Estimating the effect of active detection and isolation on Clostridioides difficile infections in a bone marrow transplant unit

Autor:	Kelly A. Reagan, David M. Chan, Ginger Vanhoozer, Gonzalo Bearman
Rok vydání:	2023
Předmět:	Microbiology (medical) Infectious Diseases Epidemiology
Zdroj:	Infection Control & Hospital Epidemiology. :1-6
ISSN:	1559-6834 0899-823X
DOI:	10.1017/ice.2023.37
Popis:	Objective: To model the effects of active detection and isolation (ADI) regarding Clostridioides difficile infection (CDI) in the bone marrow transplant (BMT) unit of our hospital. Setting: ADI was implemented in a 21-patient bone marrow unit. Patients: Patients were bone marrow recipients on this unit. Interventions: We compared active ADI, in which patients who tested positive for colonization of C. difficile before their hospital stay were placed under extra contact precautions, with cases not under ADI. Results: Within the BMT unit, ADI reduced total cases of CDI by 24.5% per year and reduced hospital-acquired cases by ∼84%. The results from our simulations also suggest that ADI can save ∼$67,600 per year in healthcare costs. Conclusions: Institutions with active BMT units should consider implementing ADI.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::dc990f9003580326b485f7c5b56b088b https://doi.org/10.1017/ice.2023.37 Zobrazit plný text záznamu