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adverse events and contact precautions 795


a significant decline in noninfectious adverse events occurred, with the largest decline in patients who no longer required isolation for MRSA and VRE. Also, no increase in infectious adverse events was observed, including device-associated infections. These data and prior data indicating that the removal of routine CP can be performed without an increase in infectious complications suggest that the removal ofMRSA/ VRE CP can contribute to improved patient safety and reduction of preventable adverse events.6–8 More data on the optimal hospital conditions and quality improvement programs are needed to make this intervention successful. Given that CP are likely still necessary for specific populations, strategies to increase contact with healthcare providers and decrease noninfectious adverse events in these patients should be developed.


acknowledgments


Financial support: The study was self-funded. No financial support was provided relevant to this article. Statistical collaboration was supported by NIH/National Center for Advancing Translational Science (NCATS) UCLA CTSI (grant no. UL1TR001881). Potential conflicts of interest: All authors report no conflicts of interest rele-


vant to this article. Address correspondence to Elise Martin, MD, Division of Infectious


Diseases, David Geffen School of Medicine at UCLA, 10833 LeConte Ave, 37-121 CHS, Los Angeles, CA 90095 (emartin@mednet.ucla.edu).


references


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8. McKinnell JA, Eells SJ, Clark E, et al. Discontinuation of contact precautions with the introduction of universal daily chlorhex- idine bathing. Epidemiol Infect 2017;145:2575–2581.


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