When do you discontinue contact precautions in patients known to be colonized with ESBL-producing Enterobacterales?  

There is no widely accepted guideline regarding the timing of discontinuation of isolation for ESBL-producing organisms. However, according to the article “Duration of Contact Precautions for Acute-Care Settings” published by ICHE in 2018, Maintaining contact precautions for ESBL-E and ...

Relatedly, have studies looked at the effect of contact, airborne, and/or droplet isolation on patients' outcomes? When I was a resident, a UVA ID doc told me that neutropenic patients did worse when strict isolation approaches were used. A few years ago, I could NOT find such a study. However, I of...

We do not isolate ESBL. We do isolate CRE and highly resistant GNRs for the duration of hospitalization. For patients with protracted post-acute stays we evaluate on a case-by-case basis, and screen for rectal carriage as Dr. @Kobayashi does, before stopping isolation. As with the case of MRSA, I su...