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Infection prevention and control
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
‘Protective isolation’ is used to protect those individuals who, by nature of their underlying medical condition or treatment, are immunosuppressed and therefore extremely vulnerable to infections. i.e. individuals with AIDS, haematology/oncology – people undergoing chemotherapy.
Shock
Published in Philip Woodrow, Nursing Acutely Ill Adults, 2015
NICE (2012a) has issued guidance for neutropenic sepsis. Management for neutropenic sepsis is similar to that for sepsis from other causes, although deterioration is often more rapid. Protective isolation is usually necessary.
Characteristics of respiratory virus infections in autologous hematopoietic stem cell transplantation patients, a prospective study, Bern, Switzerland, 2015–2017
Published in Infectious Diseases, 2021
Fabienne Moret, Jonas Marschall, Andrew Atkinson, Sarah Farag, Stefan Zimmerli, Thomas Pabst, Rami Sommerstein
Treatment-related toxicities and infections are the two main causes of morbidity and mortality in auto-SCT patients [4–6,8,11,15–17]. Recovery from neutropenia occurs 1.5–2 weeks after transplantation [16,18,19] but until then, the main risk for infection is lymphopenia and neutropenia [11,18,20,21]. The degree of immunosuppression varies with each patient [15], and recipient factors, such as age [7,15], comorbidities, and exposure to pathogenic agents before transplantation contribute to the infection risk [15]. During all phases of transplantation (pre-engraftment, post-engraftment, and late phase) the risk of respiratory and enteric virus infections is elevated [15,19]. A previous study showed that upper respiratory infections were the most common complication in multiple myeloma patients who had received auto-SCT [10]. Certain physicians, therefore, recommend postponing HSCT, even though the current evidence base for such a statement is weak [4,13]. Currently, according to international guidelines, no protective isolation measures are recommended for the inpatient management of auto-SCT patients [22]. Therefore, patients may be placed in a two-bedroom [22]. Nevertheless, special hygienic precautions are often expected from caregivers and relatives of auto-SCT patients in order to prevent RVIs [20,23–25], the risk for which depends on the season [12,13,17,20,21,25,26]. This question is particularly topical at the moment because there are still many open questions regarding the handling of HSCT and Covid-19 [27].
Colony stimulating factors for prophylaxis of chemotherapy-induced neutropenia in children
Published in Expert Review of Clinical Pharmacology, 2022
Current nonpharmacological interventions used to prevent neutropenic fever are focused on eliminating risk of infection [9]. Protective isolation, hygiene, and neutropenic diet are all examples of these. However, there aren’t much data to support use of these regimens. Neutropenic diet, also known as low-bacteria diet or sterile diet, is prescribed to avoid introducing bacteria from the gastrointestinal tract (GI) [10,11]. All foods that were likely to contain bacteria, such as fresh fruits and vegetables, are to be eliminated. Recent randomized trials demonstrated that neutropenic diet had no influence on the infection rates in neutropenic cancer patients [11,12].
Choose who’s in your circle: how women’s relationship actions during and following residential treatment help create recovery-oriented networks
Published in Journal of Social Work Practice in the Addictions, 2020
Meredith W. Francis, Leigh H. Taylor, Elizabeth M. Tracy
Based on the types of actions to manage change in networks described by these women, treatment practitioners may want to impart skills in network-focused treatment sessions to promote protective isolation, such as deliberately disconnecting, choosing to have less contact, or staying away from negative people. These types of actions to minimize support for problem drinking or drug use (Copello et al., 2009) are often difficult for female clients to initiate, and the skills building could focus on brainstorming possible actions and role playing as practice in a safe treatment setting before carrying out the action in the real-world network.