Course Access
Hi Micheal
We risk assess all patient’s with an ESBL. We are less likely to isolate a e-coli ESBL compared to a Klebsiella ESBL. Also I depends on the patient group being cohorted or allocated within. In lower risk environments such as aged care where we have no evidence of cross infection we do not isolate unless the patient has a urinary catheter in situ.
I think using a risk assessment approach is important as it’s impossible to isolate all patient colonised
Giulietta Pontivivo| Nurse Manager/CNC| Infection Prevention Management & Staff Health Services|
St Vincent’s Health Network | 390 Victoria Street Darlinghurst | NSW 2010
T: 61 2 83823284| F: 61 2 8382 3892| M: 0457 533 452 | E: gpontivivo@stvincents.com.au
with an MRO.
Regards Giulietta
—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Monday, 9 September 2013 10:05 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] ESBL’s – which ones?
Hi all
Just thought I’d bump this question again, as I didn’t get any responses. Surely someone has an opinion on which gram-negatives need to be managed as MROs?
Thanks
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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