Single rooms may help to prevent nosocomial bloodstream infection and cross-transmission of methicillin-resistant Staphylococcus aureus in intensive care units

Nosocomial infections remain a major problem in intensive care units. Several authorities have recommended housing patients in single rooms to prevent cross-transmission of potential pathogens, but this issue is currently debated. The aim of the present study was to compare the rate of nosocomial cr...

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Bibliographic Details
Published in:Intensive care medicine 2007-05, Vol.33 (5), p.836-840
Main Authors: BRACCO, David, DUBOIS, Marc-Jacques, BOUALI, Redouane, EGGIMANN, Philippe
Format: Article
Language:English
Subjects:
Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Clinical death. Palliative care. Organ gift and preservation
Comparative analysis
Cross infection
Cross Infection - epidemiology
Cross Infection - prevention & control
Disease control
Female
Health aspects
Hospitals
Humans
Infection Control - methods
Intensive care
Intensive care medicine
Intensive Care Units
Investigative techniques, diagnostic techniques (general aspects)
Length of stay
Male
Medical sciences
Methicillin Resistance
Middle Aged
Mortality
Multivariate analysis
Nosocomial infections
Pathogens
Patients
Patients' Rooms - organization & administration
Prevention
Quebec - epidemiology
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Respiratory system
Risk factors
Staphylococcal Infections - epidemiology
Staphylococcal Infections - prevention & control
Staphylococcus aureus
Staphylococcus infections
Ventilators
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Summary:Nosocomial infections remain a major problem in intensive care units. Several authorities have recommended housing patients in single rooms to prevent cross-transmission of potential pathogens, but this issue is currently debated. The aim of the present study was to compare the rate of nosocomial cross-contamination between patients hosted in single rooms versus bay rooms. Prospective observational data acquisition over 2.5 years. A 14-bed medico-surgical ICU, composed of six single-bed rooms plus a six-bed and a two-bed bay room served by the same staff. All patients admitted from 1 July 2002 to 31 December 2004. None. Prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in admitted patients was 1.1% and acquisition rate 2.4%. The incidence density of MRSA acquisition was 4.1 [95% CI 2.7-6.3]/1,000 patient-days in bay rooms versus 1.3 [0.5-3.4]/1,000 patient-days in single rooms (p
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-007-0559-5