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. 2013 Oct 25;110(43):725–731. doi: 10.3238/arztebl.2013.0725

Table 2. VRE-specific hygienic precautions in hospitals.

Stage Measures
I – (extended) standard precautions
  • housing in multi-bed rooms

  • consistent hand disinfection

  • specific standard surface disinfection (following the list from VAH)

  • wipe disinfection of near-patient objects

  • disinfectant in bathrooms and washrooms

  • information signs for hand hygiene/wipe disinfectant after toilet use

  • use patient-dedicated equipment

  • patient-dedicated gown and glove precautions:

    • through direct patient contact

    • through contact with infectious material

II – contact isolation precautions stage I, plus
  • organizational isolation (bed isolation and/or gown precautions, also for neighboring patients!)

or
  • spatial isolation (single room or cohort isolation)

VRE, vancomycin-resistant enterococci; VAH, Association for Applied Hygiene (Verbund für angewandte Hygiene)