protocol for the management of patients with vancomycin resistant enterococcus vre
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Protocol for the Management of Patients with Vancomycin Resistant Enterococcus (VRE). Overview. What is VRE? How is VRE spread? VRE Patient Management Environmental cleaning. What is VRE?. Enterococci are Gram-positive bacteria Normally found in the human intestines

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Presentation Transcript
overview
Overview
  • What is VRE?
  • How is VRE spread?
  • VRE Patient Management
  • Environmental cleaning
what is vre
What is VRE?
  • Enterococciare Gram-positive bacteria
  • Normally found in the human intestines
  • Generally do not cause harm
  • Vancomycin is an antibiotic
  • Enterococci may become resistant to Vancomycin
how is vre spread
How is VRE spread?
  • VRE is spread from person to person by:
    • From patient to patient via unwashed healthcare worker’s hands
    • From a contaminated environment via unwashed healthcare worker’s hands
    • Through equipment that hasn’t been cleaned appropriately
patient isolation
Patient Isolation
  • Contact precautions
  • Patients must be cared for in:
    • Single room with unshared ensuite
    • A shared room with other patients who have VRE
  • In ambulatory settings:
    • Do not segregate in waiting rooms
    • Place patients into an examination room without delay
personal protective equipment ppe
Personal Protective Equipment (PPE)
  • PPE must be worn:
    • Prior to entering the patient environment
    • Removed before exiting the patient environment
  • Aprons (staff must ensure their arms are “bare below the elbows”)
  • Or a gown
  • Gloves
environmental cleaning
Environmental Cleaning
  • One-step process:
    • Combined detergent and 1000 ppm available chlorine solution
  • Cleaning shall occur:
    • Daily or routine
    • On transfer or discharge of the patient
    • Discharge cleaning of renal dialysis and day therapy unit areas of VRE carriers
    • For shared patient care devices for patients with VRE
environmental cleaning8
Environmental Cleaning
  • Maintain transmission-based contact precautions
  • Daily clean of:
    • All patient surrounds
    • Commonly touched objects
    • Refer to QH – Cleaning Services, Policies, Standards and Operational Guidelines 2012
more information
More information?
  • Queensland Health Protocol: Management of Patients with Vancomycin Resistant Enterococcus (VRE) available from: http://www.health.qld.gov.au/directives/docs/ptl/qh-hsdptl-029-2.pdf
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