I agree with Doc Holiday. Limited data.
Also, there are routine circumstances (low frequency of severe, potentially
life threatening respiratory infections in the PED patients), and higher
risk circumstances (eg. local outbreaks of measles in under immunized
population, or virulent strain of influenza, or EBOLA,or SARS).
There have been periods of higher risk respiratory infections during which
Bellevue Peds ED has increased the use of early and routine respiratory
isolation (similar to what you described), and early triage and isolation.
(local measles outbreaks, virulent influenza year, EBOLA screening and
We have had occasional patients with common upper respiratory symptoms that
were not triaged to mask and room with a closed door, who subsequently were
diagnosed with measles or varicella, and the entire waiting room group of
patients needed to be identified and tracked down to determine exposure,
illness symptoms, and depending on vaccine status and immune status
immunization and or medical prophylaxis. These events have not occurred
frequently at most once or twice a year. They have also not generated a
push to change our triage and isolation procedures from hospital
epidemiology, or Pediatric ID, or hospital administration.
I am curious what generated the ID push to triage and isolate all?
Hope this helps.
On Wed, Aug 2, 2017 at 9:27 AM, Amy Groen <
[log in to unmask]> wrote:
> Hi all! Question for the group:
> Our infection control department is trying to impose respiratory isolation
> in our emergency department from triage. They are wanting every patient
> presenting with a cough or a history of a cough to wear as mask until in
> the room and then want the treatment team to wear gown/gloves/mask. This
> is crazy to me but I need to go into this meeting with data and literature
> to help my cause. I can't find any great studies so was wondering if you
> have a policy that you can share with me? If you know of any
> literature....let me know. If you think this is how it should be, I will
> understand and go with it.
> Thanks so much!
> Amy Groen
> Medical Director
> Blank Children's Hospital Emergency Department
> Des Moines, IA
> For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
Michael G. Tunik
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: