Multidrug Resistant Organism (MDRO) Practices

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    Hi all,

    I am curious to know what other hospitals are doing in regards to their Precaution policies surrounding MDROs in an acute care setting.

    I work in a large community hospital. Currently we place patients who are currently colonized with MRSA/VRE or >3 watery stools in 24 hrs in Contact Precautions. We also flag patients with previous MDROs and automatically isolate them in the emergency department.

    I have reviewed the literature and data supplied by the CDC. The evidence is conflicting when dealing with MDROs (standard precautions versus contact precautions).

    Is this what everyone else is doing or are there other practices out there that are not so black and white?

    Thanks!

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