Genomes and Genes
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.
Publications223 found, 100 shown here
- [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...
- Outbreak of invasive disease caused by methicillin-resistant Staphylococcus aureus in neonates and prevalence in the neonatal intensive care unitSumathi 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...
- Isolation of patients in single rooms or cohorts to reduce spread of MRSA in intensive-care units: prospective two-centre studyJorge 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...
- Transmission dynamics and control of severe acute respiratory syndromeMarc 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...
- Intervention to reduce transmission of resistant bacteria in intensive careW 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)...
- Evaluating the efficacy of antimicrobial cycling programmes and patient isolation on dual resistance in hospitalsKaren 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 ..
- Methicillin-resistant Staphylococcus aureus in hospitals and the community: stealth dynamics and control catastrophesB 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 ..
- Methicillin-resistant Staphylococcus aureus: psychological impact of hospitalization and isolation in an older adult populationS 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...
- Practical and affordable measures for the protection of health care workers from tuberculosis in low-income countriesA 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...
- Systematic review of isolation policies in the hospital management of methicillin-resistant Staphylococcus aureus: a review of the literature with epidemiological and economic modellingB 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...
- Impact of routine intensive care unit surveillance cultures and resultant barrier precautions on hospital-wide methicillin-resistant Staphylococcus aureus bacteremiaSusan 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...
- Meticillin-resistant Staphylococcus aureus (MRSA): screening and decolonisationBarry 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...
- 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care SettingsJane D Siegel
Am J Infect Control 35:S65-164. 2007
- Assessing the role of undetected colonization and isolation precautions in reducing methicillin-resistant Staphylococcus aureus transmission in intensive care unitsTheodore 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...
- International variation in containment measures for disturbed psychiatric inpatients: a comparative questionnaire surveyLen 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...
- Safety of patients isolated for infection controlHenry Thomas Stelfox
Department of Medicine, University of Toronto, Toronto, Ontario
JAMA 290:1899-905. 2003Hospital infection control policies that use patient isolation prevent nosocomial transmission of infectious diseases, but may inadvertently lead to patient neglect and errors.
- Factors that make an infectious disease outbreak controllableChristophe 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...
- A performance assessment of airborne infection isolation roomsStefan 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...
- Pennsylvania State Hospital system's seclusion and restraint reduction programGregory 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...
- Isolation effectively prevents the transmission of hepatitis C virus in the hemodialysis unitChwei 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...
- Effective cohorting and "superisolation" in a single intensive care unit in response to an outbreak of diverse multi-drug-resistant organismsLaura 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)...
- The impact of Contact Isolation on the quality of inpatient hospital careDaniel 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...
- Factors contributing to mental health professionals' decision to use seclusionPatricia 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...
- Rapid screening of methicillin-resistant Staphylococcus aureus using PCR and chromogenic agar: a prospective study to evaluate costs and effectsM 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...
- 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...
- 5 years of experience implementing a methicillin-resistant Staphylococcus aureus search and destroy policy at the largest university medical center in the NetherlandsMargreet 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...
- Knowledge of standard and isolation precautions in a large teaching hospitalHugo 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...
- Do physicians examine patients in contact isolation less frequently? A brief reportSanjay 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...
- Isolation measures in the hospital management of methicillin resistant Staphylococcus aureus (MRSA): systematic review of the literatureB 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...
- 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...
- Reducing restraints: alternatives to restraints on an inpatient psychiatric service--utilizing safe and effective methods to evaluate and treat the violent patientAnn 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...
- Rapid creation of a temporary isolation ward for patients with severe acute respiratory syndrome in TaiwanChang 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....
- Outbreak of multidrug-resistant Acinetobacter baumannii in a Belgian university hospital after transfer of patients from GreeceI 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...
- Transmission dynamics of the etiological agent of SARS in Hong Kong: impact of public health interventionsSteven 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...
- Comparison of routine glove use and contact-isolation precautions to prevent transmission of multidrug-resistant bacteria in a long-term care facilityWilliam E Trick
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
J Am Geriatr Soc 52:2003-9. 2004....
- Containment testing of isolation roomsJ 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...
- A simple method for tracer containment testing of hospital isolation roomsJames P Rydock
Norwegian Building Research Institute, Oslo
Appl Occup Environ Hyg 17:486-90. 2002..Possible practical applications of the method are discussed...
- Limits of patient isolation measures to control extended-spectrum beta-lactamase-producing Enterobacteriaceae: model-based analysis of clinical data in a pediatric wardMatthieu 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...
- Isolation rooms for highly infectious diseases: an inventory of capabilities in European countriesF 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...
- Medical response planning for pandemic fluJeffrey 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...
