title: Patient Isolation Precautions: Are They Worth It?
abstract: Isolation precautions are intended to minimize pathogen transmission and reduce hospital-acquired infections. More recently, the effectiveness of isolation precautions has been questioned because of increasing evidence of risks. These putative downsides are divided into a quantifiable monetary cost (i.e., a literal cost to the system) and clinically important but less easily quantifiable costs (i.e., "costs" to the patient). The authors also briefly review deisolation and alternatives to isolation. The present review is not arguing against appropriate isolation or precautions, simply that the authors consider both risks and benefits and disseminate up-to-date information. Their patient-focused goal is to mitigate risks for those who truly need isolating and to end isolation as soon as it is safe and appropriate to do so.
authors.affiliation: University of Alberta, Edmonton, AB, Canada T6G 2B7.
authors.forename: Elliott
authors.initials: E
authors.lastname: Sprague
authors.affiliation: Critical Care Medicine, Fraser Health, New Westminster, BC, Canada V3L 3W7; Department of Medicine (Infectious Diseases and Intensive Care), University of British Columbia, Vancouver, BC, Canada V5Z 1M9.
authors.forename: Steven
authors.initials: S
authors.lastname: Reynolds
authors.affiliation: Critical Care Medicine, Anesthesiology and Medical Ethics, University of Alberta, Edmonton, AB, Canada T6G 2B7.
authors.forename: Peter
authors.initials: P
authors.lastname: Brindley
mesh_terms: D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D006801:Humans; D010356:Patient Isolation / Q000191:economics