At my facility we have something called a Problem Pathogen Pilot (PPP) for short.
Any pt from a nursing home, dialysis pt, outside hospital and on abx's for 4 days, and/or hx of VRE/MRSA are all put on contact isolation and swabbed (rectum and nares). They remain on isolation until their cx's are negative.
Every Tuesday we have weekly sweeps. Any pt that has been in the hospital and on ABX's for 4 days will get swabbed. They are not put on isolation until their cx's are negative.
What we have found is that pt's are coming to us with MRSA/VRE. We do have pt's that convert and are captured on the weekly sweeps.
They were hoping that with the pilot the transmission of MRSA and VRE would decrease.
We have a 1:4 ratio and at times every pt in your pod can be on contact isolation.
The hospital ID doctor watches the numbers and is tracking the results. We've been doing this for over a year.
C-Diff is cx'd only on those pt's that we suspect may have it. Most of us know before the cx is done or back from micro just by looking at the .......well.......you know