Noah J Adams
    Department of Occupational and Environmental Health, University of Oklahoma College of Public Health, Oklahoma City, OK 73126, USA
    Am J Infect Control 39:91-7. 2011
    ..5 to 20 Pa under conditions of no provider traffic and simulated high provider traffic...
  43. ncbi Development of an empirical model to aid in designing airborne infection isolation rooms
    Charles S Hayden
    U S Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Cincinnati, Ohio 45226, USA
    J Occup Environ Hyg 4:198-207. 2007
    ..The NIOSH model is an effective, cost-cutting tool that can be used by HVAC engineers and designers to estimate leakage area and select an appropriate DeltaQ in AIIRs to reduce the airborne transmission of disease...
  44. ncbi Designing a biocontainment unit to care for patients with serious communicable diseases: a consensus statement
    Philip W Smith
    Biocontainment Unit, University of Nebraska Medical Center, Omaha, NE 68198 5400, USA
    Biosecur Bioterror 4:351-65. 2006
    ..The consensus recommendations are presented to standardize the planning, design, construction, and operation of BPCUs as one element of the U.S. preparedness effort...
  45. ncbi Taking off the gloves: toward a less dogmatic approach to the use of contact isolation
    Kathryn B Kirkland
    Section of Infectious Disease and International Health, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
    Clin Infect Dis 48:766-71. 2009
    ..This review considers what we do and do not know about the potential benefits and harms of isolation as a public health measure and proposes a framework for considering under what circumstances it might optimally be used...
  46. ncbi Interventions to reduce the use of seclusion and restraint in inpatient psychiatric settings: what we know so far a review of the literature
    Justin Newton Scanlan
    Concord Centre for Mental Health, Concord Repatriation General Hospital, Hospital Road, Concord, NSW 2139, Australia
    Int J Soc Psychiatry 56:412-23. 2010
    ..This paper analyzes evidence available from evaluations of single seclusion and/or restraint reduction programmes. A total of 29 papers were included in the review...
  47. pmc Transmission dynamics of methicillin-resistant Staphylococcus aureus in a medical intensive care unit
    Ian M Hall
    Microbial Risk Assessment, Emergency Response Department, Health Protection Agency, Porton Down, UK
    J R Soc Interface 9:2639-52. 2012
    ..Critically, colonized healthcare workers may play an important role in MRSA transmission and their screening should be reinforced...
  48. pmc Identification and containment of an outbreak of SARS in a community hospital
    Hy A Dwosh
    Department of Medicine, Central Hospital, 10 Trench St, Richmond Hill ON L4C 4Z3
    CMAJ 168:1415-20. 2003
    ..We describe how we cared for the first 2 patients with SARS admitted to our 419-bed community hospital in Richmond Hill, Ont., and the response to a SARS outbreak within our institution...
  49. ncbi Two-year trends in the use of seclusion and restraint among psychiatrically hospitalized youths
    Abigail Donovan
    Yale University School of Medicine, New Haven, CT, USA
    Psychiatr Serv 54:987-93. 2003
    ....
  50. pmc Pro/con clinical debate: isolation precautions for all intensive care unit patients with methicillin-resistant Staphylococcus aureus colonization are essential
    Barry M Farr
    The William S Jordan Jr Professor of Medicine and Epidemiology, University of Virginia Health System, Charlottesville, Virginia, USA
    Crit Care 8:153-6. 2004
    ..In this issue of Critical Care, two experts face off over the need to isolate patients infected with methicillin-resistant Staphylococcus aureus...
  51. ncbi Containment effectiveness of expedient patient isolation units
    David L Johnson
    Department of Occupational and Environmental Health, College of Public Health, University of Oklahoma, Oklahoma City, OK, USA
    Am J Infect Control 37:94-100. 2009
    ..The purpose of this work was to estimate containment efficiency of expedient airborne infectious isolation units with and without anterooms in the absence and presence of care provider traffic...
  52. ncbi Attitudes to the use of seclusion: has contemporary mental health policy made a difference?
