2018
DOI: 10.1016/j.ajic.2018.05.024
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Isolating infectious patients: organizational, clinical, and ethical issues

Abstract: Isolation has received the most attention in countries with under-provision of accommodations. Our study characterizes reasons for delays in identifying patients and failures of isolation, which place others at risk and which apply to any organization regardless of availability. It also highlights the ethical dilemmas of enforcing isolation.

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Cited by 7 publications
(7 citation statements)
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“…The model assumed that 95% of patients who acquired a HCAI had an increased length of stay. Once a patient acquired a HCAI, the model assumed that 90% remained on the ward to which they were admitted, 10% would be isolated21 and 0.04% went into intensive care (ICU) 16 22 23. Using NHS estimates of length of hospital stay, the model also assumed that a patient remained on the ward or in an isolation unit for a mean of 9.1 additional days (derived from a mean of 95 International Classification of Diseases 10th Revision (ICD 10) classification codes pertaining to 1.66 million finished consultant episodes of patients with an infection in the hospital episode statistics for 2016/2017) 16.…”
Section: Methodsmentioning
confidence: 99%
“…The model assumed that 95% of patients who acquired a HCAI had an increased length of stay. Once a patient acquired a HCAI, the model assumed that 90% remained on the ward to which they were admitted, 10% would be isolated21 and 0.04% went into intensive care (ICU) 16 22 23. Using NHS estimates of length of hospital stay, the model also assumed that a patient remained on the ward or in an isolation unit for a mean of 9.1 additional days (derived from a mean of 95 International Classification of Diseases 10th Revision (ICD 10) classification codes pertaining to 1.66 million finished consultant episodes of patients with an infection in the hospital episode statistics for 2016/2017) 16.…”
Section: Methodsmentioning
confidence: 99%
“…Its purpose is to prevent the transmission of antibiotic-resistant pathogens, those that are highly contagious or cause serious infection 1. The effectiveness of isolation has been questioned however2–5 and it can be challenging to undertake, especially if patients’ lack of understanding of the need for segregation, boredom or distress result in uncooperative behaviour 6. A recent survey exploring the care of patients isolated for infectious conditions suggests that in clinical practice the main issues are identifying which patients need to be isolated as quickly as possible and prioritising which patients should be segregated when isolation accommodation is in short supply.…”
Section: Introductionmentioning
confidence: 99%
“…A recent survey exploring the care of patients isolated for infectious conditions suggests that in clinical practice the main issues are identifying which patients need to be isolated as quickly as possible and prioritising which patients should be segregated when isolation accommodation is in short supply. Infection preventionists were aware that isolation could have negative effects on patients, such as increased risk of anxiety, depression and falls, and felt that more should be done to prevent these risks 6…”
Section: Introductionmentioning
confidence: 99%
“…Once an adult inpatient acquires a HCAI, 90% would remain on the ward to which they were admitted, 10% would be isolated28 and 0.04% would be transferred into intensive care (ICU) 21 29 30…”
Section: Methodsmentioning
confidence: 99%