Abstract
Contact precautions are used to prevent the spread of extended-spectrum β-lactamase (ESBL)-producing organisms in acute-care hospitals, but supporting data are lacking. We discontinued such precautions for ESBL Escherichia coli and Klebsiella spp and found no increased prevalence of these organisms with our change in practice.
Highlights
IntroductionAll inpatient units had reached the “improve” phase by January 2017, meaning they had completed baseline hand hygiene observations and were actively implementing processes to improve their compliance
We detected no change in the prevalence of inpatient or Emergency department (ED) ESBL E. coli or Klebsiella spp after discontinuing contact precautions (Table 1)
Hand hygiene compliance improved from 84% to 89% between study periods (P < .0001)
Summary
All inpatient units had reached the “improve” phase by January 2017, meaning they had completed baseline hand hygiene observations and were actively implementing processes to improve their compliance. Precautions for methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) were relaxed to only require contact precautions for active MRSA infections, as opposed to colonization, and only for daptomycin- or PREVIOUS PRESENTATION. These data were presented in abstract form as an oral presentation at the Society for Healthcare Epidemiology of America (SHEA) Spring 2019 Conference on April 24–26, 2019, in Boston, Massachusetts
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