    Brenda Happell
    School of Nursing and Midwifery, CQUniversity Australia, Queensland, Australia
    J Clin Nurs 19:3208-17. 2010
    ..As the professional group most likely to initiate seclusion, the attitudes of nurses will influence the extent to which policy translates to practice...
  53. pmc Controlling methicillin-resistant Staphylococcus aureus: quantifying the effects of interventions and rapid diagnostic testing
    M C J Bootsma
    Department of Mathematics, Utrecht University, Budapestlaan 6, 3508 TA Utrecht, The Netherlands
    Proc Natl Acad Sci U S A 103:5620-5. 2006
    ..RDT can markedly enhance feasibility...
  54. ncbi Decrease in the hepatitis C virus (HCV) prevalence in hemodialysis patients in Spain: effect of time, initiating HCV prevalence studies and adoption of isolation measures
    Guillermina Barril
    Department of Nephrology, Hospital Universitario de la Princesa, Diego de Leon 62, 28006 Madrid, Spain
    Antiviral Res 60:129-34. 2003
    ..Time was the most important factor (although interacting with the isolation measures) and was independent of the initial HCV prevalence...
  55. ncbi An outbreak of Ebola in Uganda
    S I Okware
    Uganda Ministry of Health, Kampala, Uganda
    Trop Med Int Health 7:1068-75. 2002
    ..Thus all levels of the community spontaneously demonstrated solidarity and response to public health interventions. Even in areas of relative insecurity, rebel abductions diminished considerably...
  56. ncbi Incidence of seclusion and restraint in psychiatric hospitals: a literature review and survey of international trends
    Tilman Steinert
    Centres for Psychiatry Suedwuerttemberg, Ulm University, Weingartshofer Strasse 2, 88214 Ravensburg Weissenau, Germany
    Soc Psychiatry Psychiatr Epidemiol 45:889-97. 2010
    ..The aim of this study was to identify quantitative data on the use of seclusion and restraint in different countries and on initiatives to reduce these interventions...
  57. ncbi ASID (HICSIG) position statement: infection control guidelines for patients with influenza-like illnesses, including pandemic (H1N1) influenza 2009, in Australian health care facilities
    Rhonda L Stuart
    Department of Microbiology, John Hunter Hospital, Newcastle, NSW, Australia
    Med J Aust 191:454-8. 2009
    ....
  58. ncbi The burden of MRSA in four German university hospitals
    Iris F Chaberny
    Institute of Medical Microbiology and Hospital Epidemiology, Medical School Hannover, Carl Neuberg Street 1, 30625 Hannover, Germany
    Int J Hyg Environ Health 208:447-53. 2005
    ....
  59. ncbi Re-designing state mental health policy to prevent the use of seclusion and restraint
    Kevin Ann Huckshorn
    National Technical Assistance Center, National Association of State Mental Health Program Directors NAMSHPD, Alexandria, VA 22314, USA
    Adm Policy Ment Health 33:482-91. 2006
    ..Endorsed by the State Mental Health Directors, July 13, 1999). (NASMHPD 1999, NASMHPD Position Statement on Seclusion and Restraint. Alexandria, VA: National Technical Assistance Center for State Mental Health Planning.)...
  60. ncbi Use of coercive physical measures in a psychiatric ward of a general hospital in Greece
    Nikolaos Bilanakis
    Department of Psychiatry, General Hospital of Arta, Greece
    Int J Soc Psychiatry 56:402-11. 2010
    ..Coercive physical measures are commonly used in psychiatric units throughout the world for the management of severe behaviourally disturbed patients...
  61. ncbi Eliminating seclusion and restraint in Australia
    Margaret Grigg
    Int J Ment Health Nurs 15:224-5. 2006
  62. ncbi The use of seclusion in emergency medicine
    Leslie S Zun
    Department of Emergency Medicine, Finch University Chicago Medical School, Mount Sinai Hospital, Chicago, IL 60608, USA
    Gen Hosp Psychiatry 27:365-71. 2005
    ..The primary purpose of this study was to determine the extent of the use of seclusion in EDs in the United States. The secondary purpose was to describe seclusion use in EDs...
