Evidence map›Paper›PMID 35000584›Full record

ArticleAntimicrobial resistance and infection control2022

Droplet precautions on-site (DroPS) during the influenza season 2018/2019: a possible alternative to single room isolation for respiratory viral infections.

Michèle Birrer, Martin Perrig, Fabienne Hobi, Christina Gfeller, Andrew Atkinson, Martin Egger, Corinne Bartholdi, Drahomir Aujesky, Jonas Marschall, Rami Sommerstein

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 44% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Michèle BirrerDepartment of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Frohburgstrasse 3, 6002, Luzern, Switzerland. michele.birrer@insel.ch.ORCID 0000-0002-7203-482X
Martin PerrigDepartment of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Fabienne HobiDepartment of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Frohburgstrasse 3, 6002, Luzern, Switzerland.
Christina GfellerDepartment of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Frohburgstrasse 3, 6002, Luzern, Switzerland.
Andrew AtkinsonDepartment of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Frohburgstrasse 3, 6002, Luzern, Switzerland.
Martin EggerHospital Hygiene, Regional Hospital Emmental, Burgdorf, Switzerland.
Corinne BartholdiDepartment of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Drahomir AujeskyDepartment of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Jonas MarschallDepartment of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Frohburgstrasse 3, 6002, Luzern, Switzerland.ORCID 0000-0002-0052-3210
Rami SommersteinDepartment of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Frohburgstrasse 3, 6002, Luzern, Switzerland. rami.sommerstein@hirslanden.ch.ORCID 0000-0003-1011-6878
University of Bern · CHRegionalspital Emmental · CHUniversity of Lucerne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe guideline-driven and widely implemented single room isolation strategy for respiratory viral infections (RVI) such as influenza or respiratory syncytial virus (RSV) can lead to a shortage of available hospital beds. We discuss our experience with the introduction of droplet precautions on-site (DroPS) as a possible alternative.

methodsDuring the 2018/19 influenza season we introduced DroPS on several wards of a single tertiary care center, while other wards maintained the traditional single room isolation strategy. On a daily basis, we evaluated patients for the development of respiratory symptoms and screened those with a clinical diagnosis of hospital-acquired respiratory viral infection (HARVI) for influenza/RSV by molecular rapid test. If negative, it was followed by a multiplex respiratory virus PCR. We report the concept of DroPS, the feasibility of the strategy and the rate of microbiologically confirmed HARVI with influenza or RSV infection on the DroPS wards compared to wards using the traditional single room isolation strategy.

resultsWe evaluated all hospitalised patients at risk for a HARVI, 741 (72%) on the DroPS wards and 293 (28%) on the regular wards. The hospital-acquired infection rate with influenza or RSV was 2/741 (0.3%; 1× influenza A, 1× RSV) on the DroPS wards and 2/293 (0.7%; 2× influenza A) on the regular wards.

conclusionsDroplet precautions on-site (DroPS) may be a simple and potentially resource-saving alternative to the standard single room isolation strategy for respiratory viral infections. Further studies in a larger clinical context are needed to document its safety.

Indexed as

HospitalsAgedAged, 80 and overFemaleHumansInfection ControlInfluenza, HumanMaleMiddle AgedPilot ProjectsRespiratory Syncytial Virus InfectionsSeasonsSwitzerlandDroplet precautionsHealth-care acquired infectionsHealthcare epidemiologyHospital-acquired infectionInfluenzaIsolationRespiratory viral infectionVirus

Identifiers

PMID35000584
PMCPMC8743058
OpenAlexW4205419728

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.