Contact precautions - Revision history

Bosmana fem: /* References */

2023-03-23T16:00:08Z

References

← Older revision		Revision as of 16:00, 23 March 2023
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	* Muto CA, Jernigan JA, Ostrowsky BE, Richet HM, Jarvis WR, Boyce JM, et al. SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and enterococcus. Infect Control Hosp Epidemiol. 2003 May;24(5):362-86.		* Muto CA, Jernigan JA, Ostrowsky BE, Richet HM, Jarvis WR, Boyce JM, et al. SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and enterococcus. Infect Control Hosp Epidemiol. 2003 May;24(5):362-86.

	==Contributors		==Contributors==
	* Original contribution from Maria Adriana Cataldo and Nicola Petrosillo, National Institute for Infectious Diseases “Lazzaro Spallanzani”, Rome, Italy.		* Original contribution from Maria Adriana Cataldo and Nicola Petrosillo, National Institute for Infectious Diseases “Lazzaro Spallanzani”, Rome, Italy.
	Other contributors:		Other contributors:

Bosmana fem at 15:59, 23 March 2023

2023-03-23T15:59:44Z

← Older revision		Revision as of 15:59, 23 March 2023
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			=Contact precautions=
			Contact precautions (CP) consist in applying the following measures:
			* use dedicated equipment (blood pressure cuff, thermometer, and stethoscope);
			* put on gown and gloves before entry to the patient’s room;
			* change gloves immediately if visibly soiled and after touching or handling surfaces or materials contaminated with faeces;
			* remove gown and gloves before exiting the room;
			* if cohorting is used, change the gown and gloves and perform hand hygiene after caring for one patient and before providing care for the next patient;
			* routinely check available supplies for contact precautions to ensure that adequate selection and amounts are readily available.

			There is no study focused on the use of surgical masks as a component of CP in the management of patients with respiratory colonization or infection due to MDR-Gram-negative bacteria. A few papers reported outbreaks due to MDR-A. baumannii added masks on the top of CP in the ICU settings with favourable results. However, the low quality of evidence and the heterogeneity of case-mix of patients do not support generalizing this intervention [1].

			In the SHEA guideline for preventing nosocomial transmission of MDR S. aureus and Enterococcus it was recommended to wear masks as part of isolation precautions when entering the room of a patient colonized or infected with MRSA to decrease nasal acquisition by HCWs. However this issue has not been studied adequately [2].

			=References=
			* Tacconelli E, Cataldo MA, Dancer SJ, De Angelis G, Falcone M, Frank U, et al. ESCMID guidelines for the management of the infection control measures to reduce transmission of multidrug-resistant Gram-negative bacteria in hospitalized patients. Clin Microbiol Infect. 2014 Jan;20 Suppl 1:1-55.
			* Muto CA, Jernigan JA, Ostrowsky BE, Richet HM, Jarvis WR, Boyce JM, et al. SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and enterococcus. Infect Control Hosp Epidemiol. 2003 May;24(5):362-86.

			==Contributors
			* Original contribution from Maria Adriana Cataldo and Nicola Petrosillo, National Institute for Infectious Diseases “Lazzaro Spallanzani”, Rome, Italy.
			Other contributors:
			* Adriana Cataldo
			* Vladimir Prikazsky


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