4.6 Surgery 14 4.7 Environmental cleaning 15 4.8 Discontinuation of contact precautions 15 4.9 Eradication of carriage 15 4.10 Communication 15 4.11 Education 17 4.12 Patient discharge 17 4.13 Summary 18 5 Screening 19 5.1 When is screening appropriate? 19 5.2 Which patients should be screened at the time of admission? 19 5.3 Screening in an outbreak situation 20 5.4 Screening specimens 20 5.5 Summary 21 6 Management of Staff 22 6.1 Summary 22 7 Transfer of Patients Between Institutions 23 7.1 Summary 23 8 Additional Measures in the Event of an Outbreak 24 8.1 Investigation of transmission/outbreak 24 8.2 Controlling transmission/outbreak 25 8.3 Establishing a dedicated outbreak control team 26 8.4 Facility-wide education in outbreak setting 26 8.5 Summary 26 9 Management in the Community 27 9.1 Residential care facilities 27 9.2 Other settings 28 9.3 Summary 29 10 Surveillance 30 10.1 Local surveillance 30 10.2 National surveillance 31 10.3 Summary 32 11 Microbiological Methods 33 11.1 Detection of ESBL-producing enterobacteriaceae 33 11.2 Detection of VRE 39 11.3 Summary 41 12 Treatment of MDROs Causing Infections 42 12.1 ESBL-producing organisms 42
4.6 Surgery 14 4.7 Environmental cleaning 15 4.8 Discontinuation of contact precautions 15 4.9 Eradication of carriage 15 4.10 Communication 15 4.11 Education 17 4.12 Patient discharge 17 4.13 Summary 18 5 Screening 19 5.1 When is screening appropriate? 19 5.2 Which patients should be screened at the time of admission? 19 5.3 Screening in an outbreak situation 20 5.4 Screening specimens 20 5.5 Summary 21 6 Management of Staff 22 6.1 Summary 22 7 Transfer of Patients Between Institutions 23 7.1 Summary 23 8 Additional Measures in the Event of an Outbreak 24 8.1 Investigation of transmission/outbreak 24 8.2 Controlling transmission/outbreak 25 8.3 Establishing a dedicated outbreak control team 26 8.4 Facility-wide education in outbreak setting 26 8.5 Summary 26 9 Management in the Community 27 9.1 Residential care facilities 27 9.2 Other settings 28 9.3 Summary 29 10 Surveillance 30 10.1 Local surveillance 30 10.2 National surveillance 31 10.3 Summary 32 11 Microbiological Methods 33 11.1 Detection of ESBL-producing enterobacteriaceae 33 11.2 Detection of VRE 39 11.3 Summary 41 12 Treatment of MDROs Causing Infections 42 12.1 ESBL-producing organisms 42