Mdro pct & non clinical final-January


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Mdro pct & non clinical final-January

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