Infection control and bone marrow transplantation.
BACKGROUND
Bone marrow transplantation for the treatment of malignancies is on the increase. Unfortunately, there are no well-validated infection control guidelines for this highly susceptible population.


METHODS
Literature was reviewed concerning infection risks and interventions to decrease risks for bone marrow transplant recipients.


RESULTS
Definitive information was generally lacking. However, basic "common sense" infection control recommendations for bone marrow transplantation were made in the following areas: air ventilation systems, design issues, environmental services, patient care issues, barrier precautions, nosocomial surveillance, and discharge planning. Recommendations must be tailored to each facility or setting.


CONCLUSIONS
We conclude that validation of many of these recommendations is necessary to provide optimum care for bone marrow transplant recipients.
Mooney
B R
BR
University of Utah Hospital, Salt Lake City 84132.
Reeves
S A
SA
Larson
E
E
D000328:Adult; D000391:Air Microbiology; D016026:Bone Marrow Transplantation; D004780:Environment, Controlled; D005374:Filtration; D006272:Health Facility Environment; D006801:Humans; D017053:Infection Control / Q000379:methods*; D010356:Patient Isolation; D010564:Personnel, Hospital; D012307:Risk Factors; D013242:Sterilization; D014691:Ventilation; D014789:Visitors to Patients