Multi-Drug Resistant Organisms - (MDROs) are defined as microorganisms, predominantly bacteria, that are resistant to one or more classes of antimicrobial agents. Although the names of certain MDROs describe resistance to only one agent (e.g., MRSA, VRE), these pathogens are frequently resistant to most available antimicrobial agents.
What can I do to reduce MDROs?
· Diagnose and treat infection effectively.
· Use antibiotics wisely – don’t use a broad spectrum antibiotic when a narrow spectrum is appropriate.
· Practice standard precautions with all patients which means:
o Hand hygiene before and after care. You may use the alcohol hand sanitizer or perform hand washing. Hand washing is necessary following care of patients with Clostridium difficile (C. diff) and when hands are visibly soiled.
o Universally when you anticipate contact with blood and/or body fluids, you should wear a gown, gloves, mask and/or eye protection. For example, if there is a chance that body fluids could splash into your face, then you should wear a mask and eye protection.
o Do not recap, bend, break or hand-manipulate used needles.
o Use a mouthpiece or resuscitation bag for patient resuscitation.
o Healthcare workers and patients should cover their mouth/nose when sneezing/coughing; use tissues and dispose in no-touch receptacles; perform hand hygiene; and wear a surgical mask if tolerated. This is known as respiratory hygiene or cough etiquette.
· Follow contact precautions for patients with a history of, colonization and/or infection with an MDRO. Contact precautions include:
o Private room placement or place with a roommate that has the same MDRO.
o Wear gloves and gown when entering the room.
o Remove gloves and gown before leaving the room.
o Perform hand hygiene before leaving the room.
o Do not use your equipment – instead use the dedicated stethoscope. If you must use your stethoscope, clean it with a disinfecting cloth before use on another patient.
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