Multi-Drug Resistant Gram-Negative Rods
Multi-drug resistant organisms (MDROs) present significant risk to patients because of their limited therapeutic options for the infections they cause. Common MDROs include:
- Vancomycin Resistant Enterococci (VRE)
- Methicillin Resistant Staphylococcus aureus (MRSA)
- Extended spectrum β-lactamse (ESBLs) producing Gram-negative bacteria
- Klebsiella pneumonia carbapenemase (KPC) producing Gram-negative bacteria
- Imipenem resistant or multi-drug resistant Acinetobacter species
- Imipenem resistant or multi-drug resistant Pseudomonas species
- Burkohlderia cepacia
For MDRO patients, Contact Precautions means:
- Placing patient in a private room (or in a room with another MDRO patient)
- Following hand hygiene
- Maintaining clean patient environment/ equipment,
- Wearing personal protective equipment (PPE) when entering room (gowns and gloves)
- Only transporting patient out of room for essential tests/ services
- See the Multi-drug Resistant Organisms Policy for more information.
- Following hand hygiene at all times
- Wearing PPE if there is risk/ potential for exposure to infectious substances
- Provide covering or dressing for the patient in order to cover and contain draining lesions
- Prioritize the placement of these patients into the examination/ procedure room so as to minimize the risk of transmission in shared areas
- See the for more information.
If you have questions about a patient's MDRO status, you can call the Infection Prevention & Control Department's mainline at 503 494-6694.