  63. ncbi Reasons for using seclusion and restraint in psychiatric inpatient care
    R Kaltiala-Heino
    Tampere School of Public Health, University of Tampere, Tampere, Finland
    Int J Law Psychiatry 26:139-49. 2003
  64. ncbi An analysis of successful efforts to reduce the use of seclusion and restraint at a public psychiatric hospital
    Dennis C Donat
    Department of Psychology, Western State Hospital, Staunton, Virginia 22042, USA
    Psychiatr Serv 54:1119-23. 2003
    ....
  65. ncbi SARS outbreaks in Ontario, Hong Kong and Singapore: the role of diagnosis and isolation as a control mechanism
    G Chowell
    Center for Nonlinear Studies, MS B258, Los Alamos National Laboratory, Los Alamos, NM 87545, USA
    J Theor Biol 224:1-8. 2003
    ..We explain this as the result of an increase in the diagnostic rate and in the effectiveness of patient isolation after March 26th...
  66. pmc Ebola haemorrhagic fever among hospitalised children and adolescents in northern Uganda: epidemiologic and clinical observations
    E Mupere
    Gulu Regional Referral Hospital Northern Uganda, P O Box 160, Gulu, Uganda
    Afr Health Sci 1:60-5. 2001
    ..A unique feature of previous Ebola outbreaks has been the relative sparing of children. For the first time, an out break of an unusual illness-Ebola haemorrhagic fever occurred in Northern Uganda Gulu district...
  67. ncbi The outbreak and control of Ebola viral haemorrhagic fever in a Ugandan medical school
    Medard Bitekyerezo
    Mbarara University Teaching Hospital, Uganda
    Trop Doct 32:10-5. 2002
    ..The implications for similar institutions in East Africa are discussed...
  68. ncbi Staff's attitudes to the use of restraint and seclusion in a Norwegian university psychiatric hospital
    Rolf Wynn
    Department of Psychiatric Outpatient Services, Asgård University Hospital of Northern Norway, Tromsø, Norway
    Nord J Psychiatry 57:453-9. 2003
    ..There is a need for informing all staff about the negative effects of restraint and seclusion and for training staff in less restrictive ways in dealing with aggressive and violent patients...
  69. ncbi Interventions for reducing the use of seclusion in psychiatric facilities: review of the literature
    Cadeyrn J Gaskin
    Centre for Psychiatric Nursing, University of Melbourne, Level 1, 723 Swanston Street, Carlton, Victoria 3053, Australia
    Br J Psychiatry 191:298-303. 2007
    ..Their focus on randomised, controlled trials, however, does not reflect the research that has been, or could be, conducted...
  70. ncbi On conflict, containment and the relationship between them
    Len Bowers
    Psychiatric Nursing, St Bartholomew School of Nursing and Midwifery, City University, London, UK
    Nurs Inq 13:172-80. 2006
    ..This exercise challenges our perception of the severity of some containment measures that are becoming more commonly used in acute psychiatry...
  71. ncbi Are active microbiological surveillance and subsequent isolation needed to prevent the spread of methicillin-resistant Staphylococcus aureus?
    S Nijssen
    Department of Internal Medicine, Division of Acute Medicine and Infectious Diseases, University Medical Center Utrecht, The Netherlands
    Clin Infect Dis 40:405-9. 2005
    ..aureus (MRSA) in a medical intensive care unit (MICU)...
  72. ncbi [Incidence of coercive measures as an indicator of quality in psychiatric hospitals. Problems of data recording and processing, preliminary results of a benchmarking study]
    Veronika Martin
    Zentrum für Psychiatrie Weissenau, Abt Psychiatrie I der Universität Ulm, Ulm, Germany
    Psychiatr Prax 34:26-33. 2007
    ..The clinical practice concerning the use of coercive measures in psychiatry should be compared...
  73. ncbi Medicate, restrain or seclude? Strategies for dealing with violent and threatening behaviour in a Norwegian university psychiatric hospital
    Rolf Wynn
    Department of Psychiatry, University Hospital of Tromsø, Tromsø, Norway
    Scand J Caring Sci 16:287-91. 2002
    ..Pharmacological restraint was preferred more often with female patients and older patients with a nonorganic psychotic disorder. Seclusion was preferred more often with older male patients with an organic psychotic disorder...