- Control and prevention of healthcare-associated tuberculosis: the role of respiratory isolation and personal respiratory protectionH Humphreys
Department of Clinical Microbiology, Royal College of Surgeons in Ireland and Beaumont Hospital, Dublin, Ireland
J Hosp Infect 66:1-5. 2007....
- The effect of pressure differential and care provider movement on airborne infectious isolation room containment effectivenessNoah 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...
- Development of an empirical model to aid in designing airborne infection isolation roomsCharles 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...
- Designing a biocontainment unit to care for patients with serious communicable diseases: a consensus statementPhilip 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...
- Taking off the gloves: toward a less dogmatic approach to the use of contact isolationKathryn 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...
- Interventions to reduce the use of seclusion and restraint in inpatient psychiatric settings: what we know so far a review of the literatureJustin 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...
- Transmission dynamics of methicillin-resistant Staphylococcus aureus in a medical intensive care unitIan 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...
- Identification and containment of an outbreak of SARS in a community hospitalHy 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...
- Two-year trends in the use of seclusion and restraint among psychiatrically hospitalized youthsAbigail Donovan
Yale University School of Medicine, New Haven, CT, USA
Psychiatr Serv 54:987-93. 2003....
- Pro/con clinical debate: isolation precautions for all intensive care unit patients with methicillin-resistant Staphylococcus aureus colonization are essentialBarry 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...
- Containment effectiveness of expedient patient isolation unitsDavid 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...
- 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...
- Controlling methicillin-resistant Staphylococcus aureus: quantifying the effects of interventions and rapid diagnostic testingM 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...
- Decrease in the hepatitis C virus (HCV) prevalence in hemodialysis patients in Spain: effect of time, initiating HCV prevalence studies and adoption of isolation measuresGuillermina 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...
- An outbreak of Ebola in UgandaS 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...
- Incidence of seclusion and restraint in psychiatric hospitals: a literature review and survey of international trendsTilman 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...
- ASID (HICSIG) position statement: infection control guidelines for patients with influenza-like illnesses, including pandemic (H1N1) influenza 2009, in Australian health care facilitiesRhonda L Stuart
Department of Microbiology, John Hunter Hospital, Newcastle, NSW, Australia
Med J Aust 191:454-8. 2009....
- The burden of MRSA in four German university hospitalsIris 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....
- Re-designing state mental health policy to prevent the use of seclusion and restraintKevin 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.)...
- Use of coercive physical measures in a psychiatric ward of a general hospital in GreeceNikolaos 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...
- Eliminating seclusion and restraint in AustraliaMargaret Grigg
Int J Ment Health Nurs 15:224-5. 2006
- The use of seclusion in emergency medicineLeslie 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...
- Reasons for using seclusion and restraint in psychiatric inpatient careR Kaltiala-Heino
Tampere School of Public Health, University of Tampere, Tampere, Finland
Int J Law Psychiatry 26:139-49. 2003
- An analysis of successful efforts to reduce the use of seclusion and restraint at a public psychiatric hospitalDennis C Donat
Department of Psychology, Western State Hospital, Staunton, Virginia 22042, USA
Psychiatr Serv 54:1119-23. 2003....
- SARS outbreaks in Ontario, Hong Kong and Singapore: the role of diagnosis and isolation as a control mechanismG 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...
- Ebola haemorrhagic fever among hospitalised children and adolescents in northern Uganda: epidemiologic and clinical observationsE 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...
- The outbreak and control of Ebola viral haemorrhagic fever in a Ugandan medical schoolMedard Bitekyerezo
Mbarara University Teaching Hospital, Uganda
Trop Doct 32:10-5. 2002..The implications for similar institutions in East Africa are discussed...
- Staff's attitudes to the use of restraint and seclusion in a Norwegian university psychiatric hospitalRolf 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...
- Interventions for reducing the use of seclusion in psychiatric facilities: review of the literatureCadeyrn 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...
- On conflict, containment and the relationship between themLen 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...
- 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)...
- [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...
- Medicate, restrain or seclude? Strategies for dealing with violent and threatening behaviour in a Norwegian university psychiatric hospitalRolf 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...
- [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...
- 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....
- Patient care in a biological safety level-4 (BSL-4) environmentLeRoy 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....
- Compliance with isolation precautions at a university hospitalDavid 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...
- Compliance with routine use of gowns by healthcare workers (HCWs) and non-HCW visitors on entry into the rooms of patients under contact precautionsFarrin 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....
- XDR-TB in South Africa: no time for denial or complacencyJerome Amir Singh
PLoS Med 4:e50. 2007
- Anxiety and depression in hospitalized patients in resistant organism isolationGlenn 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...
- Effectiveness of a hospital-wide selective screening programme for methicillin-resistant Staphylococcus aureus (MRSA) carriers at hospital admission to prevent hospital-acquired MRSA infectionsM 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...
