Less contact isolation is more in the ICU: not sure
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The debate over the use of standard precautions (SPs) versus contact precautions (CPs) for stopping the spread of multidrug-resistant organisms (MDROs) has been controversial for years [1, 2, 3, 4, 5] and still persists, despite recent high-quality cluster-randomized studies [6, 7, 8, 9]. SPs are based on a universal (also called “horizontal”) approach to all patients, whether or not they are known to be as MDRO carriers; SPs include compliance with hand hygiene and cleaning the environment. CPs with a so-called “vertical” approach still include compliance with SPs for all patients, additional control barriers for colonized patients, i.e. gloves and gown, and placement in a single room if possible. Identification of MDRO carriage through screening is frequently associated with CPs.
The introduction of alcoholic handrub (AHR) in the early 2000s has been a major step in improving compliance with hand hygiene in healthcare settings. Many studies have demonstrated that including AHR in a...
AH received funding from National Institute of Allergy and Infectious Diseases: R01 AI121146-01.
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Conflicts of interest
JCL and BG have no COI.
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