Mdro pct & non clinical final-JanuaryPresentation Transcript
MDRO (Multiple drug-resistant organisms) What You Need to Know UT Southwestern University Hospitals: Infection Control Department
What is a Multi-drug Resistant Organism (MDRO)? Multi-drug resistant organisms (MDRO’s) are germs which are not killed by many different antibiotics. Illness caused by MDROs cannot easily be cured by commonly used medicines. These germs are easily spread to other people. If a patient becomes sick from a MDRO, they stay longer in the hospital and are at a higher risk of dying.
MRSA: Methicillin-Resistant Staphylococcus aureus VRE : Vancomycin-Resistant Enterococcus Multidrug-Resistant (MDR) Acinetobacter Multidrug-Resistant (MDR) Klebsiella Multidrug-Resistant (MDR) Enterobacter Multidrug-Resistant (MDR) Escherichia coli C. Diff: Clostridium difficile Common MDROs and Their Abbreviations
Hands are the culprits MDROs are spread from one person to another on the hands. Hands become soiled when touching the patient to give care or when touching surfaces in the room which the patient or other care givers have touched. When hands are not washed or gown and gloves are not worn in Contact Isolation rooms, the MDRO is more likely to be passed to another patient.
WASH YOUR HANDS! Panel A: THE MRSA GREWAFTER NO HAND WASHING, Panel B: AFTER USING ALCOHOL FOAM TO WASH HANDS, NO MRSA GREW Donskey C and Eckstein B. N Engl J Med 2009;360:e3
Hand Hygiene Stop the Spread of Germs Hand washing is the single most important way to prevent the spread of disease Use soap and warm water Rub for15 seconds Alcohol-based products Wet hands with foam and rub in 99% kill rate It has a persistent effect, and can continue to kill germs Use 6-8 times before washing with soap & water WASH YOUR HANDS—IT SAVES LIVES!
Touching the PATIENT isn’t the only way to get germs on your hand! MDROs live on the surfaces in the room where the patient and other care givers have touched.
How to Protect Your Patients, Yourself, and Your Family: Standard Precautions Standard Precautions are good hygiene practices which apply to all patients, whether they have a MDRO or not. Standard Precautions are in effect for all patients, all the time—24 hours/Day, 7 Days/Week. These include: Washing your hands before and after patient contact If coming in contact with body fluids, as needed, wear: Gloves Gown Mask Goggles or face shield
How to Protect Your Patients, Yourself, and Your Family: Standard Precautions Throw away used sharps promptly. Any equipment or items in the room which may have been soiled: Clean before using again, or Throw the item away
How to Know a Patient Has a MDRO Patients with a known MDRO will be placed in isolation There are 3 types of isolation: Contact Airborne Droplet A sign on the door will alert anyone entering the room of the isolation type
Good hand washing is the best way to stop the spread of germs. Contact Precautions may be added to prevent the bugs from being carried from one room to another on equipment or the hands of care givers. Contact Precautions
Contact Isolation Precautions A Green Contact Isolation sign will be on the room door. Any PERSON entering the room wears gloves and gown, no matter the reason for entering the room or for how long. This includes all staff and visitors.
Contact Isolation Precautions Remove the gloves and gown and wash hands BEFORE leaving the room. Equipment from a Contact Isolation room should be cleaned before being used in the care of another patient.
Contact Isolation Precautions Sign
Stop Sign for Clostridium difficile Contact Precautions + Use ONLY soap & water to wash hands
Droplet Precautions A Yellow/Orange Droplet Isolation sign will be on the room door. Surgical mask required for staff and visitors Surgical mask for patient if transport out of room required
Droplet Isolation Precautions Sign
Airborne A Hot Pink Airborne Isolation sign will be on the room door. Negative Pressure Room (318, 319, 426, 566, 567, 718, 719, MSICU - 4 rms) N95 Mask for staff Surgical mask for patient if transport out of room required Duckbill masks for visitors
Airborne Isolation Precautions Sign
Prevent Spread—What You Can Do Fact:Patient-to-patient spread of germs can be prevented. Actions:
Use standard precautions
Minimize contact with infection-causing body fluids
Use approved airborne/droplet/contact isolation precautions
When in doubt, call infection control
Prevent Spread—What You Can Do Infection Control has found that patients from Long Term Acute Care (LTAC) facilities usually have a MDRO, either now or in the past Nursing staff will place them in Contact Isolation immediately upon arrival, no questions asked! Call Infection Control if you have any questions
Prevent Spread—What You Can Do Fact:People spread germs from patient to patient. Actions:
Stay home when you are sick
Cover your cough or sneeze with a tissue
Keep your hands clean
Set an example!
The Infection Control Team Doramarie Arocha David Townson Gwen Way