Division of Public Health ServicesNH Department of Health and Human Services
MDROs(Multidrug-Resistant Organisms)
NH RECOMMENDATIONS
Jan Puffer RN, MA, CICPublic Health Nurse Coordinator
Communicable Disease Control Section
Division of Public Health ServicesNH Department of Health and Human Services
Overview
• Background information
• Structure
• Summary of changes
• FAQ
• Wrap-up
Division of Public Health ServicesNH Department of Health and Human Services
Background
• Replaces 2004 Recommendations• Controversies continue
Division of Public Health ServicesNH Department of Health and Human Services
Structure
• Listings• Introduction• Recommendations
– Prevent emergence– Prevent transmission– Prevent infection
• Outbreak Management
Division of Public Health ServicesNH Department of Health and Human Services
Summary of Changes
Division of Public Health ServicesNH Department of Health and Human Services
Overall Changes
• Framework & flow• Includes non-hospital & community
settings• Intended user still an ICP
Division of Public Health ServicesNH Department of Health and Human Services
Introduction
• Current statistics, risk factors
• Purpose & Assumptions remain the same
• DHHS role• Table 1 updated
Division of Public Health ServicesNH Department of Health and Human Services
Recommendations
• Administrative Measures• Infection Control Measures– Initiating Transmission-Based Precautions• Syndromic & Empiric• Non-Syndromic
– Discontinuation of Transmission Precautions
Division of Public Health ServicesNH Department of Health and Human Services
Recommendations (2)
– Patient Placement– Environment– Setting Specific Recommendations
• Education & Communication• Surveillance• Decolonization• Animals
Division of Public Health ServicesNH Department of Health and Human Services
Outbreak Management
FAQ
Division of Public Health ServicesNH Department of Health and Human Services
Questions ?
Division of Public Health ServicesNH Department of Health and Human Services
Just give us a call
Monday through Friday
8:00am to 4:30pm
271-4496 or 1-800-852-3345, ext 4496
www.dhhs.state.nh.us
Division of Public Health ServicesNH Department of Health and Human Services
Acknowledgements
• Jody Smith CDCS and
Beth Daly CDSS, NH DPHS• CDECC• NHICEP
Division of Public Health ServicesNH Department of Health and Human Services