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Table 5b Standard and additional infection control precautions by HRMO positive residents, per HRMO in a non-outbreak setting

From: Dutch guideline for preventing nosocomial transmission of highly-resistant micro-organisms (HRMO) in long-term care facilities (LTCFs)

HRMO or indication Materials, instruments, devices used for care of HRMO positive resident Cleaning and disinfection of room/bathroomn Disposal of materials
Cleaning Disinfection Terminal cleaningo/ terminal disinfectionp Waste or Laundry
Enterobacteriaceae (ESBL included, not CPEa No sharing with other residentsq, r Daily Yes, if used for other residents as wells Terminal cleaning procedure Disposal in closed, intact bag
CPEa No sharing with other residentsq, r Dailyt Yes, if used for other residents as wels Terminal disinfection procedure Disposal in closed, intact bag
Acinetobacter species No sharing with other residentsq, r Dailyt Yes, if used for other residents as wells Terminal disinfection procedure Disposal in closed, intact bag
Pseudomonas aeruginosa No sharing with other residentsq, r Daily Yes, if used for other residents as wells Terminal disinfection procedure, only sanitation room(s) Disposal in closed, intact bag
Stenotrophomonas maltophilia
Streptococcus pneumonia (PRP) No sharing with other residentsq, r Daily Yes, if used for other residents as wells Terminal cleaning procedure Disposal in closed, intact bag
Enterococcus faecium (VRE) No sharing with other residentsq, r Daily Yes, if used for other residents as wells Terminal disinfection procedure Disposal in closed, intact bag
Recent admission foreign HCF No sharing with other residentsq, r Dailyt Yes, if used for other residents as wells Not applicable Disposal in closed, intact bag
  1. nFor instructions for cleaning and disinfection of (bath) room: follow national guidelines
  2. oTerminal cleaning (or end-cleaning): cleaning of room (all surfaces, touch surfaces, floor, splashing zones of walls) including bathroom and all re-usable materials present in this room. Re-usable materials which cannot be cleaned and non-reusable materials will be discarded of. Terminal cleaning takes place if additional precautions are discontinued or when resident is discharged, transferred or deceased
  3. pTerminal disinfection (or end-disinfection): after terminal cleaningo, terminal disinfection of the room is performed (all surfaces, touch surfaces, floor, splashing zone of wall) including bathroom facilities and other re-usable materials present in the room (e.g. curtains, remote control, etc.). A terminal disinfection takes place after the additional precautions of the HRMO positive resident are discontinued, or the resident is discharged, transferred or deceased. Re-usable materials which cannot be disinfected, should be discarded of
  4. qA small supply of necessary materials for the immediate care of the resident is allowed in the room/apartment. These materials must not be used for other residents and must be discarded after discharge or discontinuation of additional precautions
  5. rIf re-usable materials are used, they should be disinfected immediately when taken outside the resident’s room/apartment
  6. sE.g. resident lifting devices, stethoscope
  7. tUse cleaning material only for the room and devices of HRMO positive resident. Discard non-reusable cleaning material immediately after use. If the cleaning material is re-usable, remove materials after use in appropriate closed bag