Table 5b.
Standard and additional infection control precautions by HRMO positive residents, per HRMO in a non-outbreak setting
| 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 |
nFor instructions for cleaning and disinfection of (bath) room: follow national guidelines
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
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
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
rIf re-usable materials are used, they should be disinfected immediately when taken outside the resident’s room/apartment
sE.g. resident lifting devices, stethoscope
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