Rethinking the Role of Isolation Practices in the Prevention of Nosocomial Infections
Authors:
- 1 August 1987
- journal article
- Published by American College of Physicians in Annals of Internal Medicine
- Vol. 107 (2) , 243-246
Abstract
To prevent nosocomial infections, hospitals use two types of procedures: routine patient care practices (handwashing, for example), which are used in appropriate circumstances on all patients, and more intensive isolation precautions, which are implemented only when patients are suspected of having particular infections. Aspects of these current practices, however, may limit their effectiveness. We propose the use of body substance isolation, a simpler alternative system that is used for all patients, not just in response to a specific diagnosis, and that emphasizes the increased use of barrier precautions, especially gloving, when contact with potentially infectious bodily secretions is anticipated. Because of its rationale and simplicity, body substance isolation has been enthusiastically accepted at our hospitals, and we encourage others to consider and evaluate this approach.Keywords
This publication has 18 references indexed in Scilit:
- HIV Infection with Seroconversion after a Superficial Needlestick Injury to the FingerNew England Journal of Medicine, 1986
- Increasing Handwashing in an Intensive Care UnitInfection Control, 1986
- Occupational Risk of the Acquired Immunodeficiency Syndrome among Health Care WorkersNew England Journal of Medicine, 1986
- HTLV-III/LAV Seroconversion Following a Deep Intramuscular Needlestick InjuryNew England Journal of Medicine, 1986
- Nosocomial infections, diagnosis-related groups, and study on the efficacy of nosocomial infection controlThe American Journal of Medicine, 1985
- Hand-Washing Patterns in Medical Intensive-Care UnitsNew England Journal of Medicine, 1981
- Nosocomial viral respiratory infections: Perennial weeds on pediatric wardsThe American Journal of Medicine, 1981
- The effect of private isolation rooms on patient care practices, colonization and infection in an intensive care unitThe American Journal of Medicine, 1981
- Comparison of endemic and epidemic nosocomial infectionsThe American Journal of Medicine, 1981
- The Problem of Herpetic Whitlow Among Hospital PersonnelInfection Control, 1980