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

Topics: Infectious Disease • Infection Prevention and Control

Answer from: at Community Practice

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 ...

Comments

at Memorial Medical Center
How about if it is urine with ESBL ecoli or CRE &n...

at University Of Iowa Roy J And Lucille A Carver College Of Medicine
Hi Dr. @Tyagi, My recommendation would be (1) If C...

Answer from: at Community Practice

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...

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