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Antibiotic Resistance Threats in the United States, 2013 report

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VANCOMYCIN-RESISTANT<br />

ENTEROCOCCUS (VRE)<br />

FIGHTING THE SPREAD OF RESISTANCE<br />

WHAT CDC IS DOING<br />

■■<br />

■■<br />

■■<br />

■■<br />

Track<strong>in</strong>g illness and identify<strong>in</strong>g risk factors for drug-resistant<br />

<strong>in</strong>fections us<strong>in</strong>g two systems, <strong>the</strong> National Healthcare Safety Network<br />

and <strong>the</strong> Emerg<strong>in</strong>g Infections Program.<br />

Provid<strong>in</strong>g outbreak support such as staff expertise, prevention<br />

guidel<strong>in</strong>es, tools, and lab assistance, to states and facilities.<br />

Develop<strong>in</strong>g tests and prevention recommendations to control drugresistant<br />

<strong>in</strong>fections.<br />

Help<strong>in</strong>g medical facilities improve antibiotic prescrib<strong>in</strong>g practices.<br />

WHAT YOU CAN DO<br />

<strong>States</strong> and Communities can:<br />

■■<br />

■■<br />

■■<br />

Know resistance trends <strong>in</strong> your region.<br />

Coord<strong>in</strong>ate local and regional <strong>in</strong>fection track<strong>in</strong>g and<br />

control efforts.<br />

Require facilities to alert each o<strong>the</strong>r when transferr<strong>in</strong>g patients with<br />

any <strong>in</strong>fection.<br />

Healthcare CEOs, Medical Officers, and o<strong>the</strong>r Healthcare<br />

Facility Leaders can:<br />

■■<br />

■■<br />

■■<br />

■■<br />

■■<br />

■■<br />

Require and strictly enforce CDC guidance for <strong>in</strong>fection detection,<br />

prevention, track<strong>in</strong>g, and <strong>report</strong><strong>in</strong>g.<br />

Make sure your lab can accurately identify <strong>in</strong>fections and alert cl<strong>in</strong>ical<br />

and <strong>in</strong>fection prevention staff when <strong>the</strong>se germs are present.<br />

Know <strong>in</strong>fection and resistance trends <strong>in</strong> your facility and <strong>in</strong> <strong>the</strong><br />

facilities around you.<br />

When transferr<strong>in</strong>g a patient, require staff to notify <strong>the</strong> o<strong>the</strong>r facility<br />

about all <strong>in</strong>fections.<br />

Jo<strong>in</strong> or start regional <strong>in</strong>fection prevention efforts.<br />

Promote wise antibiotic use.<br />

Doctors and Nurses can:<br />

■■<br />

■■<br />

■■<br />

■■<br />

■■<br />

■■<br />

Know when and what types of drug-resistant <strong>in</strong>fections are<br />

present <strong>in</strong> your facility and patients Request immediate<br />

alerts when <strong>the</strong> lab identifies drug-resistant <strong>in</strong>fections <strong>in</strong><br />

your patients.<br />

Alert <strong>the</strong> o<strong>the</strong>r facility when you transfer a patient with a drugresistant<br />

<strong>in</strong>fection.<br />

Protect patients from drug-resistant <strong>in</strong>fections.<br />

Follow relevant guidel<strong>in</strong>es and precautions at every patient encounter.<br />

Prescribe antibiotics wisely.<br />

Remove temporary medical devices such as ca<strong>the</strong>ters and ventilators<br />

as soon as no longer needed.<br />

Patients and <strong>the</strong>ir loved ones can:<br />

■■<br />

■■<br />

Ask everyone <strong>in</strong>clud<strong>in</strong>g doctors, nurses, o<strong>the</strong>r medical staff, and<br />

visitors, to wash <strong>the</strong>ir hands before touch<strong>in</strong>g <strong>the</strong> patient.<br />

Take antibiotics only and exactly as prescribed.<br />

ONLINE RESOURCES<br />

Vancomyc<strong>in</strong>-resistant Enterococci (VRE) <strong>in</strong><br />

Healthcare Sett<strong>in</strong>gs<br />

http://www.cdc.gov/HAI/organisms/vre/vre.html<br />

Healthcare-associated Infections (HAIs),<br />

Guidel<strong>in</strong>es and Recommendations<br />

www.cdc.gov/hicpac/pubs.html<br />

CS239559-B

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