- Nonpharmaceutical interventions implemented by US cities during the 1918-1919 influenza pandemicHoward 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...
- Rapid control of an outbreak of vancomycin-resistant enterococci in a French university hospitalJ 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...
- Management of a Sabiá virus-infected patients in a US hospitalL 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...
- 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 unitsPetra 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...
- Rates of hand disinfection associated with glove use, patient isolation, and changes between exposure to various body sitesPeter 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...
- Ventilation of wards and nosocomial outbreak of severe acute respiratory syndrome among healthcare workersShanping 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...
- Value of screening and isolation for control of methicillin-resistant Staphylococcus aureusHenri A Verbrugh
Clin Infect Dis 41:268-9; author reply 270-1. 2005
- Prospective evaluation of environmental contamination by Clostridium difficile in isolation side roomsP 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...
- Isolation of patients with MRSA infectionM P A Lessing
Lancet 365:1303; author reply 1304-5. 2005
- Tracking ties to infection. As rates of hospital-acquired infections have risen, adding billions in costs, experts view a wide range of remediesJoseph Mantone
Mod Healthc 36:30-1. 2006
- Control of nosocomial methicillin-resistant Staphylococcus aureus infectionCarlene A Muto
Clin Infect Dis 43:387-8. 2006
- [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...
- Guidelines for the control and prevention of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilitiesJ 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...
- Staphylococcus aureus epidemic in a neonatal nursery: a strategy of infection controlGiovanna 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...
- Use of a temporary cohort ward as part of an intervention to reduce the incidence of meticillin-resistant Staphylococcus aureus in a vascular surgery wardE 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...
- A study of senior staff nurses' perceptions about MRSALaurence 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...
- MRSA behind bars?J E Coia
J Hosp Infect 63:354-5; author reply 356-7. 2006
- Managing methicillin-resistant staphylococci: a paradigm for preventing nosocomial transmission of resistant organismsDavid 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.
- 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...
- Costs of an outbreak of meticillin-resistant Staphylococcus aureusM 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...
- Combination Clostridium Difficile Toxin and Adhesin VaccineCiaran 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...
- Combination Clostridium Difficile Toxin and Adhesin VaccineCiaran 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...
- MRSA in Nursing Homes: Predictors of Burden and Environmental ContaminationCOURTNEY 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 ..
- Evaluation of a Pulsed-Xenon Ultraviolet Room Disinfection DeviceJohn 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 ..
- Impact of MRSA Decolonization Therapy on MRSA Infection and TransmissionArch 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 ..
- Development of Proteosome-adjuvanted nasal SARS vaccinesDavid Burt; Fiscal Year: 2004..Apart from strict patient isolation, there are currently no effective treatments for preventing the spread of SARS...
- PATIENT OPTIMIZED BRACHYTHERAPY FOR BREAST CARCINOMAPiran 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, ..
- Impact of Hand Hygiene Guideline on Infections and CostsElaine Larson; Fiscal Year: 2005..abstract_text> ..
- HOME HYGIENE INTERVENTIONElaine 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. ..
- Staff Hand Hygiene and Nosocomial Infections in NeonatesElaine Larson; Fiscal Year: 2003....
- Stopping URIs and FLU in the Family: the Stuffy TrialElaine Larson; Fiscal Year: 2008....
- 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]..
- TMS in the Management of Postoperative PainJeffrey 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. ..
- QUALITY OF LIFE AND RELATIONSHIPS AFTER BMTJohn 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. ..
- H2O2-PRODUCING LACTOBACILLI AND POSTMENOPAUSAL UTIKalpana Gupta; Fiscal Year: 2005....
- CAREER DEVELOPMENT AWARD IN PEDIATRIC PSYCHOPHARMACOLOGYAndres Martin; Fiscal Year: 2004..abstract_text> ..
- ISLET TOLERANCE INDUCTION BASED ON ANTI-CD154 ANTIBODYAldo 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. ..
- Prognosis and Effectiveness of Advanced Lung Cancer Treatment in the ElderlyJuan 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. ..
- Prevention of Healthcare-Associated Drug-Resistant GNRLisa 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. ..
- Chaperone Mining of the Chlamydia Type Three Secretion SystemELLENA 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. ..
- Susceptibility Testing, Treatment Choices, and Outcomes of MDR-GNB InfectionsLisa 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. ..
- Evaluating the Effectiveness of Lung Cancer Treatment in the ElderlyJuan 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. ..
- Cranberry and Prevention of UTI A Comprehensive ApproachKalpana Gupta; Fiscal Year: 2007....
- Study design importance in analyzing emerging pathogensAnthony 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. ..
- New Nosocomial Interventions to Decrease Antimicrobial Resistance TransmissionAnthony Harris; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..