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