Contact Precautions and ESBL

I was floor nurse in a LTC and encountered a similar situation several years back. Struggled with the same lack of resources for guidance. If I recall we retested urine and still cultured positive. I think our solution was to room patient with an incontinent patient who did not use bathroom until urine tested clean. Reeducation and reinforcement of appropriate infection control procedures (including standard precautions!) was also implemented.

Our facility policy also allowed for co-rooming if same diagnosis but this can also be problematic.

I am having the same issue and since we dont want the resident to be isolated, we are keeping contact precautions for bath and perineal care. She is incontinent though.