Five-year surveillance of patients with communicable diseases nursed in isolation

During a five-year surveillance program of patients with communicable disea ses nursed in isolation, we gathered information on 2880 patients who were nursed in isolation for 28145 days, from January 1994 to December 1998. The mean number of patients nursed in isolation was 575.4 (range, 427-709) per year. On average 2.4% of patients admitted yearly to the University Medica l Center (UMC) were nursed in isolation. The mean number of days nursed in isolation was 9.8 days per patient. 1996 was a peak year in isolations due to outbreaks of gentamicin-resistant enterobacteriaceae (GRB) and methicillin-resistant Staphylococcus aureus ( MRSA). The main reasons for requiring isolation were: GRB, MRSA (proven and suspected cases), Clostridium difficile, viral infections and Mycobacteriu m tuberculosis. Registration of quantitative data on nursing patients in isolation, as pres ented in this paper, makes it possible to gain insight into the type and nu mber of isolation indications, the required isolation room capacity on diff erent wards, the workload of healthcare workers resulting from isolation an d the trends in incidence of communicable diseases. (C) 2001 The Hospital I nfection society.