Depression and anxiety in hospitalized patients on contact precautions for multidrug-resistant microorganisms

Measuring perception of mental well-being in patients under isolation precautions: a prospective comparative study

“…Another recent study suggested higher anxiety and depression scores in hospitalised MDRO patients under IP compared with non-MDRO patients but the groups were not well balanced with a significantly higher mortality rate and lengths of hospital stay in the MDRO-group suggesting more severe underlying illness which might have affected the results. 23 The findings of a Dutch research group at a large tertiary care hospital, however, are in contrast to our results 13 : Apart from being a single centre study and using different outcome measurement tools, confounding variables may have contributed to the indifferent levels of depression and anxiety among short-term-isolated and non-isolated patients. The Dutch infection prevention and control strategies are well known to be very strict countrywide but are also associated with one of the lowest MDRO incidence rates.…”

Association of Visitor Contact Precautions With Estimated Hospital-Onset Clostridioides difficile Infection Rates in Acute Care Hospitals

“…[18][19][20] Patients under contact precautions also reported lower care satisfaction. 21 It is likely that these negative outcomes are associated with the use of VCPs. 17 Other studies have questioned the effectiveness of VCPs for MRSA and VRE infections.…”

“…For health care workers' hand hygiene and environmental cleaning, Because no previous study, to our knowledge, has evaluated the association of VCPs with HO-CDI, direct comparison with previous studies was not possible. However, multiple studies [17][18][19][20][21] have described the harms associated with contact precautions for patients. Previous studies reported increased delirium and depression associated with contact precautions.…”

27. The ethics of contact precautions in hospital care: An interpretive description

“…Whilst no recent study has found Contact Precautions to definitively limit MRO transmission, two papers report the benefits of Contact Precautions to include the privacy and seclusion of single room accommodation (Jesus et al, 2019;Taylor et al, 2018). These two studies are heavily outweighed by the 20 studies published over the same timeframe that demonstrate a relationship between increased adverse events (Hamill et al, 2017;Martin, Bryant, et al, 2018;Tran et al, 2017), negative psychological impacts (Bushuven et al, 2019;Currie et al, 2018;Eli et al, 2020;Granzotto et al, 2020;Guilley-Lerondeau et al, 2017;Heckel et al, 2017;Hereng et al, 2019;Hossain et al, 2020;Jesus et al, 2019;Mutsonziwa et al, 2021;Purssell et al, 2020;Rump et al, 2017;Rump et al, 2018;Tran et al, 2017), and other harms associated with Contact Precautions including increased length of stay (Andreassen et al, 2017;Searcy et al, 2018) and decreased patient satisfaction (Guilley-Lerondeau et al, 2017).…”