Gaube, S;
Däumling, S;
Biebl, I;
Rath, A;
Caplunik-Pratsch, A;
Schneider-Brachert, W;
(2023)
Patients with multi-drug-resistant organisms feel inadequately informed about their status: adverse effects of contact isolation.
Journal of Hospital Infection
, 133
pp. 89-94.
10.1016/j.jhin.2022.11.021.
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Abstract
BACKGROUND: Contact isolation of patients with multi-drug-resistant organisms (MDROs) is an essential element of infection prevention strategies in hospitals worldwide. However, this practice may be associated with adverse side effects on patients' health and well-being. AIM: This study was the first to assess mental health and well-being variables among isolated patients compared with non-isolated control patients in a German cohort. METHODS: We conducted a matched case–control study among N = 267 patients admitted to a tertiary care teaching hospital in Germany. Their levels of anxiety, depression, loneliness, and dissatisfaction with their hospital experience were assessed using a questionnaire. Additionally, among isolated patients, it was evaluated how well they felt informed about their MDRO status. FINDINGS: In our cohort, patients under contact isolation were significantly more dissatisfied than non-isolated control patients but did not show higher levels of anxiety, depression, and loneliness. A large proportion of patients felt insufficiently informed about their MDRO status. This lack of information was the strongest predictor of dissatisfaction among isolated patients. CONCLUSION: These findings underline the importance of adequate patient communication. It is essential for patients' well-being to receive timely, relevant, and understandable information about the background and consequences of their infection or colonisation with MDROs.
| Type: | Article |
|---|---|
| Title: | Patients with multi-drug-resistant organisms feel inadequately informed about their status: adverse effects of contact isolation |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.jhin.2022.11.021 |
| Publisher version: | https://doi.org/10.1016/j.jhin.2022.11.021 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Contact isolation, Effect on patients, MDRO, Matched case–control study, Mental health, Well-being, Humans, Case-Control Studies, Cross Infection, Gram-Negative Bacteria, Quarantine, Patient Isolation, Drug-Related Side Effects and Adverse Reactions, Drug Resistance, Multiple, Bacterial |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10176806 |
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