In April 2020, the University of Michigan discontinued barrier contact precautions for Vancomycin-Resistant Enterococcus (VRE) colonized patients while maintaining VRE surveillance. We conducted a retrospective cohort study to assess the impact of this policy change on the risk of VRE acquisition ...
One of the key arguments against contact precautions is an increase in the rate of adverse events due to lower observation. However, a study found that abandoning contact precautions for MRSA and VREdidn’t affect the rate of adverse events. Could it be that the increase in adverse events bla...
"Because of the virulent nature of multi-drug resistant infections andC. difficileinfections, hospitals should consider establishing policies on the duration of contact precautions to safely care for patients and prevent spread of these bacteria," said David Banach, MD, MPH, an author of the study...
P. The direct costs of universal precautions in a teaching hospital. JAMA 264, 2083–2087 (1990). 20. Martin, E. M. et al. Noninfectious hospital adverse events decline after elimination of contact precautions for mrsa and vre. infec- tion control & hospital epidemiology 39, 788–796 (...
Contact precautions are recommended by the Centers for Disease Control and Prevention (CDC) for all patients known to be infected with or carrying multidrug-resistant organisms (MDROs) such as methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE). Yet, the use...
However, in general, CP have been shown to limit VRE transmission only if active surveillance is done to identify all colonized pts. Objective: To determine the impact of reducing the use of CP for VRE culture-positive pts to just those with diarrhea or a draining wound. Methods: Until 7/...
We also sought to figure out whether patients with positive MRSA surveillance cultures should always remain in isolation and, if not, at what point they could be considered for rescreening and removal of precautions if culture negative. When to discontinue contact precautions for patients with MRSA...
In Reply We are aware of the large MOSAR-ICU quasi-experimental trial but disagree that it evaluated the addition of contact precautions to standard precautions. To our reading, the MOSAR study had 2 main phases: (1) comparing enhanced hand hygiene and chlorhexidine bathing with a baseline perio...
All patients were on ventilators with gloves and gown contact precautions used throughout the study. Similar practices and patient acuity were reported for the preinstallation data review. Throughout the study, no additional cleaning or change in cleaning protocols or heating, ventilation, and air ...
Discontinuing contact precautions for MRSA and vancomycin-resistant Enterococcus did not lead to an increase in hospital-associated infections in a Pennsylvania hospital system, according to a study.Caitlyn StulpinInfectious Disease News