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Table 3 Precaution measures for BRMO and MRGN according to Dutch and German guidelines

From: Cross-border comparison of the Dutch and German guidelines on multidrug-resistant Gram-negative microorganisms

Species

German guideline

Dutch guideline

 

3MRGN

4MRGN

BRMO

 

High-risk ward*

Normal ward*

High-risk ward*

Normal ward*

Hospital-wide

E. coli

Single-room

Standard

Single-room

Single-room

Contact; Single-room, if CPE

Klebsiella sp.

Single-room

Standard

Single-room

Single-room

Contact; Single-room, if CPE

Enterobacter sp.

Standard

Standard

Single-room

Single-room

Contact; Single-room, if CPE

Other Enterobacteriaceae

Standard

Standard

Single-room

Single-room

Contact; Single-room, if CPE

P. aeruginosa

Single-room

Standard

Single-room

Single-room

Contact

A. baumannii

Single-room

Standard

Single-room

Single-room

Single-room with ante-room

S. maltophilia

Standard

Standard

Standard

Standard

Contact

  1. German guideline: Each hospital defines local “High risk wards” (where infection and transmission of MDRO is highly critical and affects susceptible patients) or functional areas where special hygiene precautions for 3MRGN are performed. “Single-room” isolation comprises isolation of the patient in a separate room, but without dedicated staff. Persons entering a single-room have to wear disposable gowns; gloves should be worn during contact with the patient and the patient’s environment.
  2. Dutch guideline: “Contact” precaution include wearing disposable gowns; gloves should be worn during contact with the patient and the patient’s environment. Many hospitals perform contact isolation in single-rooms; however this is not explicitly required by the guideline except for CPE (i.e. carbapenemase-producing organisms).
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Antimicrobial Resistance & Infection Control

ISSN: 2047-2994

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