Sprague Elliott, Reynolds Steven, Brindley Peter
University of Alberta, Edmonton, AB, Canada T6G 2B7.
Critical Care Medicine, Fraser Health, New Westminster, BC, Canada V3L 3W7; Department of Medicine (Infectious Diseases and Intensive Care), University of British Columbia, Vancouver, BC, Canada V5Z 1M9.
Can Respir J. 2016;2016:5352625. doi: 10.1155/2016/5352625. Epub 2016 Apr 12.
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.
隔离预防措施旨在尽量减少病原体传播并降低医院获得性感染。最近，由于越来越多的风险证据，隔离预防措施的有效性受到了质疑。这些假定的不利方面分为可量化的金钱成本（即对系统的实际成本）和临床上重要但不太容易量化的成本（即对患者的“成本”）。作者还简要回顾了解除隔离和隔离的替代方法。本综述并非反对适当的隔离或预防措施，只是作者认为应兼顾风险和益处并传播最新信息。他们以患者为中心的目标是减轻真正需要隔离者的风险，并在安全且适当时尽快结束隔离。
