Sonoma Post Acute

Preventionist will assess various risks associated with other resident placement options (e.g., cohorting, placing with a low risk roommate).A review of CDPH's document titled Recommendations for Infection Control for Residents with CRE in Long-Term Care Facilities dated [DATE] indicated, admission or readmission to a long-term care facility [LTCF] should not be denied based on known colonization or infection with any multidrug-resistant organism (MDRO), including CRE.LTCF medical director, infection prevention personnel, and all staff participating in antibiotic stewardship activities should be notified of the presence of CRE in a resident of the facility. If the facility does not have antimicrobial stewardship activities, a case of CRE may serve to demonstrate their need.California Senate [NAME] No. 361, passed on [DATE], requires all skilled nursing facility, by no later than [DATE], to implement an antimicrobial stewardship policy that is consistent with the antimicrobial stewardship guidelines developed by the Centers for Disease Control and Prevention, the federal Centers for Medicare and Medicaid Services, or specified professional organizations.Staff at the facility, particularly those caring for the resident, should receive education about CRE and appropriate infection prevention measures .The determination to discontinue contact precautions should be made on a case-by-case basis, depending on the clinical and functional status of the resident, i.e., when the resident's secretions or drainage can be contained, and how dependent the resident is on staff for activities of daily living.

Repeated bacterial culturing to demonstrate CRE clearance is not necessary to discontinue contact precautions.

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