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| ID | Type | Description | Link |
|---|---|---|---|
| LOC/11-20 | Other Identifier | Rennes University Hospital (Direction of Clinical Research) |
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enrollment difficulties
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Application of isolation (=contact precautions) in hospitalized patients is recommended when patient is colonized (or infected) by micro-organism known for its outbreak capacity or high pathogenicity. It allows the reinforcement of universal precautions (=standard precautions) in order to control patient-to-patient micro-organisms transmission. Recently, the efficacy of this measure is questioned and its impact on patient care seems deleterious.
In a particular context of Infectious Disease Unit, where standard precautions are handled (favorable architecture and appropriate practice for hand hygiene), assessment of contact precautions to reduce the incidence of acquired bacteria during hospitalization would be of interest.
The investigators design a non-inferiority comparative study to measure the colonization pressure in patients hospitalized in two different parts of the department: one unit only with standard precautions applied (intervention) and one unit with contact precautions (control) as current routine care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard precautions | One selected part of the unit keep the usual procedure applied in our institution with contact precautions prescriptions when colonized patient is admitted with SA and/or ESBL bacteria. Second selected part of the unit applies only standard precautions (even for patients colonized with multiple drug-resistant organisms). After 8 months precaution procedures will be exchanged between the two sectors (cross over design). | ||
| contact precautions | One selected part of the unit keep the usual procedure applied in our institution with contact precautions prescriptions when colonized patient is admitted with SA and/or ESBL bacteria. Second selected part of the unit applies only standard precautions (even for patients colonized with multiple drug-resistant organisms). After 8 months precaution procedures will be exchanged between the two sectors (cross over design). |
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| Measure | Description | Time Frame |
|---|---|---|
| Acquisition rate of micro-organisms | Acquisition rate using bacteriological sampling (nose and anus) at admission and at the day of discharge in each patient hospitalized in the department. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Number of infections acquired during hospitalization in each group | 2 years | |
| Consumption of hydro-alcoholic rub in each group | 2 years | |
| Utilization of aprons and gloves in each group |
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Inclusion Criteria:
Exclusion Criteria:
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Patients hospitalized in Infectious Disease Unit of university-affiliated hospital in Rennes
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| Name | Affiliation | Role |
|---|---|---|
| jean-marc chapplain | Rennes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rennes University Hospital | Rennes | Brittany Region | 35033 | France |
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| 2 years |