Medical Staff Pulse is
a Publication of the Chief of Staff
Battling MDR-AB

Priority #1 is Preventing Transmission

Steps being taken include:

  • Cohorting patients identified as having an MDRO in ICU medical (7 SCCT) and surgical (8 SCCT), monitored areas (5 North), Medical (5 South) and Surgical (8 South), limiting room-to-room transfers of patients outside of the dedicated units;
  • Providing dedicated nurse staffing and dedicated equipment to these rooms;
  • Establishing isolation precautions and posting signage outside the rooms;
  • Enhancing environmental cleaning processes and providing sani-wipes for hands and surfaces;
  • Requiring all medical staff, clinical staff, volunteers and visitors entering and exiting these rooms to strictly adhere to the established hygiene and isolation precautions.
In addition, the Infection Control Committee has approved for the conducting of active surveillance cultures of high-risk patients at admission. Admission cultures have shown that some patients harbor MDROs upon admission from extended care facilities.

"MDR-AB thrives on moist inanimate surfaces and is spread by touching. The importance of practicing impeccable hand hygiene - especially around critically ill patients - cannot be over-emphasized," said Rekha Murthy, M.D., director of Hospital Epidemiology. "It may help to think about the goal to prevent transmission of these organisms from infected patients' rooms into other areas such as hallways and nursing stations in terms of 'what goes into the room, stays in the room.' For example, once dedicated equipment, gowns, gloves or boxes of sani-wipes have been taken into the room of an MDRO-infected patient, those items then need to remain there."

Additional information about this issue, including the related topic of ensuring careful, judicious use of antibiotics, will be covered in future issues of Medical Staff Pulse.

Should you have specific questions, please contact Rekha Murthy, M.D. at (310) 423-5574 or by e-mail at Rekha.Murthy@cshs.org.