Title |
Control of Drug-Resistant Pathogens in Endemic Settings: Contact Precautions, Controversies, and a Proposal for a Less Restrictive Alternative
|
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Published in |
Current Infectious Disease Reports, October 2012
|
DOI | 10.1007/s11908-012-0299-8 |
Pubmed ID | |
Authors |
Gonzalo Bearman, Michael P. Stevens |
Abstract |
Contact precautions are routinely employed for the control of multidrug-resistant organisms. Robust measures, however, for the incremental benefit of contact precautions, gowns, gloves, and active detection and isolation strategies for the prevention of cross-transmission in endemic settings are lacking. Unintended consequences and adverse effects from contact precautions, including patient dissatisfaction with care, depression, medication errors, and fewer provider visits, have been reported. Universal gloving strategies in lieu of contact precautions have produced mixed results and raise concerns about a decrease in hand hygiene by glove wearers. We suggest that the use of a sound, horizontal infection prevention strategy that widely and consistently implements infection prevention best practices may be a sufficient and least restrictive alternative strategy for the control of endemic multidrug-resistant pathogens. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 5 | 31% |
United Kingdom | 3 | 19% |
Korea, Democratic People's Republic of | 1 | 6% |
Côte d'Ivoire | 1 | 6% |
Malaysia | 1 | 6% |
Brazil | 1 | 6% |
Netherlands | 1 | 6% |
Unknown | 3 | 19% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 56% |
Practitioners (doctors, other healthcare professionals) | 3 | 19% |
Scientists | 3 | 19% |
Science communicators (journalists, bloggers, editors) | 1 | 6% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 42 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 10 | 24% |
Student > Doctoral Student | 5 | 12% |
Researcher | 4 | 10% |
Other | 3 | 7% |
Professor > Associate Professor | 2 | 5% |
Other | 5 | 12% |
Unknown | 13 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 15 | 36% |
Nursing and Health Professions | 5 | 12% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 5% |
Business, Management and Accounting | 1 | 2% |
Psychology | 1 | 2% |
Other | 3 | 7% |
Unknown | 15 | 36% |