Infection Control Manual, YNHPH VRE/MRSA Infection Control Policy

YNHPH VRE/MRSA Infection Control Policy
	Introduction
	Identification
	Organism-Specific Precautions
		MRSA
		Level 1
		Level 2
		Level 3
		VRE
		Level 1
		Level 2
		Level 3
	C. difficile
	Modifications to Precautions
	Precautions Checklist

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

Dr. Jeff Topal
688-4634


YNHPH Infection Control Checklist

Organism	Able to Follow Directions & Infection Control Procedures	Site	Level
MRSA	Yes	nares/skin only	1
	Yes	prior history or sites have healed (no nares cultures)	1
	Yes	intact skin lesion or wound contained by a simple dressing	1
	Yes	sputum, NO cough	1
	Yes	urine & continent	1

	Yes	skin lesion or wound NOT contained by simple dressing	2
	Yes	sputum AND cough	2
	Yes	urine AND incontinent	2
	No	any site or prior history	3


VRE	Yes	perirectal/rectal/stool colonization	1
	Yes	prior history or sites have healed (no known perirectal/rectal/stool cultures)	1
	Yes	intact skin lesion or wound contained by a simple dressing	1
	Yes	sputum, NO cough	1
	Yes	urine & continent	1

	Yes	skin lesion or wound NOT contained by simple dressing	2
	Yes	sputum AND cough	2
	Yes	urine AND incontinent	2
	No	any site or prior history	3


VRE & MRSA	Yes	Use VRE level 1 or 2 depending on above conditions
	No	any site or prior history	VRE


Other Resistant Organisms	Examples include resistant Acinetobacter, resistant Enterobacter, etc.
	Call Hospital Epidemiology at 8-4634 if any questions

Last modified: October 4, 2002.

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