Table 2 Overview of national and local IPC measures for MDR enterobacterales bacteria in Germany
IPC measures | KRINKO-DE | KOL | |
|---|---|---|---|
screening criteria | 3MRGN not recommended 4MRGN patients who had • recent healthcare contact in 4MRGN-endemic countries. • contact with 4MRGN-positive patients. • inpatient stay (> 3 days) in a high 4MRGN prevalence region within the past 12 months. | • patients  o with positive history  o transferred from foreign hospitals. • immigrants from emergency reception centres | |
sampling site | rectal (wound and urine if needed) | rectal, urinary tract catheter, urine and known localization of the MRGN | |
management of carriers | 3MRGN contact precaution (single room/ cohort): only valid for E. coli and K. pneumoniae at risk wards1 4MRGN contact isolation at all hospital wards | 3MRGN same as KRINKO2,3 4MRGN contact-plus isolation | |
lifting the isolation | no recommendation | • 3 negative results on different days (1 week interval) • weekly control series after lifting the isolation | |
readmission of a known MDRGN patient to a normal ward | 3MRGN uptake screening and basic hygiene 4MRGN uptake screening and isolation | ||
readmission of a known MDRGN patient to risk-wards | uptake screening and isolation | ||
recommended PPE for HCWs | gloves and long-sleeved gown | • same as KRINKO for direct contact • only hand disinfection if no contact. • overcoat and trousers for very close contact. • triple-layer medical mask if evidence of respiratory tract colonisation and direct patient contact. | |