Comparing the impact of two contact isolation modes for hospitalised patients with Clostridioides difficile infection on the quality of care.
Inbar Gehasi, Ilana Livshiz-Riven, Tal Michael and 2 others
PMID 35761758WHAT IT FOUND
Patients with C. difficile infection cared for in a dedicated cohort ward had similar blood tests, imaging, length of stay and mortality as those isolated in their usual multi-bed ward.
Key findings
01A permanent cohort ward did not reduce imaging compared with contact isolation in usual multi-bed rooms.
02Length of stay and mortality were similar between the two isolation modes, though the cohort group had a trend toward higher mortality.
03Nursing home residence was associated with in-hospital mortality, while the isolation mode was not.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Retrospective single-centre study, so results may not apply to other hospitals. Patients were not randomly assigned; the cohort group had more recurrent admissions before hospitalization. The study did not assess errors or whether contact isolation in usual rooms spread CDI to other patients. Few repeat pressure sore and fall risk assessments were available, so changes during stay were not assessed.
Declared interests
All authors reported no conflicts of interest.
The easy way to misread this
Do not conclude that cohorting increases mortality. The mortality difference was not statistically significant, and the cohort group had more recurrent admissions before hospitalization.