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Re: ESBL’s – which ones?

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  • #70456
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    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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    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    #70458
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Here at Hornsby, we isolate and manage with Contact precautions 1 all Klebsiella pneumoniae and Enterobacter cloacae ESBLs. I know that some hospitals all isolate for E coli ESBLs as well.

    Rita Roy

    Clinical Nurse Consultant | Infection Control
    Hornsby Kuringai Health Services
    Tel 02 9477 9232 | Fax 02 9477 9013 | Mob 0422 930 370 | Rita.Roy@health.nsw.gov.au
    http://www.health.nsw.gov.au

    ________________________________________

    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
    Please consider the environment before printing this email

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #70465
    Giulietta Pontivivo
    Participant

    Author:
    Giulietta Pontivivo

    Position:

    Organisation:

    State:

    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
    Please consider the environment before printing this email

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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