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Author:
Michael Wishart
Email:
Michael.Wishart@hsn.org.au
Organisation:
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Hi Barbara
In my lovely hospital here we have 80+% single rooms (including 2 in our 15 bed ICU), so isolation of inpatients with VRE is not a problem, and we isolate all patients with a history of VRE. We do have a ‘clearance’ regime that involves 3 negative rectal swabs (plus any other infected / colonised sites) at least 3 months after last positive, on no antibiotic therapy for at least 2 weeks, and the clearance swabs must be at least a week apart.
Having said all that, in hospitals with limited single rooms I have seen all sorts of algorithms for isolation of VRE. Some of the thoughts in these include risk of transmission (high risk patients: those with diarrhoea or symptomatic infection; high risk areas like dialysis / transplant / oncology / ICU) and time since last positive.
There was actually a discussion a while ago (?Ozbug, ?HICSIG) about the whole value of VRE precaution, since the actual morbidity with VRE infection is low (even though colonisation rates may be increasing), so there are varied opinions on this.
Cheers
Michael
Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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Hello,
My managers have asked me to review our current practices of isolating VRE positive patients. This is mainly due to the limited number of single rooms within our facility. I am interested to know how you manage patients who have a positive VRE screen, whether you isolate or not, what risk assessments you undertake to determine as to whether to isolate or not and whether you have introduced a yoghurt regime for these patients and how you then manage these patients.
Thanking you in advance,
Barbara
Barbara May
CNC Infection Control
Hastings Macleay Clinical Network
Ph. 0255242061
Mo. 0402890677
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