MRO Soup 5 Parts MRO 1 Part Patient

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MRO Soup5 Parts MRO 1 Part Patient

• Anna Thorburn
• Clinical Nurse Specialist Infection Control
• Authors A. Thorburn with Dr. S. Taylor P. Mead

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.ingredients

• Our Place
• Undesirable guests
• Maître de - IC
• Stock
• .leftovers

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CMDHB
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A Host .

• NZ Resident Born in India
• 43y/o male
• Surgery _at_ CMDHB June 2006- no known
  complications
• Hospitalised in India
• Returned to NZ presented CMDHB EC

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.a host polypharmacy
Augmentin
CefoperazoneSulbactam
Aztreonam
Meropenem
Vancomycin
Piperacillin
Linezolid
Teicoplanin
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.undesirable guests

• MRSA
• Carbapenem Resistant Acinetobacter baumannii
  Species (CRABs)
• ESBL producing Klebsiella pneumoniae
• ESBL producing E. Coli
• Pan-drug Resistant Pseudomonas aeruginosa

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Maître de IC

• Standard Precautions
• Transmission based precautions

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• Environmental Factors- Cleaning Disinfection
• Domestic- Procedures

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.stock

• Diagnostics- Xray- USS- MRI
• Interventions- Surgery- PICC
• Treatment- Antibiotics

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MRO Soup

• Cultural Issues
• Patient Staff Safety
• Cost
• Time
• Communication

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leftovers

• Risk
• MRO Surveillance
• Effective Communication

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Bibliography

• Urban. C, Segel-Maurer. S and Rahal. JJ (2003)
  Considerations in Control and Treatment of
  Nosocomial Infections due to Multidrug-resistant
  Acinetobacter baumannii. Clinical Infectious
  Diseases vol3610 p1268, 7p.
• Johns Hopkins Medicine Maragakis. L (2004)
  Multidrug-resistant Acinetobacter (MDR-AB).
  Retrieved 07/03/2007 http//www.hopkinsmedicine.or
  g/heic/ID/mdr/
• Johns Hopkins Medicine Maragakis. L (2004) Plan
  for the Prevention Control of
  Multidrug-resistant Acinetobacter (MDR-AB).
  Retrieved 07/03/2007 http//www.hopkinsmedicine.or
  g/heic/ID/mdr/prevent_plan.html
• Johns Hopkins Medicine Maragakis L (2004) RN
  Fast Facts Sheet Multi-drug Resistant
  Acinetobacter. Retrieved 07/03/2007
  http//www.hopkinsmedicine.org/heic/ID/mdr/prevent
  _plan.html

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• Maragakis.L, Cosgrove.S.E, Song.X, Kim.D,
  Rosenbaum.P, Ciesla.N, Srinivasan. A, Ross.T,
  Carroll.K and Perl. T (2004) An Outbreak of
  Multidrug-Resistant Acinetobacter baumannii
  associated with pulsatile lavage wound treatment.
  Journal of the American Medical Association. Vol
  29224 p3006-3011 5p.
• Abbo. A, Navon-Venezia. S, Hammer-Muntz. O,
  Krichali. T, Siegman-Igra. Y and Carmeli. Y
  (2005) Multidrug-resistant Acinetobacter
  baumannii. Emerging Infectious Diseases Vol 111
  p22-29, 8p
• Beggs.C.B, Kerr.K.G, Snelling.A.M and Sleigh.P.A
  (2005) Acinetobacter spp. And the Clinical
  Environment Indoor and Built Environment, Vol
  151, p19-24

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Acknowledgements

• Department of Orthopaedics CMDHB Charge Nurse
  Anne Lee Nursing Staff Mr Matthew Tomlinson
  Orthopaedic Surgeon
• Infectious Diseases/Clinical MicrobiologyDr. S.
  Taylor, Dr. D Holland Dr. S McBride
• Infection Prevention ControlP. Mead, T. Rings,
  E. Bryce, L. Gonzalez

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