VRE Infection Control Policy

Introduction
Epidemiology
VRE Prevention & Control
Reservoirs
Inpatient Control Measures

Identification

Contact Precautions

Patient Care Equipment

Patient Transport

Cleaning/Disinfection

Antibiotic Usage

Discharge/Transfer/Home Care
Outpatient Control Measures
Discontinuation of Isolation Precautions
Surveillance/Outbreak Control

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Yale New Haven Hospital
QISS
GB 325
New Haven, CT
06504 USA

Dr. Jeff Topal
688-4634




Inpatient Control Measures
Cleaning/Disinfection
Rooms of VRE infected/colonized patients must be cleaned thoroughly and disinfected daily. Special attention should be paid to environmental surfaces: bed rails, bedside tables, doorknobs, faucet handles, bedside commodes, and horizontal work surfaces in the room. Gross soiling must be removed before the application of an EPA-approved disinfectant. For the disinfectant to be effective, the appropriate contact time must be used. A simple spray and wipe is not adequate and will lead to the persistence of VRE in the environment.

VRE patient rooms should be cleaned last. Change the water and mop head if either becomes grossly soiled or dirty. Bedside curtains should taken down and sent to be cleaned after the patient is discharged. Each patient care unit should have measures in place to monitor the cleaning procedures and practices and that they are followed.


Last modified: December 20, 2000.



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