The effect of expanded applied contact precaution in Mixed Intensive Care Unit of Surgical & Internal medicine: a prospective observational study

Not Applicable

• Conditions: Critically Ill Patients in Intensive Care Unit

• Registration Number: JPRN-UMIN000028686
• Lead Sponsor: Fukuyama City Hospital Department of Anesthesiology

Brief Summary

There was no significant difference in the incidence compared to historical control (1.3 vs. 1.4 cases per 1,000 patient days). However, there was significant difference in the incidence of newly acquired multi-drug resistant bacteria between patients who adapted our rules of contact precautions and patients who did not adapted them (ex. after scheduled operation) (12.26 vs. 3.24 cases per 1,000 patient days).

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2017-01-31
• Study Start: 2017-08-16
• Last Update Posted: 17 October 2023

Recruitment & Eligibility

• Status: Complete: follow-up complete
• Sex: All
• Target Recruitment: 577

Inclusion Criteria

Not provided

Exclusion Criteria

none

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary Outcome is the incidence of newly acquired MRSA in ICU.

Secondary Outcome Measures

Name	Time	Method
Secondary Outcomes are the incidence of newly acquired MRSA for 30 days after discharge from ICU, and the incidence of newly acquired multidrug-resistant bacteria in the patients who adapted our rules during ICU stay. The rules we made were to apply contact precaution not only to patients who had multidrug-resistant bacteria, but also to patients who entered ICU emergency, patients with history of infection of multidrug-resistant bacteria and patients who had to stay in ICU for a long time. Another rules started from this study period were to avoid using shared items among patients as much as possible (use disposable items), and to use a method that all of the patients had to been touched with properly disinfected "clean hands" without hand roughness. Data of patients who admitted in our ICU from May 2013 to December 2015 were used as Historical Control.