Ward assessment of Smart Ideas Project: bringing source isolation to the
| ISRCTN | ISRCTN02681602 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN02681602 |
| Secondary identifying numbers | 7623 |
- Submission date
- 12/05/2010
- Registration date
- 12/05/2010
- Last edited
- 29/07/2013
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Infections and Infestations
Plain English summary of protocol
Background and study aims
Most UK hospitals do not have enough single rooms to isolate all infected patients. The aim of this study was to test the acceptability of temporary isolation rooms on general wards together with specifically designed portable sink units and toilets.
Who can participate?
Patients over the age of 18 who were admitted and who required isolation, but for whom no single room was available, could participate in this study.
What does the study involve?
A total of 53 patients were isolated, environmental samples were collected and staff hand hygiene was assessed. Questionnaires were offered to staff, patients and visitors covering ease of use and acceptability.
What are the possible benefits and risks of participating?
The possible benefits were protection of other patients or themselves from infection spread. The disadvantage was separation from other patients and a restricted environment.
Where is the study run from?
University College London Hospital (London, UK).
When is the study starting and how long is it expected to run for?
The study ran for 6 months in 2009.
Who is funding the study?
The study was funded by the Health HCAI Technology Innovation Programme.
Who is the main contact?
Prof Peter Wilson
peter.wilson@uclh.nhs.uk
Contact information
Scientific
UCL Immunology and Molecular Pathology
Windeyer Building
46 Cleveland Street
London
W1T 4JF
United Kingdom
Study information
| Study design | Single centre non-randomised interventional process of care trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Non randomised controlled trial |
| Study setting(s) | Other |
| Study type | Quality of life |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
| Scientific title | A single centre non-randomised interventional trial of the acceptability of three main designs of a temporary isolation facility in order to prevent the spread of infection in a ward |
| Study acronym | Smart Ideas |
| Study objectives | Most UK hospitals lack sufficient single room accommodation to provide source isolation for all patients infected or colonised with multi-resistant organisms. Low risk carriers of MRSA are nursed on open wards or in cohorts that are rarely enforced sufficiently strictly to be effective. A means of providing temporary contact and airborne isolation in the general ward could be an effective means of reducing transmission in wards with a high prevalence of infection. A temporary isolation facility was designed by a multiprofessional committee. Full scale models were prepared, discussed and modified in an empty ward before working prototypes were produced. The purpose of this study was to assess the acceptability of three main designs to staff and patients and to determine ways in which design could be improved. The study was not powered to determine efficacy in preventing spread. |
| Ethics approval(s) | Camden & Islington Community Local Research Ethics Committee approved on the 27Th October 2008 (ref: 08/H0722/89) |
| Health condition(s) or problem(s) studied | Topic: Infection; Subtopic: Infection (all Subtopics); Disease: Infectious diseases and microbiology |
| Intervention | The study was performed in wards at University College Hospital using 4 - 6 prototypes of a temporary isolation unit (TIU), LCD glass screens and plastic screens (KwickScreens). The TIU provided some airborne isolation and incorporated a fabric ceiling and HEPA filtered air blown across the entrance. All three systems provided barriers with respect to adjacent beds. Portable sinks were supplied for use with all TIU and some of the other systems. Portable toilets were provided for use with the TIU. There was no follow up following discharge from the ward as this was only a pilot in use assessment. |
| Intervention type | Other |
| Primary outcome measure | Patient acceptability of each system was assessed by questionnaire after 3 days use. A five point Likert scale was used. |
| Secondary outcome measures | No secondary outcome measures |
| Overall study start date | 22/04/2009 |
| Completion date | 21/07/2009 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | Planned sample size: 53; UK sample size: 53 |
| Key inclusion criteria | All patients over the age of 18 who were admitted and who required isolation, but for whom no single room was available. Patients could be withdrawn from the study if patient care was affected. |
| Key exclusion criteria | Does not meet inclusion criteria |
| Date of first enrolment | 22/04/2009 |
| Date of final enrolment | 21/07/2009 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
W1T 4JF
United Kingdom
Sponsor information
Hospital/treatment centre
UCL Immunology and Molecular Pathology
Windeyer Building
46 Cleveland Street
London
W1T 4JF
England
United Kingdom
| Website | http://www.uclh.nhs.uk/ |
|---|---|
"ROR" |
https://ror.org/042fqyp44 |
Funders
Funder type
Government
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/10/2010 | Yes | No |
