title: Burden of isolation for multidrug-resistant organisms in a tertiary public hospital in Southern Brazil.
abstract: We aimed to describe the use of isolation beds between September 2011 and August 2013 at a tertiary hospital located in Southern Brazil. The main cause for isolation was gram-negative carbapenem-resistant bacteria. Huge costs were associated with isolation practices. Considering the high burden on the isolation ward, practice of surveillance cultures and contact isolation should be balanced with other infection control practices.
authors.affiliation: Hospital Nossa Senhora da Conceição, Porto Alegre, Brazil. Electronic address: p_reispereira@yahoo.com.
authors.forename: Patrícia R
authors.initials: PR
authors.lastname: Pereira
authors.affiliation: Médecins Sans Frontières-Operational Centre Brussels, Medical Department, Operational Research Unit (LuxOR), MSF-Luxembourg, Luxembourg, Germany.
authors.forename: Petros
authors.initials: P
authors.lastname: Isaakidis
authors.affiliation: Centre for International Health, Overlege Danielsens hus, University of Bergen, Bergen, Norway.
authors.forename: Sven G
authors.initials: SG
authors.lastname: Hinderaker
authors.affiliation: Médecins Sans Frontières-Operational Centre Brussels, Medical Department, Operational Research Unit (LuxOR), MSF-Luxembourg, Luxembourg, Germany.
authors.forename: Engy
authors.initials: E
authors.lastname: Ali
authors.affiliation: Médecins Sans Frontières-Operational Centre Brussels, Medical Department, Operational Research Unit (LuxOR), MSF-Luxembourg, Luxembourg, Germany.
authors.forename: Wilma
authors.initials: W
authors.lastname: van den Boogaard
authors.affiliation: Hospital Nossa Senhora da Conceição, Porto Alegre, Brazil.
authors.forename: Karen S
authors.initials: KS
authors.lastname: Viana
authors.affiliation: Hospital Nossa Senhora da Conceição, Porto Alegre, Brazil.
authors.forename: Renato
authors.initials: R
authors.lastname: Cassol
authors.affiliation: Hospital Nossa Senhora da Conceição, Porto Alegre, Brazil.
authors.forename: Diego Rodrigues
authors.initials: DR
authors.lastname: Falci
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D001938:Brazil; D003428:Cross Infection; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010356:Patient Isolation / Q000191:economics* / Q000379:methods*; D011634:Public Health; D062606:Tertiary Care Centers / Q000191:economics / Q000458:organization & administration*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Isolation; Multidrug-resistant organisms; Surveillance culture