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Sample risk factor-based admission form for screening for ...

Sample risk factor-based admission form for screening for MRSA, VRE, ESBL and CPE. [adapted from Sunnybrook Health Sciences Centre]. This tool is an excerpt from the Annex A: screening , Testing and Surveillance for Antibiotic-Resistant Organisms (AROs) (Appendix B) and was reformatted for ease of use. For more information please contact Public Health Ontario's Infection Prevention and Control Department at or visit Best Practice February 2013. Sample risk factor-based admission form for screening for MRSA, VRE, ESBL and CPE. [adapted from Sunnybrook Health Sciences Centre]. This is an excerpt from Annex A: screening , Testing and Surveillance for Antibiotic-Resistant Organisms (AROs). Antibiotic Resistant Organisms (ARO) admission Screen (for all admitted patients). MRSA= methicillin resistant Staphylococcus ESBL= extended-spectrum -lactamase E. coli and Klebsiella aureus CPE= carbapenemase-producing Enterobacteriaceae VRE= vancomycin resistant enterococcus Primary risk factors for Antibiotic Resistant Organisms (ARO): yes no Patient is known to be positive for an ARO, or was a contact of an ARO (includes patients flagged in electronic patient record for MRSA, VRE, ESBL or CPE) If YES, place the patient on Contact Precautions and collect specimens for MRSA, VRE and any other AROs that were previously positive or for which the patient was a contact yes no Patient has received health care in another cou

Sample risk factor-based admission form for screening for MRSA, VRE, ESBL and CPE [adapted from Sunnybrook Health Sciences Centre] This tool is an excerpt from the …

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