Thursday, October 24, 2019

CDC COCA Call Today: Preventing the Spread Multidrug-resistant Organisms (MDROs) in Nursing Homes
Credit CDC MDRO PPE Guidelines


MDROs (Multidrug-Resistant Organisms) such as Candida auris, C. difficle, CRE, and MRSA cause significant morbidity and mortality in hospitalized patients, can be spread to other patients, staff, and even visitors, and are particularly problematic in nursing homes and LTCFs (Long Term Care Facilities). 
We've been following the inexorable spread of C. auris (see CDC: Candida auris Update & Fungal Awareness Week 2019) since 2016, along with many other MDROs (see here, here, here, and here) - both in the United States and around the world - for the past 15 years.
While hospitals get the most attention, nursing homes - which are often understaffed and have fewer in-house resources - can be a highly effective breeding place for these types of infections. And when patients are inevitably sent from nursing homes to hospitals, they can spread these resistant pathogens to other facilities.

Over the summer the CDC released updated Guidance (see Implementation of PPE in Nursing Homes to Prevent Spread of MDROs pdf [PDF – 6 pages]), and later today the CDC will hold a COCA Call to bring clinicians and other interested parties up to speed on their recommendations. 

Preventing the Spread of Novel or Targeted Multidrug-resistant Organisms (MDROs) in Nursing Homes through Enhanced Barrier Precautions

Date: Thursday, October 24, 2019
Time: 2:00pm-3:00pm (Eastern Time)

In the United States, nursing homes provide complex medical care to residents at high risk of acquiring multidrug-resistant organisms (MDROs). Through outbreak responses to novel or targeted MDROs, the Centers for Disease Control and Prevention (CDC) and public health partners have found that gaps in infection prevention practices, such as inadequate use of gowns and gloves, contribute to the spread of MDROs. 

In nursing homes, it can be challenging to implement the contact isolation precautions used in hospitals when caring for patients with MDROs. CDC recently introduced a new approach called Enhanced Barrier Precautions to help address these challenges. Enhanced Barrier Precautions are recommended for preventing the transmission of novel or targeted MDROs in nursing homes involved in a public health containment response. 

Enhanced Barrier Precautions fall between Standard and Contact Precautions, and require gown and glove use for certain residents during specific high-contact resident care activities that have been found to increase the risk for MDRO transmission.

During this COCA Call, clinicians will learn about Enhanced Barrier Precautions, with a detailed discussion of the residents and high-contact resident care activities for which they apply.

If you are unable to attend this live COCA Call, it will be available on-demand a few days after the call.