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Clean their hands, including before entering and when leaving the room. Put on gloves before room entry. Discard gloves before room exit. Put on gown before room entry.
For epidemiologic purposes, MDROs are defined as microorganisms, predominantly bacteria, that are resistant to one or more classes of antimicrobial agents (1).
HIV is the prime example of MDR against antivirals, as it mutates rapidly under monotherapy. Influenza virus has become increasingly MDR; first to amantadines, then to neuraminidase inhibitors such as oseltamivir, (2008-2009: 98.5% of Influenza A tested resistant), also more commonly in people with weak immune systems.
Common MDROs include: Candida kruseii. Carbapenem resistant gram-negative organisms, such as Carbapenem resistant Enterobacteriaceae or Carbapenem resistant Pseudomonas. Extended spectrum -lactamase (ESBLs) producing Gram-negative bacteria. Methicillin Resistant Staphylococcus aureus (MRSA)
Methodology: Facilities may choose to monitor one or more of the following MDROs: MRSA, MRSA and MSSA, VRE, CephR- Klebsiella, CRE, and/or multidrug-resistant Acinetobacter spp.
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