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 ?
These precautions included limiting vancomycin use, health personnel trainings on hand hygiene, routine scanning for vancomycin resistance among clinical isolates, putting VRE positive patients under close contact isolation, and monitoring of rectal surveillance cultures.
The amount oflinen, supplies, and contact isolation PPG outside each room varies by clinical model and space constraints.
Contact isolation includes patient placement, staff gloving and gowning, patient transport limits, use of disposable noncritical care equipment, and daily cleaning of patient rooms/ environments (CDC, 2010).
difficile spores, current recommendations include initiating contact isolation precautions for symptomatic patients even while awaiting confirmation from diagnostic testing (Wilcox, 2007).
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.
Since BSI eliminates traditional isolation, the warning signs "enteric isolation," "blood and body fluid precautions," and "contact isolation" are not used on the doors of patients' rooms.
Gowns, gloves, and masks are appropriate personal protective equipment (PPE) utilized during care of patients in contact isolation. The use of dedicated noncritical patient-care equipment, such as vital sign machines, stethoscopes, and dressing supplies, is recommended for patients with abscesses or wounds with uncontained drainage.
Contact isolation was discussed in just 8% of cases, despite the fact that restriction from school attendance is very important in school-aged children.
Close contacts were identified according to the "Regulation of Beijing SARS close contact isolation, quarantine, service and supply." The definition involved persons who shared meals, utensils, place of residence, a hospital room, or a transportation vehicle with a known probable or suspected SARS patient or had visited a SARS patient in a period beginning 14 days before the patient's onset of symptoms.
The patient received medical care primarily at home; when hospitalized, the patient had been placed on contact isolation precautions because of known MRSA.
This hospital instituted contact isolation of patients at high risk for MRSA, pending the outcome of microbiology tests.