Adverse events associated with patient isolation: a systematic literature review and meta-analysis.

Humans Patient Isolation
Adverse events Contact precautions Hygiene Infection control Multidrug-resistant organisms Patient isolation

Journal

The Journal of hospital infection
ISSN: 1532-2939
Titre abrégé: J Hosp Infect
Pays: England
ID NLM: 8007166

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 16 07 2021
revised: 26 09 2021
accepted: 26 09 2021
pubmed: 20 10 2021
medline: 27 1 2022
entrez: 19 10 2021
Statut: ppublish

Résumé

Patient isolation is widely recommended and used in healthcare institutions to prevent transmission of multidrug-resistant organisms (MDROs). However, its risk: benefit ratio is debated. To assess, based on newly published studies, whether or not there are physical and psychological adverse events associated with patient isolation. Systematic literature review and meta-analysis were performed in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Studies were systematically searched from PubMed, from May 1 After screening titles of 15,921 articles and abstracts of 196, and reviewing full texts of 50 studies, 19 studies were included. Studies were divided into three groups: four qualitative studies, seven observational studies suitable for meta-analysis, and eight other observational studies. Meta-analysis shows no adverse events related to clinical care or patients' experience associated with patient isolation. More studies with correct methodology, including a control group and standardized inclusion criteria, must be conducted to confirm our results.

Sections du résumé

BACKGROUND BACKGROUND
Patient isolation is widely recommended and used in healthcare institutions to prevent transmission of multidrug-resistant organisms (MDROs). However, its risk: benefit ratio is debated.
AIM OBJECTIVE
To assess, based on newly published studies, whether or not there are physical and psychological adverse events associated with patient isolation.
METHODS METHODS
Systematic literature review and meta-analysis were performed in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Studies were systematically searched from PubMed, from May 1
FINDINGS RESULTS
After screening titles of 15,921 articles and abstracts of 196, and reviewing full texts of 50 studies, 19 studies were included. Studies were divided into three groups: four qualitative studies, seven observational studies suitable for meta-analysis, and eight other observational studies. Meta-analysis shows no adverse events related to clinical care or patients' experience associated with patient isolation.
CONCLUSION CONCLUSIONS
More studies with correct methodology, including a control group and standardized inclusion criteria, must be conducted to confirm our results.

Identifiants

DOI: 10.1016/j.jhin.2021.09.023 PMID: 34666116
pubmed: 34666116
pii: S0195-6701(21)00361-3
doi: 10.1016/j.jhin.2021.09.023
pii:
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

54-63

Informations de copyright

Copyright © 2021. Published by Elsevier Ltd.

Auteurs

R Saliba (R)

IAME, UMR 1137, Université Paris 13, Sorbonne Paris Cité, France; Service de Microbiologie Clinique et Unité de Contrôle et de Prévention du risque Infectieux, Groupe Hospitalier Paris Seine Saint-Denis, AP-HP, Bobigny, France; Laboratoire des agents pathogènes, Faculté de Pharmacie, Université Saint-Joseph, Beyrouth, Liban.

D Karam-Sarkis (D)

Laboratoire des agents pathogènes, Faculté de Pharmacie, Université Saint-Joseph, Beyrouth, Liban.

J-R Zahar (JR)

IAME, UMR 1137, Université Paris 13, Sorbonne Paris Cité, France; Service de Microbiologie Clinique et Unité de Contrôle et de Prévention du risque Infectieux, Groupe Hospitalier Paris Seine Saint-Denis, AP-HP, Bobigny, France. Electronic address: jrzahar@gmail.com.

L S A Glélé (LSA)

Service d'épidémiologie et d'hygiène hospitalière, CHU hôpital d'enfants, Dijon, France.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Adverse events associated with patient...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Contrôle des maladies transmissibles › Prévention des infections › Isolement du patient › Adverse events associated with patient...