Comparing the impact of two contact isolation modes for hospitalised patients with Clostridioides difficile infection on the quality of care
Abstract Background Clostridioides difficile causes healthcare‐associated infections. Environmental spore acquisition is a major mode of transmission. Patient cohorting to prevent cross‐transmission in healthcare‐institutions is a reasonable component of an enhanced infection control strategy. Objective The purpose of the study was to assess the effect of two different contact isolation modes on the quality of care of hospitalised patients with Clostridioides difficile infection (CDI). Methods A retrospective cohort‐study of patients with CDI hospitalised under one of two contact isolation modes: contact isolation in a multi‐patient room without a dedicated nursing team vs. contact isolation in a permanent cohort isolation unit with a dedicated nursing team. Patients' files were reviewed for demographics, clinical characteristics, risk‐assessment scores, clinical quality measures including the number of blood tests collected per day, the number of radiological tests applied per day and the time at which a radiological test was conducted, as process measurements, along with the length of stay and mortality, as outcome measures. The STROBE checklist for reporting observational studies was followed. Results One hundred and seventy‐eight patients with CDI were included; 100 in a permanent cohort isolation unit and 78 under contact isolation in a multi‐patient room. No difference was found in all clinical quality process measures and in all outcome measures. Multivariable logistic regression showed that nursing home residence was associated with in‐hospital mortality (OR, 2.51; CI, 1.29–4.97; p = .007), whereas the mode of hospitalisation was not. Conclusions The different contact isolation modes of hospitalisation did not compromise the quality of care of patients with CDI. Relevance to clinical practice Cohorting of patients with CDI is used to prevent cross‐transmission, though it raises a major concern regarding quality of care. In this study we show there was no compromise in patient care, therefore it is a reasonable component of an enhanced infection control strategy in a hospital setting..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
|---|---|
| Enthalten in: |
Journal of Clinical Nursing - 32(2023), 5-6, Seite 872-878 |
| Beteiligte Personen: |
Gehasi, Inbar [VerfasserIn] |
|---|
| Anmerkungen: |
Copyright © 2023 John Wiley & Sons Ltd. |
|---|
| Umfang: |
7 |
|---|
| doi: |
10.1111/jocn.16416 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
WLY016225058 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | WLY016225058 | ||
| 003 | DE-627 | ||
| 005 | 20231111180606.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231111s2023 xx |||||o 00| ||und c | ||
| 024 | 7 | |a 10.1111/jocn.16416 |2 doi | |
| 028 | 5 | 2 | |a 2023-11-11_JOCN_2023_32_5-6.zip.xml |
| 035 | |a (DE-627)WLY016225058 | ||
| 035 | |a (WILEY)JOCN16416 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 100 | 1 | |a Gehasi, Inbar |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparing the impact of two contact isolation modes for hospitalised patients with Clostridioides difficile infection on the quality of care |
| 264 | 1 | |c 2023 | |
| 300 | |a 7 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Copyright © 2023 John Wiley & Sons Ltd. | ||
| 520 | |a Abstract Background Clostridioides difficile causes healthcare‐associated infections. Environmental spore acquisition is a major mode of transmission. Patient cohorting to prevent cross‐transmission in healthcare‐institutions is a reasonable component of an enhanced infection control strategy. Objective The purpose of the study was to assess the effect of two different contact isolation modes on the quality of care of hospitalised patients with Clostridioides difficile infection (CDI). Methods A retrospective cohort‐study of patients with CDI hospitalised under one of two contact isolation modes: contact isolation in a multi‐patient room without a dedicated nursing team vs. contact isolation in a permanent cohort isolation unit with a dedicated nursing team. Patients' files were reviewed for demographics, clinical characteristics, risk‐assessment scores, clinical quality measures including the number of blood tests collected per day, the number of radiological tests applied per day and the time at which a radiological test was conducted, as process measurements, along with the length of stay and mortality, as outcome measures. The STROBE checklist for reporting observational studies was followed. Results One hundred and seventy‐eight patients with CDI were included; 100 in a permanent cohort isolation unit and 78 under contact isolation in a multi‐patient room. No difference was found in all clinical quality process measures and in all outcome measures. Multivariable logistic regression showed that nursing home residence was associated with in‐hospital mortality (OR, 2.51; CI, 1.29–4.97; p = .007), whereas the mode of hospitalisation was not. Conclusions The different contact isolation modes of hospitalisation did not compromise the quality of care of patients with CDI. Relevance to clinical practice Cohorting of patients with CDI is used to prevent cross‐transmission, though it raises a major concern regarding quality of care. In this study we show there was no compromise in patient care, therefore it is a reasonable component of an enhanced infection control strategy in a hospital setting. | ||
| 700 | 1 | |a Livshiz‐Riven, Ilana |4 aut | |
| 700 | 1 | |a Michael, Tal |4 aut | |
| 700 | 1 | |a Borer, Abraham |4 aut | |
| 700 | 1 | |a Saidel‐Odes, Lisa |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of Clinical Nursing |g 32(2023), 5-6, Seite 872-878 |w (DE-627)WLY009119639 |x 13652702 |7 nnns |
| 773 | 1 | 8 | |g volume:32 |g year:2023 |g number:5-6 |g pages:872-878 |g extent:7 |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_WLY | ||
| 951 | |a AR | ||
| 952 | |d 32 |j 2023 |e 5-6 |h 872-878 |g 7 | ||