Understanding Enhanced Barrier Precautions Webinar
UNDERSTANDING ENHANCED BARRIER PRECAUTIONS:
GUIDANCE FROM CDC
Evelyn Cook, RN, CIC Associated Director of SPICE
Savannah Carrico, MPH HAI Epidemiologist NC Division of Public Health
OVERVIEW
Discuss communicable disease reporting requirements specific to CRE and Candida auris
Discuss Public Health response to identified novel or targeted MDROs
Containment Strategy Containment Tiers
Present an overview of current recommended precautions Discuss new approach called "Enhanced Barrier Precautions"
WHAT WE KNOW
Contact precautions creates challenges for nursing homes trying to balance the use of PPE and room restriction with residents' quality of life
Contact precautions implemented only when residents are infected with an MDRO
MDRO colonization can persist for long periods of time (e.g., months) and result in silent transmission
Organisms that are pan-resistant or have novel mechanisms of resistance are emerging
STANDARD PRECAUTIONS
Implementation of Standard Precautions constitutes the primary
strategy for the prevention of healthcare- associated transmission
of infectious agents among patients and healthcare personnel
Environmental controls
Laundry
Needles/sharps
Patient resuscitation
Patient placement
Soiled equipment
RH/CE
PPE
Safe Injection Practices
Hand Hygiene
Standard Precautions
Special Lumbar Procedures
TRANSMISSION BASED PRECAUTIONS
Transmission-Based Precautions are for patients who are known or
suspected to be infected or colonized with infectious agents, including
certain epidemiologically important pathogens, and are used when the
route(s) of transmission are not completely interrupted using Standard
Precautions alone.
Droplet
Contact
Transmission- Based
Precautions
Airborne
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