Infection Control in a Burn Center
作者:
J J Lee,
J A Marvin,
D M Heimbach,
B J Grube,
L H Engrav,
期刊:
Journal of Burn Care & Rehabilitation
(OVID Available online 1990)
卷期:
Volume 11,
issue 6
页码: 575-580
ISSN:0273-8481
年代: 1990
出版商: OVID
数据来源: OVID
摘要:
No consensus has been reached on the ideal isolation technique to prevent hospital-acquired infection in the patient with burns. This study reports four 2-month consecutive periods of microbial surveillance in a burn center intensive care unit. Phase I, the first period of surveillance, demonstrated a unit-acquired colonization rate of 63%, with the marker organisms appearing at 4 to 8 days. Direct observation of isolation technique showed a 51% error rate. A mandatory educational session reviewing the high colonization rates, observed breaks in isolation technique, and principles of infection control failed to decrease the colonization rates as measured in phase II. A simplified isolation technique was adopted, which led to a decrease in unit-acquired colonization, from 63% to 33% in phase III from phase I values (p= 0.0514); and to a significant delay in inception, from 7.8 to 21 days, in those colonized withPseudomonas aeruginosa(p<0.05). The simplified isolation technique decreased isolation costs over a 6-month period from $53,000 to $30,000. To confirm the decrease colonization rates from phase I to phase III, a fourth 2-month surveillance period was undertaken 6 months later. Phase TV demonstrated similar results to those of phase III.
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