Guias sobre aislamiento.

Guias de aislamineto ante la presencia de bacterias multiresistentes en pacientes hospitalizados.

Guidelines Issued on Contact Precautions for MRSA, C. difficile

By Amy Orciari Herman

Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS

The Society for Healthcare Epidemiology of America has issued guidelines on how long contact precautions in acute-care hospitals should persist for numerous drug-resistant infections and Clostridium difficile.

Among the recommendations, published in Infection Control and Hospital Epidemiology:

• Clostridium difficile: Contact precautions should remain in place for at least 48 hours after diarrhea resolves.
• Methicillin-resistant Staphylococcus aureus: For patients not receiving an antibiotic that's active against MRSA, one to three negative cultures should be obtained before discontinuing contact precautions.
• Vancomycin-resistant Enterococci: After treatment, patients should have one to three negative cultures (using stool or rectal swabs) before stopping precautions. If more than one culture is obtained, they should be 1 week apart.
• Multidrug-resistant Enterobacteriaceae: When carbapenem-resistant Enterobacteriaceae and extended-spectrum beta-lactamase-producing organisms are first detected, contact precautions should be in place throughout hospitalization.

SHEA guidance in Infection Control and Hospital Epidemiology (Free abstract)

SHEA news release (Free)

Background: NEJM Journal Watch Infectious Diseases coverage of colonization of healthcare personnel (Your NEJM Journal Watch registration required)

Benjamin Hidalgo-Matlock

Skin Care Physicians of Costa Rica

4000-1054

2208-8206

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