Current isolation practice for Metallo and Plasmid mediated Amp C beta lactamase and Meropenem resistant pseudomonas??

[Anonymous]

Hi to all,
We are seeing more of these resistant isolates and are interested in hearing if others are seeing a similar trend. Is anyone willing to share their current practices, policy or thoughts for patients identified with a Metallo beta lactamase, plasmid mediated Amp C beta lactamase or Meropenem resistant Pseudomonas aeruginosa colonisation or infection? Do you initiate contact precautions? What clearance criteria do you use?

Regards
Kathy

Kathy Taylor
Infection Control Manager
The Wesley Hospital
PO Box 499,
Toowong, Qld 4066
07 3232 7558
katherine.taylor@uchealth.com.au

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[Wishart, Michael]

Hi Kathy

We currently treat these the same as ESBL’s, that is, single room and contact precautions, clearance based on 3 negative rectal swabs after all wounds healed/devices removed and off antibiotics. We do alert them and re-screen and use contact precautions on re-admission, pending clearance.

We are seeing higher numbers of multi-resistant gram negatives than MRSA’s now, both for healthcare associated and from the community..

Cheers
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

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________________________________________

Hi to all,
We are seeing more of these resistant isolates and are interested in hearing if others are seeing a similar trend. Is anyone willing to share their current practices,policyor thoughtsforpatients identified with aMetallo beta lactamase,plasmid mediated Amp C beta lactamase or Meropenem resistant Pseudomonas aeruginosa colonisation or infection? Do you initiate contact precautions? What clearance criteria do you use?

Regards
Kathy

Kathy Taylor
Infection Control Manager
The Wesley Hospital
PO Box 499,
Toowong, Qld 4066
07 3232 7558
katherine.taylor@uchealth.com.au

_________________________________________________________________
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