In: Nursing
Give examples of MDRO infections, infection control, and isolation practices when a patient has these infections in the hospital?
1) Ans) A multidrug resistant organism (MDRO) is a germ that is resistant to many antibiotics. If a germ is resistant to an antibiotic, it means that certain treatments will not work or may be less effective.
MDROs can be difficult to treat since many antibiotics won’t work to treat them.
Examples of MDROs include:
Methicillin resistant Staphylococcus aureus (MRSA)
Vancomycin resistant Enterococcus (VRE)
Resistant Acinetobacter
These germs can cause illnesses, including:
Urinary tract infections
Pneumonia
Blood infections
Wound infections
Most MDRO infections are spread by direct contact with an infected person’s bodily fluids, such as blood, drainage from a wound, urine, bowel movements (stool), or sputum (phlegm). They can also be spread by contact with equipment or surfaces that may have the germ on them. Casual contact, such as touching or hugging, does not spread MDROs.
MDRO infections are treated with antibiotics that the germ causing your infection isn’t resistant to. Your doctor will decide which medication(s) to give you based on the germ and location of your infection.
Isolation precautions are steps
Isolation precautions are steps we take to stop infections from spreading from person to person. If you’re diagnosed with or exposed to an MDRO infection while you’re in the hospital:
You will be placed in a private room.
The door to your room must remain closed at all times.
A sign will be posted on your door telling all staff and visitors to clean their hands with soap and water or an alcohol-based hand sanitizer before going into and after leaving your room.
All staff and visitors will need to wear a yellow gown and gloves while in your room. These are available outside of your room and can be disposed of inside your room.
If you leave your room for tests, you must wear a yellow gown and gloves, or be covered with a clean sheet.
If you leave your room to walk around the unit, you must wear a yellow gown and gloves.
You will not be able to go to the following areas of the hospital:
Pantry on your unit
Recreation center on M15
Pediatric recreation areas on M9
Cafeteria
Main lobby
Any other public area of the hospital
You can have art or massage therapy in your room while following isolation precautions.
You can stop following these precautions after you received treatment and no longer have symptoms
Infection Control Precautions MRDO
These include improvements in hand hygiene, use of Contact Precautions until patients are culture-negative for a target MDRO, active surveillance cultures (ASC), education, enhanced environmental cleaning, and improvements in communication about patients with MDROs within and between healthcare facilities.
1. Patient assessment for infection risk
2. Hand hygiene
3. Respiratory and cough hygiene
4. Personal protective equipment (PPE)
5. Safe management of equipment
6. Safe management of environment
7. Safe management of blood and body fluids
8. Safe management of linen
9. Safe disposal of waste (including sharps)
10. Occupational safety & Exposure