[Compliance with contact isolation precautions of multidrug-resistant microorganisms in a tertiary hospital].
BACKGROUND
Preventive isolation of patients with multidrug-resistant microorganisms is considered an effective measure to prevent outbreaks in hospitals. The objective of this study is to assess compliance by healthcare workers and family of contact isolation precautions in colonised/infected patients with multidrug-resistant microorganisms.


METHODS
An observational study was conducted from October 2014 to March 2015. A checklist with a structure was designed (equipment trolley), including knowledge of the situation and compliance by the patients, families, and healthcare workers. Univariate and bivariate analyses were performed. Non-parametric tests Mann-Whitney and Kruskal-Wallis were used.


RESULTS
Out of the 467 observations made, the equipment trolley was correctly situated in 97% (453) of cases, the sphygmomanometer in 90% (421), the stethoscope 43.9% (205), and thermometer 16.5% (77). A dustbin and the alcoholic solution were observed in over 98.7% (461) of cases. The antiseptic soap for patient hygiene was observed to be correctly placed in 348 (74%) of occasions. The situation was known by 84.9% (305) of patients and 91.4% (234) of families. As regards compliance by professionals with the placement/removal of disposable gowns and gloves was about 50% for entering the room (49.5%, 56 gown and 53.09%, 60 gloves), and 40% (28) for leaving the room by professionals. Hand hygiene compliance was 26.5% (30) for entering and 35.2% (25) when leaving.


CONCLUSIONS
There is significant room for improvement in the compliance with isolation precautions. Non-compliance to isolation procedures is not due to a deficit of materials, but to individual behaviours. It is important to implement and evaluate programs based on psychosocial intervention models that can change attitudes and behaviours related to contact isolation precautions for multidrug-resistant microorganisms.
Área de Medicina Preventiva y Salud Pública, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Asturias, España.
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González-Estrada
Área de Medicina Preventiva y Salud Pública, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Asturias, España; Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Central de Asturias, Oviedo, Asturias, España. Electronic address: mariafdezprada@gmail.com.
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Fernández-Prada
Área de Medicina Preventiva y Salud Pública, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Asturias, España; Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.
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Martínez Ortega
Área de Medicina Preventiva y Salud Pública, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Asturias, España.
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Lana Pérez
Área de Medicina Preventiva y Salud Pública, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Asturias, España.
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López González
D003428:Cross Infection / Q000517:prevention & control*; D019983:Guideline Adherence; D063373:Hand Hygiene; D006801:Humans; D017053:Infection Control; D010356:Patient Isolation; D062606:Tertiary Care Centers
Aislamiento contacto; Checklist; Colonización; Colonization; Compliance; Contact isolation precautions; Cumplimiento; Health-care associated infection; Infección relacionada con la asistencia sanitaria; Lista de verificación; Microorganismos multirresistentes; Monitoring; Monitorización; Multidrug-resistant microorganisms