procon debate are barrier precautions cost-effective in improving patient outcomes in the intensive care unit圣保罗市辩论障碍预防措施有效的改善患者的结果在重症监护室.pdfVIP

Thampi and Morris Critical Care 2012, 16:202 /content/16/1/202 R E V I E W Pro/Con debate: Are barrier precautions cost-ef ective in improving patient outcomes in the intensive care unit? 1 2 Nisha Thampi and Andrew M Morris * prophylaxis. Nonetheless, infectious diseases continue to Abstract challenge the quality of care provided in ICUs. Prompted You are responsible for a large medical surgical ICU. by accreditation and patient-centered care, hospitals are Your hospital administration has been very focused challenged to provide high-quality care with fi nite on reducing rates of hospital-acquired infections fi nancial resources. Any new IPAC initiative will thus be particularly in the wake of increasing public attention. examined for its cost-eff ectiveness. However, it is time for budget preparation and your h e broad impact of infection control on rates of i nancial oicer is concerned about the escalating hospital-associated infections goes back more than costs associated with patient isolation and barrier 200  years. A 1795 treatise on puerperal fever by precautions/personal protective equipment. Having Alexander Gordon, who made seminal observations as an become aware of the high costs associated with obste trician in the United Kingdom, suggested the illness these interventions, you start to wonder about the was due to an infection, and recommended that wisdom of spending so much in this area. Your hosp