It is clear that infection control for ESBL-producing strains would be achieved through active surveillance of high-risk patients, such as those in the ICU [33]. Some authors claim that strict contact precautions might be more appropriate and cost-effective than systematic MDRB screening. ...
Issue Ontario guidelines recommend that patients found to be colonized or infected with an extended spectrum beta lactamase (ESBL) organism should be placed on contact precautions, have their records flagged and re-screened on re-admission. However, the duration of precautions depends on each ...
Background: Currently, contact precautions are recommended for patients colonized or infected with extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBLPE). Recent studies have challenged this strategy. This study aimed to assess the rate of ESBL-PE faecal carriage among hospitalized patients...
, in which plasmid (or other mobile genetic elements) transmission between isolates are a challenge to infection control.In the community, the situation is even more complex. In areas where community-acquired ESBL-producing are prevalent, 5-10% of persons have been found to be fecal carriers. ...
Ajic American Journal of Infection ControlSmith, B.A.; Gabasan, A.; Zivin, T.; Sordillo, E.M.; Polsky, B. (2009). Management of an outbreak due to ESBL-positive Klebsiella pneumoniae (ESBL+KP) in an ICU: Focusing on the basics. AJIC 33(5):e121-e122....
Index patients were defined as those tested unexpectedly HR-GNR positive in clinical cultures to diagnose a possible infection and were nursed under standard hygiene precautions before tested positive. After detection they were nursed in contact isolation. Contact patients were still hospitalized and ...
Firstly, it did not investigate the specific factors that contribute to the presence of MDR bacteria in hospital waste, such as the duration and storage conditions of the waste or the impact of specific infection control practices. Understanding these factors could help in identifying associated risk...