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Successful containment of carbapenem-resistant Enterobacteriaceae by strict contact precautions without active surveillance.
Editorial commentary: search, destroy, and confirm: how to maximize the benefit and reduce the unintended consequences of contact precautions for control of methicillin-resistant Staphylococcus aureus.
21) (3) The CDC MDRO guideline states: "Consider the individual patients clinical situation and prevalence or incidence of MDRO when deciding whether to implement or modify contact precautions in addition to standard precautions for a patient infected or colonized with a target MDRO.
Patients diagnosed with CDI should be placed in a private room, or cohorted with another patient with CDI, and cared for using contact precautions.
careful hand hygiene and awareness of the infectious potential of patients and material they came into contact with), contact precautions (i.
When a resident with MRSA is transferred to an acute care facility, it is most important that the EMTs be informed that he or she has MRSA, because once that resident is admitted to the acute care facility, he or she will be placed on Contact Precautions.
Droplet precautions should be added to standard precautions when providing care to patients with symptoms of acute respiratory infection; contact precautions and eye protection should be added when caring for probable or confirmed cases of MERS; airborne precautions should be applied when performing aerosol generating procedures.
Multiple studies have demonstrated that identification of patients who are colonized with organisms such as methicillin-resistant Staphylococcus aureus (MRSA) (7) and vancomycin-resistant enterococci (VRE), in conjunction with the use of contact precautions when caring for those who are colonized, can reduce rates of colonization and infection with these bacteria.
Contact precautions were used until the patient was discharged to a long-term care facility on day 80.
Development of a CDI prophylaxis protocol and compliance with these preventative measures such as hand hygiene with soap and water, private rooms, patient dedicated equipment, environmental cleaning with hypochlorite bleach solutions in all patient rooms, contact precautions, and judicious use of antibiotics will aid in the war on CDI.
Consequently, chromogenic culture media provide an efficient means of detecting colonized patients or establishing and maintaining successful hygiene practices and contact precautions.
Hospitals and LTC facilities have started to include MDRGN in their surveillance for antimicrobial bacteria and have extended requirements for contact precautions.