OBJECTIVE: To reduce the risk of pathogen transmission between patients with cystic fibrosis (CF) and decrease the rate of acquisition of new CF pathogens in our patients. DESIGN: Using the Model for Improvement, we developed a new process for infection prevention and control in our outpatient CF clinics. SETTING: Paediatric CF programme at Ann & Robert H. Lurie Children's Hospital of Chicago; approximately 180 paediatric patients aged birth to 21 years. PARTICIPANTS: All paediatric patients enrolled in the Cystic Fibrosis Foundation Patient Data Registry at this institution. INTERVENTIONS: Implemented contact precautions with all patients, regardless of respiratory tract culture results. MEASUREMENT: Respiratory tract culture rates of specific pathogens by quarter were compared prior to and after implementation. RESULTS: Our percentage of patients with a positive respiratory tract culture for Pseudomonas aeruginosa dropped from 30% to 21% (p<0.0001) and for methicillin-resistant Staphylococcus aureus (MRSA) dropped from 10.8% to 8.7% (p=0.008). CONCLUSIONS: Use of contact precautions by all care providers, for all patients, regardless of respiratory tract culture results resulted in decreased P aeruginosa and MRSA infection rates.
OBJECTIVE: To reduce the risk of pathogen transmission between patients with cystic fibrosis (CF) and decrease the rate of acquisition of new CF pathogens in our patients. DESIGN: Using the Model for Improvement, we developed a new process for infection prevention and control in our outpatient CF clinics. SETTING: Paediatric CF programme at Ann & Robert H. Lurie Children's Hospital of Chicago; approximately 180 paediatric patients aged birth to 21 years. PARTICIPANTS: All paediatric patients enrolled in the Cystic Fibrosis Foundation Patient Data Registry at this institution. INTERVENTIONS: Implemented contact precautions with all patients, regardless of respiratory tract culture results. MEASUREMENT: Respiratory tract culture rates of specific pathogens by quarter were compared prior to and after implementation. RESULTS: Our percentage of patients with a positive respiratory tract culture for Pseudomonas aeruginosa dropped from 30% to 21% (p<0.0001) and for methicillin-resistant Staphylococcus aureus (MRSA) dropped from 10.8% to 8.7% (p=0.008). CONCLUSIONS: Use of contact precautions by all care providers, for all patients, regardless of respiratory tract culture results resulted in decreased P aeruginosa and MRSA infection rates.
Authors: Elizabeth L Salsgiver; Aliza K Fink; Emily A Knapp; John J LiPuma; Kenneth N Olivier; Bruce C Marshall; Lisa Saiman Journal: Chest Date: 2016-01-12 Impact factor: 9.410
Authors: Christy Kim; Elizabeth delaRiva-Velasco; Arvind Budhram; Folashade Farri; Daniel Krich; Sheila S Nolan; Suzette Gjonaj; Lisa Paul; Allen J Dozor; John J Welter Journal: J Infect Prev Date: 2019-09-25