Skip to main content
SpringerLink
Log in

Protective Isolation

  • Chapter
  • First Online:
Prevention and Control of Infections in Hospitals

  • 4772 Accesses

Abstract

Protective isolation is used in healthcare institutions for patients with increased susceptibility to infections, deliberately or not, like transplantations, cancer treatments, premature new-borns, extensive burns and other immune-impaired patients. Extensively treated intensive patients are also infection prone and extremely exposed to infections when placed in large bays with other patients. Since one out of three patients in hospitals has infections that may be transferred to others directly on the same room or indirectly via staff and equipment, it is important to take special care of the weakest patients that may have a poor ability to resist infections. Protective isolation is a very good, effective and economic alternative to hospital infections, increased length of stay and overuse of antibiotics.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Andersen BM. Handbook of hygiene and infection control in hospitals. Part 1 microbiology and infection control. Bergen: Fagbokforlaget; 2014.

    Google Scholar 

  2. European Parliament and Council Directive 2000/54/EC of 18 September 2000 on the protection of workers from the risks related to exposure to biological agents at work.

    Google Scholar 

  3. Infectious Disease Act. Law 5 August 1994 no. 55 of protection against infectious diseases.

    Google Scholar 

  4. Regulations in infection control in health facilities - hospital infections, established by the Health and Social Affairs July 5, 1996 and July 17, 2005 pursuant to § 4–7 and § 7–11 of the Act on Aug. 5, 1994 no. 55 of protection against infectious diseases.

    Google Scholar 

  5. Action plan for infection control in Norwegian hospitals, Health Directorate’s Guidance series 2–92. Directorate of Health.

    Google Scholar 

  6. Use of isolation to prevent spread of infection in hospitals. Health Directorate’s Guidance series: Directorate of Health, Oslo; 1988: 2–88.

    Google Scholar 

  7. Health Personnel Act. Department of Health and Social Affairs. Act 1999-07-02 No. 64: 2001.

    Google Scholar 

  8. CDC Draft Guideline for Isolation Precautions in Hospital. Federal Register 59, 55552–55570, 1994 and 2004.

    Google Scholar 

  9. CDC. Draft guideline for isolation precautions in hospital. Fed Regist. 1994;59:55552–70. and 2004

    Google Scholar 

  10. Garner JS. Guideline for isolation precautions in hospitals. Infect Control Hosp Epidemiol. 1996;17:53–80.

    Article  CAS  Google Scholar 

  11. Edmond M. Isolation. Infect Control Hosp Epidemiol. 1997;18:58–64.

    Article  CAS  Google Scholar 

  12. CDC. Draft Guideline for preventing the transmission of Mycobacterium tuberculosis in health care facilities. Fed Regist. 1994;59:54242–303. and 2004; 69: 33034

    Google Scholar 

  13. Barlow G, Sachdev N, Nathwani D. The use of adult isolation facilities in a UK infectious disease unit. J Hosp Infect. 2002;50:127–32.

    Article  CAS  Google Scholar 

  14. Damji S, Barlow GD, Patterson L, Nathwani D. An audit of the use of isolation facilities in a UK National Health Service trust. J Hosp Infect. 2005;60:213–7.

    Article  CAS  Google Scholar 

  15. Falagas ME, Kopterides P. Risk factors for the isolation of multi-drug-resistant Acinetobacter baumannii and Pseudomonas aeruginosa: a systematic review of the literature. J Hosp Infect. 2006;64:7–15.

    Article  CAS  Google Scholar 

  16. Hansen S, Stamm-Balderjahn S, Zuschneid I, et al. Closure of medical departments during nosocomial outbreak: data from systematic analysis of the literature. J Hosp Infect. 2007;65:348–53.

    Article  CAS  Google Scholar 

  17. CDC. Management of multidrug-resistant organisms in healthcare settings, 2006. CDC. 2006: 1-72.

    Google Scholar 

  18. CDC. Prevention of transmission of multidrug resistant organisms 2009. CDC. 2009.

    Google Scholar 

  19. Siegel JD, Rhinehart E, Jackson M et al. 2007 guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. CDC. 2007.

    Google Scholar 

  20. Calfee DP, Salgado CD, Milstone AM, et al. Strategies to prevent methicillin-resistant Staphylococcus aureus transmission and infection in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol. 2014;35:772–96.

    Article  Google Scholar 

  21. Pallin DJ, Camargo CA, Yoke DS, Schuur JD. Variability of contact precaution policies in US Emergency Departments. Infect Control Hosp Epidemiol. 2014;35:310–2.

    Article  Google Scholar 

  22. Andersen BM. Isolation. In: Handbook of hygiene and infection control in hospitals. Oslo: Ullevål University Hospital; 2008. p. 216–48.

    Google Scholar 

  23. Andersen BM, Seljordslia B, Hochlin K, Rasch M, Syversen G. A predicted outbreak in an overcrowded, administratively neglected and run-down haemodialysis unit as an offer of “New Public Management” in Norwegian hospitals. J Hosp Admin. 2013;2:01.10.

    Google Scholar 

  24. Solvang G, Sandset PM, Fjellet AL, Brubakk O, Hochlin K, Solheim N, Andersen BM. Protective isolation. In: Handbook of hygiene and infection control for hospitals. Oslo: Ullevål University Hospital; 2003. p. 128–31.

    Google Scholar 

  25. Rikshospitalet: Daily work in protective isolation. 09/05/2005.

    Google Scholar 

  26. Rikshospitalet: for you to be a stem cell transplant. Guideline for adult patients and their families. 2006.

    Google Scholar 

  27. Marier RL. The design of isolation rooms. Infect Control Hosp Epidemiol. 1996;17:3–4.

    Article  CAS  Google Scholar 

  28. Marena C, Zecca M, Carenini ML, Bruschi A, Bassi ML, Olivieri P, Azzaretti S, Locatelli F. Incidence of, and risk factors for, nosocomial infections among haematopoietic stem cell transplantation recipients, with impact on procedure-related mortality. Infect Control Hosp Epidemiol. 2001;22:510–7.

    Article  CAS  Google Scholar 

  29. Salvigni S, Piva S. Ventilation systems for hospital rooms devoted two immune compromised and/or infectious patients. Proc Indoor Air. 1993;5:569–74.

    Google Scholar 

  30. Withington S, Chambers ST, Beard ME, et al. Invasive Aspergillosis in severely neutropenic patients over 18 years: impact of intranasal amphotericin B and HEPA filtration. J Hosp Infect. 1998;38:11–8.

    Article  CAS  Google Scholar 

  31. Dykewicz CA. Hospital infection control in haematopoietic stem cell transplant recipients. Emerg Infect Dis. 2001;7:263–7.

    Article  CAS  Google Scholar 

  32. Raad I, Hanna H, Osting C, Hachem R, Umphrey J, Tarrand J, Kantarjian H, Bodey GP. Masking of neutropenic patients transport from hospital rooms is associated with a decrease in nosocomial Aspergillosis during construction. Infect Control Hosp Epidemiol. 2002;23:41–3.

    Article  Google Scholar 

  33. Gayet-Ageron A, Iten A, van Delden C, et al. In-hospital transfer is a risk factor for invasive filamentous fungal infection among hospitalized patients with haematological malignancies: a matched case-control study. Infect Control Hosp Epidemiol. 2015;36:320–8.

    Article  Google Scholar 

  34. Wibbenmeyer L, Williams I, Ward M, et al. Risk factors for acquiring vancomycin-resistant Enterococcus and methicillin-resistant Staphylococcus aureus on a burn surgery step-down unit. J Burn Care Res. 2010;31:269–79.

    Article  Google Scholar 

  35. Tuladhar E, Hazeleger WC, Koopmans M, Zwietring MH, Beumer RR, Duicer E. Residual viral and bacterial contamination of surfaces after cleaning and disinfection. Appl Environ Microbiol. 2012;78:7769–75.

    Article  CAS  Google Scholar 

  36. Weber DJ, Rutala WA, Miller MB, Huslage K, Sickbert-Bennett E. Role of hospital surfaces in the transmission of emerging healthcare-associated pathogens: norovirus, Clostridium difficile, and Acinetobacter species. Am J Infect Control. 2010;38:25–33.

    Article  Google Scholar 

  37. Dancer SJ. Mopping up hospital infection. J Hosp Infect. 1999;43:85–100.

    Article  CAS  Google Scholar 

  38. Andersen BM, Rasch M, Hochlin K, et al. Decontamination of rooms, medical equipment and ambulances, overusing a dry mist of hydrogen peroxide disinfectant. J Hosp Infect. 2006;62:149–55.

    Article  CAS  Google Scholar 

  39. Andersen BM, Hochlin K, Daling JP. Cleaning and decontamination of reusable medical equipment, including the use of hydrogen peroxide dry-mist gas decontamination. J Microbial Biochem Technol. 2012;4:3–10.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Hospital Infections, Oslo University Hospital, Oslo, Norway

    Bjørg Marit Andersen

  2. Faculty of Health and Social Science, University of South-Eastern Norway, Oslo, Norway

    Bjørg Marit Andersen

Authors
  1. Bjørg Marit Andersen
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Andersen, B.M. (2019). Protective Isolation. In: Prevention and Control of Infections in Hospitals. Springer, Cham. https://doi.org/10.1007/978-3-319-99921-0_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-99921-0_20

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-99920-3

  • Online ISBN: 978-3-319-99921-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation