Contact precautions and multidrug resistant microorganisms

Gemma Winzor talks with Gonzalo Bearman (Professor of Infectious Diseases at Virginia Commonwealth University, Editor in Chief of Antimicrobial Stewardship & Healthcare Epidemiology) about his work on contact precautions for the control of endemic multidrug resistant organisms in healthcare settings. The conversation takes in the importance of horizontal and vertical IPC measures, adverse outcomes associated with isolation and contact precautions, cost-savings and customer satisfaction, and the research still to be done in the field.

Episode links

• RP Wenzel & MB Edmond, Infection control: the case for horizontal rather than vertical interventional programs. International Journal of Infectious Diseases 2010;Volume 14 (S1), S3-S5
• G Bearman et al. Impact of discontinuing contact precautions for methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus: an interrupted time series analysis. Infection Control & Hospital Epidemiology 2018;Volume 39(6):676-682
• Haessler et al. Stopping the routine use of contact precautions for management of MRSA and VRE at three academic medical centers: an interrupted time series analysis. American Journal of Infection Control 2020;Volume 48(12):1466-1473
• Coia et al. Joint Healthcare Infection Society (HIS) and Infection Prevention Society (IPS) guidelines for the prevention and control of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities. Journal of Hospital Infection 2021;Volume 118:S1-S39
• Godbout et al. Impact of discontinuation of contact precautions on central-line associated bloodstream infections in an academic children’s hospital. Infection Control & Hospital Epidemiology 2019;Volume 40(4):473-475
• Gonzalo Bearman & Richard P. Wenzel Richmond-Times Dispatch column: New threats to controlling health care-associated infections
• Podcast: MRSA Guidelines: new evidence against an old adversary
• Twitter: @jhieditor @IPIP_open

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