ReviewAntimicrobial resistance and infection control2016
Relationship between hospital ward design and healthcare-associated infection rates: a systematic review and meta-analysis.
Review in Antimicrobial resistance and infection control, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Epidemiology of Healthcare-Acquired Respiratory Syncytial Virus Infection Among Hospitalised Paediatric Patients: a Systematic Review and Meta-Analysis.Influenza and other respiratory viruses · 2025Pooled it
- MRSA transmission in hospitals across Alberta, Canada: a comparative study combining unidentified colonized cases upon admission.BMC infectious diseases · 2026Article
- Article
- Contextual Hospital Conditions and the Risk of Nosocomial SARS-CoV-2 Infection: A Matched Case-Control Study with Density Sampling in a Large Portuguese Hospital.Journal of clinical medicine · 2024Article
- Decreased hospital-acquired respiratory infections among older inpatients during the COVID-19 pandemic: a retrospective observational study in a general hospital in China.BMC infectious diseases · 2024Observational
- Risk of nosocomial coronavirus disease 2019: comparison between single- and multiple-occupancy rooms.Antimicrobial resistance and infection control · 2024Article
- Navigation benchmarking for autonomous mobile robots in hospital environment.Scientific reports · 2024Article
- COVID-19 patient and personal safety - lessons learnt for pandemic preparedness and the way to the next normal.Antimicrobial resistance and infection control · 2023Article
- Coronavirus disease 2019 (COVID-19) incidence after exposures in shared patient rooms in a tertiary-care center in Iowa, July 2020-May 2021.Infection control and hospital epidemiology · 2022Article
- The effect of 100% single-occupancy rooms on acquisition of extended-spectrum beta-lactamase-producing Enterobacterales and intra-hospital patient transfers: a prospective before-and-after study.Antimicrobial resistance and infection control · 2022Article
- Comprehensive risk assessment for hospital-acquired pneumonia: sociodemographic, clinical, and hospital environmental factors associated with the incidence of hospital-acquired pneumonia.BMC pulmonary medicine · 2022Article
- Silica nanoparticles with encapsulated DNA (SPED) to trace the spread of pathogens in healthcare.Antimicrobial resistance and infection control · 2022Article
- The early test catches the case. Why wait? Frequent testing of close contacts aids COVID-19 control.The Journal of hospital infection · 2021Article
- Organization of a Hospital Ward Aimed at Admitting Patients with SARS-CoV-2: An Economic and Epidemiological Perspective.International journal of environmental research and public health · 2021Article
- Article
- Handrub dispensers per acute care hospital bed: a study to develop a new minimum standard.Antimicrobial resistance and infection control · 2021Article
- Association between intrahospital transfer and hospital-acquired infection in the elderly: a retrospective case-control study in a UK hospital network.BMJ quality & safety · 2021Article
- The Effect of Single-Room Care Versus Open-Bay Care on the Incidence of Bacterial Nosocomial Infections in Pre-Term Neonates: A Retrospective Cohort Study.Infectious diseases and therapy · 2021Article
- Article
- Association Between Nursing Home Crowding and COVID-19 Infection and Mortality in Ontario, Canada.JAMA internal medicine · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe influence of the hospital's infrastructure on healthcare-associated colonization and infection rates has thus far infrequently been examined. In this review we examine whether healthcare facility design is a contributing factor to multifaceted infection control strategies.
methodsWe searched PubMed/MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials (CENTRAL) from 1990 to December 31
resultsWe identified three studies investigating accessibility of the location of the antiseptic hand rub dispenser. Each of them showed a significant improvement of hand hygiene compliance or agent consumption with the implementation of accessible dispensers near the patient bed. Nine eligible studies evaluated the impact of single-patient rooms on the acquisition of healthcare-associated colonization and infections in comparison to multi-bedrooms or an open ward design. Six of these studies showed a significant benefit of single-patient bedrooms in reducing the healthcare-associated colonization and infection rate, whereas three studies found that single-patient rooms are neither a protective nor risk factor. In meta-analyses, the overall risk ratio for acquisition of healthcare-associated colonization and infection was 0.55 (95% CI: 0.41 to 0.74), for healthcare-associated colonization 0.52 (95% CI: 0.32 to 0.85) and for bacteremia 0.64 (95% CI: 0.53 to 0.76), all in favor of patient care in single-patient bedrooms.
conclusionImplementation of single-patient rooms and easily accessible hand rub dispensers located near the patient's bed are beneficial for infection control and are useful parts of a multifaceted strategy for reducing healthcare-associated colonization and infections.
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