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Impact of discontinuing isolation in a private room for patients infected or colonized with vancomycin-resistant enterococci (VRE) on the incidence of healthcare-associated VRE bacteraemia in a hospital with a predominantly shared-room setting
DC Field | Value | Language |
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dc.contributor.author | Chang, E. | - |
dc.contributor.author | Im, D. | - |
dc.contributor.author | Lee, H.Y. | - |
dc.contributor.author | Lee, M. | - |
dc.contributor.author | Lee, C.M. | - |
dc.contributor.author | Kang, C.K. | - |
dc.contributor.author | Park, W.B. | - |
dc.contributor.author | Kim, N.J. | - |
dc.contributor.author | Choe, P.G. | - |
dc.contributor.author | Oh, M. | - |
dc.date.accessioned | 2024-04-26T00:57:26Z | - |
dc.date.available | 2024-04-26T00:57:26Z | - |
dc.date.created | 2023-02-15 | - |
dc.date.issued | 2023-02 | - |
dc.identifier.citation | Journal of Hospital Infection, Vol.132, pp.1-7 | - |
dc.identifier.issn | 0195-6701 | - |
dc.identifier.uri | https://hdl.handle.net/10371/199570 | - |
dc.description.abstract | © 2022 The Healthcare Infection SocietyBackground: Isolating patients infected or colonized with vancomycin-resistant enterococci (VRE) in a private room or cohort room to prevent hospital transmission is controversial. Aim: To evaluate the effect of a relaxed isolation policy for VRE-infected or colonized patients on healthcare-associated (HA) VRE bacteraemia in an acute care hospital with a predominantly shared-room setting. Methods: The incidence of HA VRE bacteraemia was compared during a private isolation era (October 2014–September 2017), a cohort isolation era (October 2017–June 2020), and a no isolation era (July 2020–June 2022). Using Poisson regression modelling, an interrupted time-series analysis was conducted to analyse level changes and trends in incidences of HA VRE bacteraemia for each era. Findings: The proportion of VRE-infected or -colonized patients staying in shared rooms increased from 18.3% in the private isolation era to 82.6% in the no isolation era (P < 0.001). There was no significant difference in the incidences of HA VRE bacteraemia between the private isolation era and the cohort isolation era (relative risk: 1.01; 95% confidence interval: 0.52–1.98; P = 0.977) or between the cohort isolation era and the no isolation era (0.99; 0.77–1.26; P = 0.903). In addition, there was no significant slope increase in the incidence of HA VRE bacteraemia between any of the eras. Conclusion: In a hospital with predominantly shared rooms, the relaxation of isolation policy did not result in increased HA VRE bacteraemia, when other infection control measures were maintained. | - |
dc.language | 영어 | - |
dc.publisher | W. B. Saunders Co., Ltd. | - |
dc.title | Impact of discontinuing isolation in a private room for patients infected or colonized with vancomycin-resistant enterococci (VRE) on the incidence of healthcare-associated VRE bacteraemia in a hospital with a predominantly shared-room setting | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.jhin.2022.11.017 | - |
dc.citation.journaltitle | Journal of Hospital Infection | - |
dc.identifier.wosid | 000913803700001 | - |
dc.identifier.scopusid | 2-s2.0-85145718057 | - |
dc.citation.endpage | 7 | - |
dc.citation.startpage | 1 | - |
dc.citation.volume | 132 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Park, W.B. | - |
dc.contributor.affiliatedAuthor | Kim, N.J. | - |
dc.contributor.affiliatedAuthor | Oh, M. | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | CONTACT PRECAUTIONS | - |
dc.subject.keywordPlus | MRSA | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | SPREAD | - |
dc.subject.keywordAuthor | Healthcare-associated infection | - |
dc.subject.keywordAuthor | Infection control | - |
dc.subject.keywordAuthor | Vancomycin-resistant enterococcus | - |
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