contact isolation


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Related to contact isolation: respiratory isolation, strict isolation

con·tact i·so·la·tion

(kon'takt ī'sŏ-lā'shŭn)
Form of isolation in which anyone entering the patient's room and having direct contact with the patient wears gloves and a gown.

contact isolation

Any of the techniques used in addition to standard precautions that decrease the likelihood of infection by microorganisms transmitted through direct or indirect contact with the patient or patient care items, e.g., methicillin-resistant Staphylococcus aureus and Clostridium difficile. Patients placed on contact isolation should preferably have a private room, but patients may be placed with others infected with the same organism (patient cohort). Hospital workers must wear gloves when entering the room for any reason and gowns if close patient contact is required, e.g., when bathing or turning the patient or caring for wounds. Masks and eye shields are required only if there is a potential for splash or splatter of body fluids onto the face. Stethoscopes and other noncritical patient care equipment should be dedicated to single-patient or patient-cohort use. Synonym: contact precaution

Patient care

Patients with diarrhea caused by Clostridium difficile, hepatitis A, rotavirus, or multidrug-resistant organisms, with wounds infected with vancomycin-resistant enterococcus, or children infected with respiratory syncytial or parainfluenza virus should be placed on contact precautions. Infection with some viruses, such as varicella or adenovirus, require droplet or airborne precautions in addition to contact precautions. Caregivers should remove gloves and gown before leaving the patient’s room, avoid contact with potentially contaminated items or environmental surfaces, and wash hands immediately with an antimicrobial agent or waterless antiseptic agent after touching patients placed on contact isolation status.

See also: isolation
References in periodicals archive ?
Reports about the prevalence of HA-MRSA and outcomes of effective prevention strategies can improve awareness and increase compliance with hand hygiene, contact isolation, and other prevention methods.
In addition to the SHEA guidelines, Henderson (2006) supported use of antibiotic stewardship, hand hygiene, staff grouping, maintenance of appropriate staffing ratios, reduction in lengths of stay, contact isolation (including mask), active microbiologic surveillance, and better staff education to prevent transmission of MRSA infection.
As a result of our investigation, which showed no patient-to-patient transmission in our NICU during the study period, we established the following procedures: 1) we obtained ASC for VRE only from infants >14 days of age on admission to the NICU and placed them on contact isolation pending results, and 2) we no longer perform weekly surveillance cultures on previously culture-negative patients.
difficile spores, current recommendations include initiating contact isolation precautions for symptomatic patients even while awaiting confirmation from diagnostic testing (Wilcox, 2007).
An urgent need exists for the nurse to follow contact isolation procedures for the diagnosed patient and be diligent about hand hygiene to prevent nosocomial transmission.
To prevent the spread of these organisms within and between facilities, health-care providers and facilities are advised to 1) ensure the appropriate use of vancomycin [3]; 2) educate those personnel who provide direct patient care about the epidemiologic implications of such strains and the infection-control precautions necessary for containment; 3) strictly adhere to and monitor compliance with contact isolation precautions and other recommended infection-control practices, and 4) conduct surveillance to monitor the emergence of resistant strains.
This hospital instituted contact isolation of patients at high risk for MRSA, pending the outcome of microbiology tests.
With this high-risk vector identified, we activated the hospital's new contact isolation policy.
When control policies failed to stop the epidemic, more aggressive measures were taken, including continuous staff education, contact isolation for MRSA-positive patients, systematic screening for persons exposed to MRSA, cohort nursing of MRSA-positive and MRSA-exposed patients in epidemic situations, and perception of the 30 medical institutions in that district as one epidemiologic entity brought under surveillance and control of the infection control team of Turku University Hospital.
Jones has been on contact isolation precautions since he developed diarrhea.