
%0 Journal Article
%A Zimmerman, Peta-Anne 
%A Rowe, Jennifer 
%A Wallis, Marianne 
%T Accommodating patients with a history of colonisation or infection with a multi-resistant organism: a case study investigation
%J Healthcare Infection
%D 2004/03/01
%V 9
%N 1
%P 30-35
%K 
%R https://doi.org/10.1071/HI04030
%U https://www.publish.csiro.au/paper/HI04030 
%X Health care associated infection (HAI) with multi-resistant organisms is a major concern for in-patient facilities. Individuals who have previously been infected or colonised with multi-resistant organisms may require in-patient rehospitalisation, yet consistent application of infection control precautions remains problematic. This paper reports the findings of a case study that explored the application of contact precautions in a specific hospital context. Specifically, the factors that influence the accommodation of people, with a history of infection or colonisation with a multi-resistant organism, when they are admitted to hospital, are described. Data from semi-structured interviews were subject to a qualitative content analysis. The findings reveal complex interactions among health professional practices, material resources and organisational dynamics. Consequently, the responsibility for appropriately accommodating patients infected or colonised with multi-resistant organisms may be shouldered by many healthcare professionals but borne by none. The findings indicate that there is a need for creative solutions to the issues that impact on the application of infection control protocols in clinical environments. A strategic practice development framework is proposed to enact responsive, effective and accountable practice in the implementation of contact precautions. 
