Summary
Background
Contact isolation of patients with multi-drug-resistant organisms (MDROs) is an essential
element of infection prevention strategies in hospitals worldwide. However, this practice
may be associated with adverse side effects on patients' health and well-being.
Aim
This study was the first to assess mental health and well-being variables among isolated
patients compared with non-isolated control patients in a German cohort.
Methods
We conducted a matched case–control study among N = 267 patients admitted to a tertiary care teaching hospital in Germany. Their levels
of anxiety, depression, loneliness, and dissatisfaction with their hospital experience
were assessed using a questionnaire. Additionally, among isolated patients, it was
evaluated how well they felt informed about their MDRO status.
Findings
In our cohort, patients under contact isolation were significantly more dissatisfied
than non-isolated control patients but did not show higher levels of anxiety, depression,
and loneliness. A large proportion of patients felt insufficiently informed about
their MDRO status. This lack of information was the strongest predictor of dissatisfaction
among isolated patients.
Conclusion
These findings underline the importance of adequate patient communication. It is essential
for patients' well-being to receive timely, relevant, and understandable information
about the background and consequences of their infection or colonisation with MDROs.
Keywords
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Article info
Publication history
Published online: December 05, 2022
Accepted:
November 4,
2022
Received:
August 17,
2022
Identification
Copyright
© 2022 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
