Contact Precautions and ESBL

by CapeCodMermaid CapeCodMermaid, RN Member Nurse

Specializes in Gerontology, Med surg, Home Health. Has 30 years experience.

Does anyone have any policies about discontinuing precautions on someone with ESBL in their urine?

Doc says it's facility policy.

Policy says it's up to the DNS and Infection Control nurse (me)

My state DPH website says there is no hard and fast rule.

Couldn't find anything on the CDC website.

Resident is continent--has been in a room by herself--is now transitioning to another unit with a roommate.

vampiregirl, BSN, RN

Specializes in Hospice. Has 12 years experience. 1 Article; 790 Posts

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.


Lovecaring, BSN, RN

Specializes in Infection Control & Wound Care. Has 20 years experience. 21 Posts

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.