Clostridium difficile infections tools, evaluating environmental cleaning tools ( ). Isolation Precautions: Preventing. Transmission of Ifnectious Agents in Healthcare Settings, June isolationpdf. Basic Infection Prevention and Control. Disinfection and sterilization(https://www. ).

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Identify resources for performing surveillance cultures, rapid diagnostic testing for viral and other selected pathogens, preparation of antimicrobial susceptibility summary reports, trend analysis, and molecular typing of clustered isolates performed either on-site or in a reference laboratory and use these resources according to facility-specific epidemiologic needs, in consultation with clinical microbiologists. In acute care hospitals and long-term care and other residential settingsuse disposable noncritical patient-care equipment e.

Review the role of antimicrobial use in perpetuating the MDRO problem targeted for intensified intervention.

These recommendations contain minor edits in order to clarify the meaning. Wash nciddo with non-antimicrobial soap and water or with antimicrobial soap and water if contact with spores e.

Remove gown and observe hand hygiene before leaving the patient-care environment. Use the following principles in developing this policy and procedures: Obtain ASC from areas of skin breakdown and draining wounds. Wear a gown whenever nicdod that clothing will have direct contact with the patient or potentially contaminated environmental surfaces or equipment in close proximity to the patient.

No recommendation is made regarding the use djqp PPE by healthcare personnel who are presumed to be immune to measles rubeola or varicella-zoster based on history of disease, vaccine, or serologic testing when caring for an individual with known or suspected measles, chickenpox or disseminated zoster, due to difficulties in establishing definite immunity.

For ill residents e. Adhere to federal and state requirements for protection of healthcare personnel from exposure to bloodborne pathogens.

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MDRO Management | Guidelines Library | Infection Control | CDC

Develop and implement systems for early detection and management e. Give highest priority to those patients who have conditions that may facilitate transmission, e. Provide administrative support, including fiscal and human resources for maintaining infection control programs. Use Airborne Precautions as recommended in Appendix A for patients known or suspected to be infected with infectious agents transmitted person-to-person by the airborne route.


Rating Explanation Category IA Strongly recommended for implementation and strongly supported by well-designed experimental, clinical, or epidemiologic studies. Category II Suggested for implementation and supported by suggestive clinical or epidemiologic studies or a theoretical rationale.

If noncritical patient-care equipment e. The edit does not constitute change to the intent of the recommendations. Include in education and training programs, information concerning use of vaccines as an adjunctive infection control measure IB II. Ensure that patients are physically separated i. Skip directly to search Skip directly to A to Z list Skip directly to navigation Skip directly to page options Skip directly to site content. Refer to state or local regulations that may apply upon closure of hospital units or services.

Obtain cultures of healthcare personnel for target MDRO when there is epidemiologic evidence implicating the healthcare staff member as a source of ongoing transmission.

Multidrug-resistant organisms (MDRO) Management

Prepare and distribute reports to prescribers that summarize findings and provide suggestions for improving antimicrobial use.

If it is not possible to exhaust air from an AIIR directly to the outside, the air may be returned to the air-handling system or adjacent spaces if all air is directed through HEPA filters.

In acute care hospitals and long-term care and other residential settingslimit transport and movement of patients outside of the room to medically-necessary purposes. Use fluid infusion and administration sets i. Consult infection control professionals dhap patient placement to determine the safety of alternative room that do not meet engineering requirements for an AIIR. Establish a baseline e. Wear a surgical mask when placing a catheter or injecting material into the spinal canal or subdural space i.

In microbiology laboratoriesuse standardized laboratory methods and follow dhhqp guidance for determining antimicrobial susceptibility of targeted e.

Use Contact Precautions as recommended in Appendix A for patients with known or suspected infections or evidence of syndromes that represent an increased risk for contact transmission. General recommendations for all healthcare settings independent of the prevalence of multidrug resistant organism MDRO infections or the population served. In acute care hospitals and long-term care settingsplace patients who require Airborne Precautions in an AIIR that has been constructed in accordance with current guidelines.


The renumbering does not constitute change to the intent of the recommendations. Document competency initially and repeatedly, as appropriate, for the specific staff positions.

Don gloves upon entry into the room or cubicle.

Direct exhaust of air to the outside. In ambulatory settingsplace patients who require Droplet Precautions in an examination room or cubicle as soon as possible. Wear disposable medical examination gloves or reusable utility gloves for cleaning the environment or medical equipment. Provide ventilation systems required for a sufficient number of airborne infection isolation rooms AIIR s as determined by a risk assessment and Protective Environments in healthcare facilities that provide care to patients for whom such rooms are indicated, according to published recommendations.

Vacate units for environmental assessment ncidd intensive cleaning when previous efforts to eliminate environmental reservoirs have failed.

After contact with blood, body fluids or excretions, mucous membranes, nonintact skin, or wound dressings. Alternatively, hands may be washed with an antimicrobial soap and water. Include prevention of healthcare-associated infections HAI as one determinant of bedside nurse staffing levels and composition, especially in high-risk units IB I.

When possible, leave patient-care equipment in the home until the patient mcidod discharged from home care services. Wear a fit-tested NIOSH-approved N95 or higher level respirator for respiratory protection when entering the room or home of a patient when the following diseases are suspected or confirmed:.

Screen visitors to high-risk patient care areas e. Don gown upon entry into the room or cubicle. One type of HAI — caused by the germ C. Once the patient leaves, the room should remain vacant for the appropriate time, generally one hour, to allow for a full exchange of air. In all areas where healthcare is delivered, provide supplies gob equipment necessary for the consistent observance of Standard Precautions, including hand hygiene products and personal protective equipment e.