Background: Increases in the incidence of infections caused by multi-drug resistance organisms (MDROs) have resulted in detailed recommendations from several national organizations on preventing transmission in the hospital. With the increasing frequency of MDROs, limited infection control resources, and difficulties in achieving compliance from healthcare workers, institutions struggle to define optimal isolation goals.
Objective: Our objective was to survey different hospitals to
assess contact isolation practices and for trends in practice relevant to newly
identified MDROs (i.e. carbapenem-resistant enterobacteriaceae (
Methods: 10 institutions were surveyed from 5 states in the
Results: Most sites defined “contact isolation” as use of gowns
and gloves (n=6) (Table). Dedicated
equipment was used at the majority of the sites (n=9). The average number of
selected pathogens for which contact isolation was performed on the regular
patient floors was 3.6 (median 4.0, range 2-6) and in the intensive care unit was
3.9 (median 4.5, range 2-6). Contact precautions were performed for a variety
of different pathogens. All sites
implemented contact precautions routinely for
Conclusions: Practices to control the spread of MDROs are an important component of hospital infection control programs. Much variability exists regarding which MDROs to target and what types of infection control practice are used by hospital infection control programs.