  74. ncbi [The use of mechanical restraint and seclusion: comparing the clinical practice in Germany and Switzerland]
    Veronika Martin
    Zentrum für Psychiatrie Die Weissenau, Abteilung Psychiatrie I der Universität Ulm, Weingartshofer Strasse 2, 88214 Ravensburg Weissenau
    Psychiatr Prax 34:S212-7. 2007
    ..This study intended to standardizedly assess the use of mechanical restraint and seclusion across German and Swiss hospitals...
  75. ncbi What infection control interventions should be undertaken to control multidrug-resistant gram-negative bacteria?
    Anthony D Harris
    Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
    Clin Infect Dis 43:S57-61. 2006
    ....
  76. ncbi Patient care in a biological safety level-4 (BSL-4) environment
    LeRoy A Marklund
    Operational Medicine Division, US Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD 21702, USA
    Crit Care Nurs Clin North Am 15:245-55. 2003
    ....
  77. ncbi Compliance with isolation precautions at a university hospital
    David J Weber
    Department of Hospital Epidemiology, University of North Carolina Health Care System, Chapel Hill, NC 27599, USA
    Infect Control Hosp Epidemiol 28:358-61. 2007
    ..5% (13 observations); contact isolation, 73.3% (165 observations); and protective isolation, 73.6% (72 observations). As with hand hygiene, there is suboptimal compliance with recommended isolation precautions...
  78. ncbi Compliance with routine use of gowns by healthcare workers (HCWs) and non-HCW visitors on entry into the rooms of patients under contact precautions
    Farrin A Manian
    Division of Infectious Diseases, St John s Mercy Medical Center, St Louis, MO 63141, USA
    Infect Control Hosp Epidemiol 28:337-40. 2007
    ....
  79. pmc XDR-TB in South Africa: no time for denial or complacency
    Jerome Amir Singh
    PLoS Med 4:e50. 2007
  80. ncbi Anxiety and depression in hospitalized patients in resistant organism isolation
    Glenn Catalano
    Department of Psychiatry and Behavioral Medicine, and College of Medicine, University of South Florida, Tampa, FL, USA
    South Med J 96:141-5. 2003
    ..We conducted this study to assess whether there is an increase in symptoms of anxiety and depression in patients who are not critically ill and are placed in isolation...
  81. ncbi Effectiveness of a hospital-wide selective screening programme for methicillin-resistant Staphylococcus aureus (MRSA) carriers at hospital admission to prevent hospital-acquired MRSA infections
    M H Wernitz
    Clinic of Anaesthesiology and Critical Care Medicine, Vivantes Klinikum im Friedrichshain, Berlin, Germany
    Clin Microbiol Infect 11:457-65. 2005
    ..The screening programme was performed with minimal effort and can therefore be recommended as an effective measure to help prevent hospital-acquired MRSA infections...
  82. ncbi Nonpharmaceutical interventions implemented by US cities during the 1918-1919 influenza pandemic
    Howard Markel
    Center for the History of Medicine, University of Michigan Medical School, Ann Arbor, USA
    JAMA 298:644-54. 2007
    ..Optimally, appropriate implementation of nonpharmaceutical interventions would decrease the burden on health care services and critical infrastructure...
  83. ncbi Rapid control of an outbreak of vancomycin-resistant enterococci in a French university hospital
    J C Lucet
    Infection Control Unit, Bichat Claude Bernard Hospital, Assistance Publique Hopitaux de Paris, Paris, France
    J Hosp Infect 67:42-8. 2007
    ..One low-concentration patient precipitated transmission in another unit. This aggressive, co-ordinated, multifaceted strategy was successful in halting a widespread VRE outbreak in our hospital...
  84. ncbi Management of a Sabiá virus-infected patients in a US hospital
    L R Armstrong
    Viral Exanthems and Herpesvirus Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Disease, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
    Infect Control Hosp Epidemiol 20:176-82. 1999
    ..To describe the hospital precautions used to isolate a Sabiá virus (arenavirus: Arenaviridae)-infected patient in a US hospital and to protect hospital staff and visitors...
  85. ncbi To isolate or not to isolate? Analysis of data from the German Nosocomial Infection Surveillance System regarding the placement of patients with methicillin-resistant Staphylococcus aureus in private rooms in intensive care units
    Petra Gastmeier
    Institute of Medical Microbiology and Hospital Epidemiology, Medical School Hannover, Hannover, Germany
    Infect Control Hosp Epidemiol 25:109-13. 2004
    ..To investigate whether isolating patients with MRSA in private rooms in ICUs (or cohorting) is a protective factor for nosocomial MRSA infection...
  86. ncbi Rates of hand disinfection associated with glove use, patient isolation, and changes between exposure to various body sites
    Peter W Kim
    Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, USA
    Am J Infect Control 31:97-103. 2003
    ..It is unclear whether workers change gloves and disinfect hands adequately between exposures to different body sites/secretions while caring for a patient...
  87. ncbi Ventilation of wards and nosocomial outbreak of severe acute respiratory syndrome among healthcare workers
    Shanping Jiang
    Department of Internal Medicine, The Second Affiliated Hospital, Sun Yat Sen University, Guangzhou 510120, China
    Chin Med J (Engl) 116:1293-7. 2003
    ..To identify valid measures for preventing outbreaks of severe acute respiratory syndrome (SARS) among protected healthcare workers in isolation units...
  88. ncbi Value of screening and isolation for control of methicillin-resistant Staphylococcus aureus
    Henri A Verbrugh
    Clin Infect Dis 41:268-9; author reply 270-1. 2005
  89. ncbi Prospective evaluation of environmental contamination by Clostridium difficile in isolation side rooms
    P Verity
    Department of Microbiology, University of Leeds and The General Infirmary, Leeds, LS2 9JT, UK
    J Hosp Infect 49:204-9. 2001
    ..difficile. In particular, improved cleaning of frequently touched sites in the immediate bed space area is required...
  90. ncbi Isolation of patients with MRSA infection
    M P A Lessing
    Lancet 365:1303; author reply 1304-5. 2005
  91. ncbi Tracking ties to infection. As rates of hospital-acquired infections have risen, adding billions in costs, experts view a wide range of remedies
    Joseph Mantone
    Mod Healthc 36:30-1. 2006
  92. ncbi Control of nosocomial methicillin-resistant Staphylococcus aureus infection
    Carlene A Muto
    Clin Infect Dis 43:387-8. 2006
  93. ncbi [Current issues of methicillin-resistant Staphylococcus aureus: epidemiology, diagnostics, prevention, and therapy]
    I Kappstein
    Krankenhaushygiene, Kreiskliniken Traunstein Trostberg GmbH, Cuno Niggl Strasse 3, 83278 Traunstein
    Chirurg 77:499-500, 502-505. 2006
    ..On the other hand, it is broadly accepted that standard infection control practices, predominantly hand disinfection, are clearly the basic requirement for preventing the transmission of pathogens...
  94. ncbi Guidelines for the control and prevention of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities
    J E Coia
    Department of Bacteriology, Glasgow Royal Infirmary, Glasgow, UK
    J Hosp Infect 63:S1-44. 2006
    ..The general principles of infection control should be adopted for patients with MRSA, including patient isolation and the appropriate cleaning and decontamination of clinical areas...
  95. ncbi Staphylococcus aureus epidemic in a neonatal nursery: a strategy of infection control
    Giovanna Bertini
    Division of Neonatology, Department of Critical Care Medicine and Surgery, Careggi University Hospital, University of Florence School of Medicine, Viale Morgagni, 85, 50134, Florence, Italy
    Eur J Pediatr 165:530-5. 2006
    ..The genotyping of the strains by PFGE confirmed the nurse-to-newborn transmission of S. aureus. The measures adopted for controlling the S. aureus outbreak can, in retrospect, be assessed to have been very effective...
  96. ncbi Use of a temporary cohort ward as part of an intervention to reduce the incidence of meticillin-resistant Staphylococcus aureus in a vascular surgery ward
    E T Curran
    North Glasgow University Hospitals Division, Glasgow, UK
    J Hosp Infect 63:374-9. 2006
    ..The resulting reduction in MRSA prevalence within the unit facilitated effective screening and isolation of subsequent patients once the cohort area had been discontinued...
  97. ncbi A study of senior staff nurses' perceptions about MRSA
    Laurence Lines
    Gateshead Primary Care Trust
    Nurs Times 102:32-5. 2006
    ..To examine the extent to which staff nurses feel that MRSA is out of control and that any attempts by them to control it are unnecessary...
  98. ncbi MRSA behind bars?
    J E Coia
    J Hosp Infect 63:354-5; author reply 356-7. 2006
  99. ncbi Managing methicillin-resistant staphylococci: a paradigm for preventing nosocomial transmission of resistant organisms
    David K Henderson
    Am J Infect Control 34:S46-54: discussion S64-73. 2006
    ..probably involves hand hygiene plus a careful assessment of an institution's particular circumstances, applying more aggressive procedures such as patient isolation, staff cohorting, and active surveillance cultures, as indicated.
  100. ncbi A systematic review of the evidence for interventions for the prevention and control of meticillin-resistant Staphylococcus aureus (1996-2004): report to the Joint MRSA Working Party (Subgroup A)
    H P Loveday
    Richard Wells Research Centre, Faculty of Health and Human Sciences, Thames Valley University, London, UK
    J Hosp Infect 63:S45-70. 2006
    ..The review questions focused on screening, patient isolation, use of decolonization strategies, feedback of surveillance data, and environmental hygiene interventions...
  101. ncbi Costs of an outbreak of meticillin-resistant Staphylococcus aureus
    M Kanerva
    National Public Health Institute, Department of Infectious Disease Epidemiology, Finland
    J Hosp Infect 66:22-8. 2007
    ..The high cost of MRSA screening underlines the importance of appropriate screening methods. Our model of analysing costs might be useful for other hospitals after adapting variables such as local control measures...

Research Grants25

  1. Combination Clostridium Difficile Toxin and Adhesin Vaccine
    Ciaran P Kelly; Fiscal Year: 2013
    ..difficile disease is currently commercially available, and measures to prevent CDAD through patient isolation and implementation of hand-hygiene and contact precautions have had variable and often limited success...
  2. Combination Clostridium Difficile Toxin and Adhesin Vaccine
    Ciaran P Kelly; Fiscal Year: 2011
    ..difficile disease is currently commercially available, and measures to prevent CDAD through patient isolation and implementation of hand-hygiene and contact precautions have had variable and often limited success...
  3. MRSA in Nursing Homes: Predictors of Burden and Environmental Contamination
    COURTNEY ANN REYNOLDS; Fiscal Year: 2013
    ..may promote transmission and limit the practicality of hospital-based infection control guidelines such as patient isolation. This study will occur in the context of a countywide investigation measuring MRSA prevalence among ..
  4. Evaluation of a Pulsed-Xenon Ultraviolet Room Disinfection Device
    John Zeber; Fiscal Year: 2013
    ..difficile), VA initiatives have targeted HAI reductions, such as screenings, active surveillance, and patient isolation. While transmission rates have declined, most preventive strategies to reduce infection are only partially ..
  5. Impact of MRSA Decolonization Therapy on MRSA Infection and Transmission
    Arch G Mainous; Fiscal Year: 2012
    ..We propose to compare the effectiveness of a standard patient isolation strategy without decolonization with a strategy of isolation and decolonization for hospital inpatients ..
  6. Development of Proteosome-adjuvanted nasal SARS vaccines
    David Burt; Fiscal Year: 2004
    ..Apart from strict patient isolation, there are currently no effective treatments for preventing the spread of SARS...
  7. PATIENT OPTIMIZED BRACHYTHERAPY FOR BREAST CARCINOMA
    Piran Sioshansi; Fiscal Year: 2001
    ..It will reduce the need for patient isolation. The extended linear source provides a more homogeneous dose distribution, eliminates hot and cold spots, ..
  8. Impact of Hand Hygiene Guideline on Infections and Costs
    Elaine Larson; Fiscal Year: 2005
    ..abstract_text> ..
