释义 |
DictionarySeeisolationEncyclopediaSeeIsolationcontact isolation
con·tact i·so·la·tion (kon'takt ī'sŏ-lā'shŭn) Form of isolation in which anyone entering the patient's room and having direct contact with the patient wears gloves and a gown. contact isolationAny of the techniques used in addition to standard precautions that decrease the likelihood of infection by microorganisms transmitted through direct or indirect contact with the patient or patient care items, e.g., methicillin-resistant Staphylococcus aureus and Clostridium difficile. Patients placed on contact isolation should preferably have a private room, but patients may be placed with others infected with the same organism (patient cohort). Hospital workers must wear gloves when entering the room for any reason and gowns if close patient contact is required, e.g., when bathing or turning the patient or caring for wounds. Masks and eye shields are required only if there is a potential for splash or splatter of body fluids onto the face. Stethoscopes and other noncritical patient care equipment should be dedicated to single-patient or patient-cohort use. Synonym: contact precautionPatient carePatients with diarrhea caused by Clostridium difficile, hepatitis A, rotavirus, or multidrug-resistant organisms, with wounds infected with vancomycin-resistant enterococcus, or children infected with respiratory syncytial or parainfluenza virus should be placed on contact precautions. Infection with some viruses, such as varicella or adenovirus, require droplet or airborne precautions in addition to contact precautions. Caregivers should remove gloves and gown before leaving the patient’s room, avoid contact with potentially contaminated items or environmental surfaces, and wash hands immediately with an antimicrobial agent or waterless antiseptic agent after touching patients placed on contact isolation status. See also: isolation |