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The impact of isolation precautions on caregiver-infant interactions in the neonatal intensive care unit: A case–control study

Published online by Cambridge University Press:  26 November 2020

Rebekah C. Gardea*
Affiliation:
Bachelor of Science in Nursing, School of Nursing, University of Texas Health San Antonio, San Antonio, Texas
Matthew Petershack
Affiliation:
Texas A&M University, College Station, Texas
Joseph B. Cantey
Affiliation:
Doctor of Medicine, Department of Pediatrics, University of Texas Health San Antonio, San Antonio, Texas
*
Author for correspondence: Rebekah C. Gardea, E-mail: [email protected]

Abstract

This case–control study investigated the association between isolation precautions and the frequency of infant–caregiver interaction in the NICU. Interactions were discretely counted; cases and controls were matched by isolation status. Cases had fewer interactions than controls (median, 4 vs 8; P < .0001). Further research is needed to determine whether this reduction impacts patient outcomes.

Type
Concise Communication
Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Siegel, JD, Rhinehart, E, Jackson, M, Chiarello, L. 2007 guideline for isolation precautions: preventing transmission of infectious agents in health care settings. Am J Infect Control 2007;35(10):S65S164.CrossRefGoogle ScholarPubMed
McMicken, E. Reducing MRSA transmission in the NICU: a quality improvement project. J. Neonatal Nurs 2017;23:286289.CrossRefGoogle Scholar
Morgan, DJ, Diekema, DJ, Sepkowitz, K, Perencevich, EN. Adverse outcomes associated with contact precautions: a review of the literature. Am J Infect Control 2009;37:8593.CrossRefGoogle ScholarPubMed
Abad, C, Fearday, A, Safdar, N. Adverse effects of isolation in hospitalised patients: a systematic review. J Hosp Infect 2010;76:97102.CrossRefGoogle ScholarPubMed
Morgan, DJ, Pineles, L, Shardell, M, et al. The effect of contact precautions on healthcare worker activity in acute-care hospitals. Infect Control Hosp Epidemiol 2013;34:6973.CrossRefGoogle ScholarPubMed
Saint, S, Higgins, LA, Nallamothu, BK, Chenoweth, C. Do physicians examine patients in contact isolation less frequently? A brief report. Am J Infect Control 2003;31:354356.CrossRefGoogle ScholarPubMed
Boundy, EO, et al. Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics 2016;137(1):e20152238.CrossRefGoogle ScholarPubMed
Weber, A, Harrison, TM. Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes. Nurs Outlook 2019;67:169189.CrossRefGoogle ScholarPubMed
Meredith, JL, Jnah, A, Newberry, D. The NICU Environment: infusing single-family room benefits into the open-bay setting. Neonatal Netw 2017;36:6976.CrossRefGoogle ScholarPubMed
Cipolla, D, Giuffrè, M, Mammina, C, Corsello, G. Prevention of nosocomial infections and surveillance of emerging resistances in NICU. J Matern Fetal Med 2011;24 suppl 1:2326.Google Scholar