Do contact precautions cause depression? A two-year study at a tertiary care medical centre

被引:37
作者
Day, H. R. [1 ]
Perencevich, E. N. [2 ,3 ]
Harris, A. D. [1 ,4 ]
Himelhoch, S. S. [1 ]
Brown, C. H. [1 ]
Gruber-Baldini, A. L. [1 ]
Dotter, E. [1 ]
Morgan, D. J. [1 ,4 ]
机构
[1] Univ Maryland, Sch Med, Baltimore, MD USA
[2] Univ Iowa, Carver Coll Med, Iowa City, IA USA
[3] Iowa City VA Med Ctr, Iowa City, IA USA
[4] VA Maryland Hlth Care Syst, Baltimore, MD USA
关键词
Contact precautions; Isolation; Depression; Anxiety; RESISTANT STAPHYLOCOCCUS-AUREUS; ENTEROCOCCUS-FAECIUM; PSYCHOLOGICAL IMPACT; RISK-FACTORS; ANXIETY; INFECTIONS; SURVEILLANCE; TRANSMISSION; ASSOCIATION; PREVALENCE;
D O I
10.1016/j.jhin.2011.03.026
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Contact precautions, used to reduce the transmission of infectious diseases, include the wearing of gowns and gloves for room entry. Previous small studies have shown an association between contact precautions and increased symptoms of depression and anxiety. A retrospective cohort of all patients admitted to a tertiary care centre over two years was studied to assess the relationship between contact precautions and depression or anxiety. During the two-year period, there were 70 275 admissions including 28 564 unique non-intensive-care-unit (ICU), non-psychiatric admissions. After adjusting for potential confounders, contact precautions were associated with depression [odds ratio (OR) 1.4, 95% confidence interval (CI) 1.2-1.5] but not with anxiety (OR 0.8, 95% CI 0.7-1.1) in the non-ICU population. Depression was 40% more prevalent among general inpatients on contact precautions. (C) 2011 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:103 / 107
页数:5
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