Author/Authors :
Sprague, Elliott University of Alberta, Edmonton, Canada , Reynolds, Steven Department of Medicine (Infectious Diseases and Intensive Care) - University of British Columbia, Vancouver, Canada , Brindley, Peter Critical Care Medicine Anesthesiology and Medical Ethics - University of Alberta, Edmonton, Canada
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.
