Dissemination of Enterobacteria is essentially hand borne deriving from the digestive flora. Hygiene recommendations are basically "washing hands". However, these recommendations may differ in regard to the patients surrounding (hospital, nursing home, home) or the nature of the enterobacteria in question .
In the community and in general practice the recommendations are simple. Below you will find a letter written by AzurClin summarizing the recommendations to follow at home. This information sheet should be explained and given to the patient.
In hospitals or other health care institutions transmission of resistant ESBL bacteria to vulnerable patients may result in severe nosocomial infections. It is therefore necessary to strengthen these hygiene precautions with the help of all involved health care actors. Since certain Enterobacteria as Kelbsiella pneumoniae can be more resistant to antibiotics than others a maximum level of precautions might be required.
Below you will find an information leaflet for patients in institutional care written by the CCLIN Sud Est. This brochure should be explained and given to each patient infected with ESBL enterobacteria and to their family.
Information sheet for patients in health care institutions
Once a patient with ESBL Enterobacteria is released from hospital care it is necessary to inform his doctor about precautions to continue at home. Below you will find a sample letter (applicable to any type of resistant bacteria) that can be attached to the outgoing mail.
Sample letter for the attending physician
Also below the following recommendations recently published :
· How to limit the spread of ESBL Enterobacteria : HCSP 2010