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ORIGINAL INVESTIGATION Infection Acquisition Following Intensive Care Unit Room Privatization Dana Y. Teltsch, MSc; James Hanley, PhD; Vivian Loo, MD, MSc, FRCPC; Peter Goldberg, MD, FRCPC; Ash Gursahaney, MD, FRCPC; David L. Buckeridge, MD, PhD, FRCPC Background: Patients in intensive care units (ICUs) of- resistant S aureus acquisition rate fell by 47% (95% CI,1%- ten acquire infections, which impose a heavy human and 71%), the C difficile acquisition rate fell by 43% (95% CI, financial burden. The use of private rooms may reduce 7%-65%), and the yeast acquisition rate fell by 51% (95% the acquisition of certain pathogens, but the limited evi- CI, 34%-64%). Twelve common and likely exogenous or- dence on this topic is inconsistent. ganisms and exogenous/endogenous organisms had a re- duction in acquisition rates after the intervention; for 6 Methods: We compared the rates of acquisition of in- of them, this reduction was statistically significant. No fectious organisms in an ICU before and after a change effect was observed on the acquisition rate of coagulase- from multibed to single rooms. As a control, we used ac- negative Staphylococcus species, the most common en- quisition rates in the ICU of a nearby university teach- dogenous organism, for
JAMA Internal Medicine – American Medical Association
Published: Jan 10, 2011
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