Contact isolation versus standard precautions to decrease acquisition of extended-spectrum β-lactamase-producing Enterobacterales in non-critical care wards: a cluster-randomised crossover trial

21 February 2020

The effectiveness of contact isolation for decreasing the spread of extended-spectrum β-lactamase-producing Enterobacterales (ESBL-E) has been questioned. The aim of this study was to establish the benefits of contact isolation over standard precautions for reducing the incidence density of ESBL-E colonisation and infection in adult medical and surgical wards with an active surveillance culture programme.

Contact isolation showed no benefit when added to standard precautions for controlling the spread of ESBL-E on non-critical care wards with extensive surveillance screening.

Further reading: The Lancet Infectious Diseases

Author(s): riederike Maechler, MD Frank Schwab, PhD Sonja Hansen, MD Carolina Fankhauser, MSc Prof Stephan Harbarth, MD Benedikt D Huttner, MD Cristina Diaz-Agero, MD Nieves Lopez, MD Prof Rafael Canton, PhD Patricia Ruiz-Garbajosa, PhD Hetty Blok, MSc Prof Marc J Bonten, PhD Fieke Kloosterman, DGN Joost Schotsman, MSc Prof Ben S Cooper, PhD Michael Behnke, PhD Jennifer Golembus Axel Kola, MD Prof Petra Gastmeier, MD

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