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Less contact isolation is more in the ICU: not sure

  • J. C. Lucet
  • A. D. Harris
  • B. GuidetEmail author
Less is more in Intensive Care
  • 113 Downloads

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...

Notes

Acknowledgements

AH received funding from National Institute of Allergy and Infectious Diseases: R01 AI121146-01.

Compliance with ethical standards

Conflicts of interest

JCL and BG have no COI.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Université de Paris, IAME, INSERM, AP-HP, Hôpital Bichat, Infection Control UnitParisFrance
  2. 2.School of MedicineUniversity of MarylandBaltimoreUSA
  3. 3.Medical ICUSorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, AP-HP, Hôpital Saint-Antoine, service de réanimationParisFrance

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