The Prevention and Control of Multi-drug-Resistant Organisms (32 pages) guidelines provide recommendations and recognizes MDROs as a increasing major public health threat. The escalating prevalence of MDROs over the last two decades poses several problems:
Patients and residents with infections caused by MDROs are more likely to require hospitalization, with increased costs and lengths of stay, and adversely affected prognoses;
MDROs can spread to other patients and to health care workers;
There is the potential transfer of resistance to other microorganisms.
The purpose of this document is:
To provide guidance on the prevention and management of MDROs that occur in healthcare settings and the community;
To control MDROs in NH while maintaining quality of life for those patients/residents who are colonized or infected with MDROs;
To assist NH health care professionals in making informed decisions within the context of their practice setting and given patient population;
To facilitate patient movement across levels of care throughout the health care system; and
To provide a consistent Statewide approach to MDRO control to improve adherence and reinforce patient/family confidence. There should be no fundamental differences in practice across the State and in different healthcare settings.
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