CDC
Guideline for IsolationPrecautions:
Preventing Transmission of Infectious Agents in Healthcare Settings 2007.
CDC guidelines on isolation 2007.pdf

CDC
www.cdc.gov/od/oc/media/pressrel/r2k0306b.htm
March 6, 2000 CDC reports 2 million patients a year acquire
a hospital nosocomial infection and 88,000 of those patients
die.

Courier Journal, Louisville, KY July 1, 2004
Class Action Lawsuit against Jewish Hospital in Louisville, KY.
“The suit claims that hospital officials were aware that proper procedures
were not being followed as early as 2000 but failed to
act.”

South Florida Sun-Sentinel (Ft. Lauderdale,
FL) December 2004. Tenet Healthcare Corp. agreed to pay $31 million
to settle 106 individual lawsuits filed after heart surgery patients
at Palm Beach Garden Medical Center developed serious
bacterial infections. Twenty of those patients died.

AMJ Infec. Control 2004 Aug 32 (5) (262—267)
Radical design change to make hand washing more accessible was
not enough to reduce nosocomial spread MRSA. Improved
hand washing was not enough to reduce MRSA infections.
Conclusion: One may conclude that contamination
preexists in the patient’s room.

Burns and Allen Research Institute; Dept. of Surgery,
Cedars-Sinai Medical Center & UCLA School of Medicine,
Los Angeles, CA; JAN 2001.
Study shows “nosocomial pneumonia is not prevented by protective contact
isolation in the Surgical Intensive Care Unit.” Conclusion was
that protective contact isolation with gowns and hand washing
was not superior to just hand washing and gloves alone in
the prevention of airway colonization and nosocomial pneumonia.
Conclusion: One may conclude that contamination
preexists in the patient’s ICU room.

Spec Care Dentists 2003; 23 (3) 100—7
Prevalence of MRSA in nursing homes. The most common sites positive MRSA colonization are the nose and mouth (saliva)

Microbial Immunology 1997; 41 (9):681-6
Long term Survey of MRSA in oral cavity of children.

British Dental Journal Vol. 195 No. 12 Dec. 20, 2003
(701-703)
MRSA in the oral cavity. This article, as well as others, show increase
in MRSA colonization in the older population.

Nurse.minercia.co.uk/MRSA.htm Mar. 27, 2001.
MRSA can last for several months in the domestic environment.

AM SURG 2001 December
Nosocomial pneumonia is the leading cause of death from hospital
acquired infection intubated surgical intensive care units.

J. Hosp. Infect. 2001 October
Dust and residue was the leading cause of methicillin–resistant
staphylococcal aureus spread and is epidemic in hospitals.

J. Hosp. Infect. 2001 April
Laryngoscope blades have been implicated in spread of pseudomonas
aerugensoa and methicillin-resistant staphylococcal aureus
infections in hospitals. It further states that all hospitals need to
develop a broad and inclusive infection policy. This was particularly
true for anesthesia equipment.