Document Detail

Management of patients infected with airborne-spread diseases: an algorithm for infection control professionals.
MedLine Citation:
PMID:  16330305     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Many US hospitals lack the capacity to house safely a surge of potentially infectious patients, increasing the risk of secondary transmission. Respiratory protection and negative-pressure rooms are needed to prevent transmission of airborne-spread diseases, but US hospitals lack available and/or properly functioning negative-pressure rooms. Creating new rooms or retrofitting existing facilities is time-consuming and expensive. METHODS: Safe methods of managing patients with airborne-spread diseases and establishing temporary negative-pressure and/or protective environments were determined by a literature review. Relevant data were analyzed and synthesized to generate a response algorithm. RESULTS: Ideal patient management and placement guidelines, including instructions for choosing respiratory protection and creating temporary negative-pressure or other protective environments, were delineated. Findings were summarized in a treatment algorithm. CONCLUSION: The threat of bioterrorism and emerging infections increases health care's need for negative-pressure and/or protective environments. The algorithm outlines appropriate response steps to decrease transmission risk until an ideal protective environment can be utilized. Using this algorithm will prepare infection control professionals to respond more effectively during a surge of potentially infectious patients following a bioterrorism attack or emerging infectious disease outbreak.
Terri Rebmann
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Publication Detail:
Type:  Journal Article; Practice Guideline    
Journal Detail:
Title:  American journal of infection control     Volume:  33     ISSN:  0196-6553     ISO Abbreviation:  Am J Infect Control     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-06     Completed Date:  2006-01-31     Revised Date:  2009-08-14    
Medline Journal Info:
Nlm Unique ID:  8004854     Medline TA:  Am J Infect Control     Country:  United States    
Other Details:
Languages:  eng     Pagination:  571-9     Citation Subset:  IM    
School of Nursing and the Institute for Biosecurity, Saint Louis University School of Public Health, 3545 Lafayette Ste. 300, St Louis, MO 63104, USA.
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MeSH Terms
Air Microbiology*
Air Pollution*
Bioterrorism / prevention & control*
Communicable Diseases, Emerging / prevention & control*
Infection Control / methods*,  standards*
Patient Isolation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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