Guidance : Infection prevention and control measures for healthcare workers in all healthcare settings

Infection Prevention and Control Measures for Healthcare Workers in All Healthcare Settings Carbapenem-resistant Gram-negative Bacilli The Public Health Agency of Canada (PHAC) has developed this document to provide infection prevention and control guidance to healthcare workers (HCWs) in the management of patientsa colonized or infected with carbapenem-resistant Gram-negative bacilli (CRGNB), inc [...] The New Delhi metallo beta-lactamase (NDM-1 enzyme) has recently been identified in India and Pakistan and in patients hospitalized in other countries after receiving health care in India and Pakistan.3 a. Patients refer to patients, residents or clients. [...] There should be a high index of suspicion for the presence of CRGNB in patients at risk for infection with these bacteria, particularly patients transferred from facilities known to have high CRGNB prevalence rates; roommates of CRGNB colonized or infected patients; and patients known to have been previously infected or colonized with a CRGNB.7 3. Hand Hygiene. [...] Gowns should be worn if it is anticipated that clothing or forearms will be in direct contact with the patient or with environmental surfaces or objects in the patient care environment. [...] The healthcare organization’s terminal cleaning protocol for cleaning of the patient’s room following discharge, transfer or discontinuation of Contact Precautions should be followed.