Infectious gastroenteritis and the need for strict contact precaution procedures in adults presenting to the emergency department: a Danish register-based study

Autor: Ming Chen, Court Pedersen, Florence Skyum, Christian Backer Mogensen, Vibeke Andersen
Rok vydání: 2018
Předmět:
Male
0301 basic medicine
Feces/microbiology
Cross Infection/prevention & control
Denmark
medicine.disease_cause
Patient Isolation
Feces
0302 clinical medicine
030212 general & internal medicine
Disease Transmission
Infectious/prevention & control
Aged
80 and over
Cross Infection
General Medicine
Middle Aged
Clostridium difficile
Gastroenteritis
Infectious Diseases
language
Female
Infectious gastroenteritis
Emergency Service
Hospital
Adult
Microbiology (medical)
medicine.medical_specialty
Norovirus/isolation & purification
Isolation (health care)
Infection Control/methods
030106 microbiology
Danish
Young Adult
03 medical and health sciences
Disease Transmission
Infectious
Journal Article
medicine
Humans
Contact precautions
Clostridium difficile/isolation & purification
Intensive care medicine
Aged
Retrospective Studies
Infection Control
Clostridioides difficile
business.industry
Norovirus
Retrospective cohort study
Emergency department
Gastroenteritis/epidemiology
Denmark/epidemiology
language.human_language
Emergency medicine
business
Patient Isolation/statistics & numerical data
Zdroj: Skyum, F, Andersen, V, Chen, M, Pedersen, C & Mogensen, C B 2018, ' Infectious gastroenteritis and the need for strict contact precaution procedures in adults presenting to the emergency department : a Danish Register-based Study ', Journal of Hospital Infection, vol. 98, no. 4, pp. 391-397 . https://doi.org/10.1016/j.jhin.2017.11.001
ISSN: 0195-6701
Popis: Summary Background Acute infectious gastroenteritis requires contact precautions to prevent spread. On acute admission, the cause of diarrhoea is unknown, so the decision regarding which patients to isolate has to be made on clinical information with a risk of inexpedient use of contact precautions. Aim To investigate how often gastroenteritis occurs (and therefore how often the need for isolation has to be assessed) in Danish emergency departments, and how often patients have to remain on contact precautions according to the results of faecal samples. Methods This Danish register-based retrospective cohort study on adults in Danish emergency departments used three data sources: discharge diagnoses from the Danish National Patient Register; microbiological results from faecal samples provided in the emergency department; and the causes of hospital admission based on the chief complaint. Findings Among 66,885 acute admissions, 4.3% of patients had at least one feature of gastroenteritis: admission with diarrhoea as the chief complaint (1.6%); microbiological examination of faecal sample (2.8%); and discharged with a diagnosis of gastroenteritis (1.7%). Nineteen percent of those who had a faecal sample tested were found to have norovirus or Clostridium difficile, and needed to remain on strict contact precautions. Conclusion The initiation of contact precautions has to be assessed for 4.3% of all emergency department patients; 19% of the patients who had a faecal sample tested had highly contagious gastroenteritis and required strict contact precautions. Further studies are needed to develop tools to determine which patients to isolate.
Databáze: OpenAIRE
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