These guidelines are intended to provide a framework and source of information for those responsible for developing guidelines and policies in Acute Care, Long Term Care, Home Care, and Prehospital Care for the management of individuals colonized or infected with MRSA, VRE or an ESBL. [...] In addition to the assumption of basic infection prevention and control, these best practice guidelines are also based on the following assumptions and principles: 7 Best Practice Guidelines for Reducing Transmission of Antibiotic Resistant Organisms (AROS) In Acute and Long Term Care Settings, Home Care, and Prehospital Care 1. Healthcare settings routinely implement best practices to prevent and [...] It is and unnecessary impractical and unnecessary to implement the same degree of to implement the control measures in every setting across the continuum of care. [...] The likelihood of transmission (based, for instance, on the client/patient/resident risk factors and the amount of transmission that has occurred on the particular unit in the past). [...] Vancomycin resistant enterococci may be detected in the course of screening programs, and isolates of enterococci from specimens are screened for 18 Best Practice Guidelines for Reducing Transmission of Antibiotic Resistant Organisms (AROS) In Acute and Long Term Care Settings, Home Care, and Prehospital Care vancomycin resistance routinely.