  9. HOME HYGIENE INTERVENTION
    Elaine Larson; Fiscal Year: 2002
    ..Logistic regression, Liang-Zeger regression, and Chi Square analyses will be used to test differences in rates of transmission of symptoms and changes in quantity, types and resistance patterns of microbial flora of the hands. ..
  10. Staff Hand Hygiene and Nosocomial Infections in Neonates
    Elaine Larson; Fiscal Year: 2003
    ....
  11. Stopping URIs and FLU in the Family: the Stuffy Trial
    Elaine Larson; Fiscal Year: 2008
    ....
  12. Interdisciplinary Research:Antimicrobial Resistance(RMI)
    Elaine Larson; Fiscal Year: 2006
    ..In the final year, plans for a sustainable Consortium on antimicrobial resistance will be formalized. [unreadable] [unreadable]..
  13. TMS in the Management of Postoperative Pain
    Jeffrey J Borckardt; Fiscal Year: 2010
    ..Thus, new interventions that have the potential to reduce reliance on postoperative morphine in this patient population such as TMS need to be explored. ..
  14. QUALITY OF LIFE AND RELATIONSHIPS AFTER BMT
    John Wingard; Fiscal Year: 2001
    ..This information is essential to subsequent planning and implementation of relevant, well-aimed interventions to minimize psychosocial disruption and enhance growth in future BMT recipients and their loved ones. ..
  15. H2O2-PRODUCING LACTOBACILLI AND POSTMENOPAUSAL UTI
    Kalpana Gupta; Fiscal Year: 2005
    ....
  16. CAREER DEVELOPMENT AWARD IN PEDIATRIC PSYCHOPHARMACOLOGY
    Andres Martin; Fiscal Year: 2004
    ..abstract_text> ..
  17. ISLET TOLERANCE INDUCTION BASED ON ANTI-CD154 ANTIBODY
    Aldo Rossini; Fiscal Year: 2006
    ..These studies will be undertaken in collaboration with investigators at Harvard and Cornell Medical Schools. It is our hope that this trial may open the way to a new approach to allotransplantation in general. ..
  18. Prognosis and Effectiveness of Advanced Lung Cancer Treatment in the Elderly
    Juan P Wisnivesky; Fiscal Year: 2010
    ..This study will provide information regarding the efficacy of several therapies and may help resolve several controversies regarding the staging and treatment of elderly patients with advanced stage lung cancer. ..
  19. Prevention of Healthcare-Associated Drug-Resistant GNR
    Lisa Maragakis; Fiscal Year: 2006
    ..Maragakis with the skills she needs to develop into an independent clinical investigator in epidemiologic research for the prevention of healthcare-associated infections. ..
  20. Chaperone Mining of the Chlamydia Type Three Secretion System
    ELLENA MARIE PETERSON; Fiscal Year: 2010
    ..Having an understanding of the critical elements of the Chlamydia TTS system should lead to the development of strategies to subvert the TTS system with the ultimate goal of attenuating or preventing infections with this pathogen. ..
  21. Susceptibility Testing, Treatment Choices, and Outcomes of MDR-GNB Infections
    Lisa Maragakis; Fiscal Year: 2009
    ..This research is designed to better understand how providers use information from various microbiology laboratory testing methods to choose treatments and to identify strategies that lead to the best patient outcomes. ..
  22. Evaluating the Effectiveness of Lung Cancer Treatment in the Elderly
    Juan Wisnivesky; Fiscal Year: 2009
    ..The findings from this project will provide information that can directly impact the care of elderly patients with NSCLC and inform the design of future trials of lung cancer treatment strategies. ..
  23. Cranberry and Prevention of UTI A Comprehensive Approach
    Kalpana Gupta; Fiscal Year: 2007
    ....
  24. Study design importance in analyzing emerging pathogens
    Anthony Harris; Fiscal Year: 2005
    ..The second aim will be done by combining epidemiological relatedness and molecular relatedness through pulse-field gel electrophoresis of ESBL cultures to quantify the importance of patient to patient transmission. ..
  25. New Nosocomial Interventions to Decrease Antimicrobial Resistance Transmission
    Anthony Harris; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable]..