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

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

  2. Overview • What is VRE? • How is VRE spread? • VRE Patient Management • Environmental cleaning

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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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