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Protocol for the Management of Patients with Vancomycin Resistant Enterococcus (VRE) PowerPoint PPT Presentation


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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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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 l.jpg

Protocol for the Management of Patients with Vancomycin Resistant Enterococcus (VRE)


Overview l.jpg

Overview

  • What is VRE?

  • How is VRE spread?

  • VRE Patient Management

  • Environmental cleaning


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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


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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


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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


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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


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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


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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


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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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