tetano
Editor, Senior Moderator
Am J Infect Control
. 2021 Sep 22;S0196-6553(21)00617-9.
doi: 10.1016/j.ajic.2021.09.016. Online ahead of print.
Is it possible to hospitalize patients in multiple-bed room without increasing the risk of hospital-acquired influenza? Description of a pragmatic preventive strategy in a French university hospital
Fabiana Cazzorla[SUP] 1 [/SUP], Othmane Azzam[SUP] 1 [/SUP], Emeline Buet[SUP] 1 [/SUP], Meghann Gallouche[SUP] 2 [/SUP], Sylvie Larrat[SUP] 3 [/SUP], Céline Giner[SUP] 1 [/SUP], Marie Reine Mallaret[SUP] 1 [/SUP], Patrice Morand[SUP] 4 [/SUP], Caroline Landelle[SUP] 5 [/SUP]
Affiliations
Abstract
Purpose: Large inrush of patients through Emergency Department during influenza season can be dramatic.The purpose of this study was to evaluate the impact of an emergency preventive strategy, namely admission of patients with influenza in multiple-bed room with patients free from influenza, on the occurrence of hospital-acquired influenza (HAI).
Methods: When a patient with an influenza RT-PCR diagnosis was hospitalized in a multiple-bed room, the emergency preventive strategy was applied: selection of non-immunocompromised neighbor, implementation of physical barriers (rigid screen pulled between beds, surgical mask for healthcare workers and visitors), preemptive Oseltamivir therapy for the neighbor.
Results: From 29/11/2017 to 10/05/2018 a total of 464 hospitalized influenza patients were included; 318 were placed in multiple-bed room and 141 in single room. Emergency preventive strategy was correctly applied for 75.1% of patients in multiple-bed room. A total of 8 exposed neighbors matched HAI definition despite strategy. Seven were already exposed to the case before the set-up of the strategy. Only one case of documented transmission of influenza occurred after application of an incorrect emergency preventive strategy: preventive posology of Oseltamivir was not correct.
Conclusion: These preliminary results suggest that the occurrence of HAI in multiple-bed rooms can be limited by the implementation of maximum precautions and urge us to promote further evaluation of the strategy. A detection bias should be considered without a systematic neighbors monitoring.
Keywords: Oseltamivir; hospital-acquired influenza; multiple-bed room; prevention; transmission.
. 2021 Sep 22;S0196-6553(21)00617-9.
doi: 10.1016/j.ajic.2021.09.016. Online ahead of print.
Is it possible to hospitalize patients in multiple-bed room without increasing the risk of hospital-acquired influenza? Description of a pragmatic preventive strategy in a French university hospital
Fabiana Cazzorla[SUP] 1 [/SUP], Othmane Azzam[SUP] 1 [/SUP], Emeline Buet[SUP] 1 [/SUP], Meghann Gallouche[SUP] 2 [/SUP], Sylvie Larrat[SUP] 3 [/SUP], Céline Giner[SUP] 1 [/SUP], Marie Reine Mallaret[SUP] 1 [/SUP], Patrice Morand[SUP] 4 [/SUP], Caroline Landelle[SUP] 5 [/SUP]
Affiliations
- PMID: 34562527
- DOI: 10.1016/j.ajic.2021.09.016
Abstract
Purpose: Large inrush of patients through Emergency Department during influenza season can be dramatic.The purpose of this study was to evaluate the impact of an emergency preventive strategy, namely admission of patients with influenza in multiple-bed room with patients free from influenza, on the occurrence of hospital-acquired influenza (HAI).
Methods: When a patient with an influenza RT-PCR diagnosis was hospitalized in a multiple-bed room, the emergency preventive strategy was applied: selection of non-immunocompromised neighbor, implementation of physical barriers (rigid screen pulled between beds, surgical mask for healthcare workers and visitors), preemptive Oseltamivir therapy for the neighbor.
Results: From 29/11/2017 to 10/05/2018 a total of 464 hospitalized influenza patients were included; 318 were placed in multiple-bed room and 141 in single room. Emergency preventive strategy was correctly applied for 75.1% of patients in multiple-bed room. A total of 8 exposed neighbors matched HAI definition despite strategy. Seven were already exposed to the case before the set-up of the strategy. Only one case of documented transmission of influenza occurred after application of an incorrect emergency preventive strategy: preventive posology of Oseltamivir was not correct.
Conclusion: These preliminary results suggest that the occurrence of HAI in multiple-bed rooms can be limited by the implementation of maximum precautions and urge us to promote further evaluation of the strategy. A detection bias should be considered without a systematic neighbors monitoring.
Keywords: Oseltamivir; hospital-acquired influenza; multiple-bed room; prevention; transmission.