Enterococcus -vancomycin-resistant (VRE)

 Change in progess - still outstanding info being checked into.
 Feb 8.16 - Change to hospital procedure: 

• stop screening for VRE & ESBL or MRO.
• WRHA Infection Control
  • We won't code in DX if patient is colonized with VRE or ESBL or MRO (no clinical signs or symptoms of infection). Only code if showing clinical signs & symptoms of an infection related to having VRE or ESBL or MRO.--Trish Ostryzniuk 16:22, 2016 February 8 (CST)

• Also see; Staff FAQ RE VRE
• We will continue to track VRE infections in the DX code, when they are ID'd and causing symptoms. Hospitals will no longer be "screening" specific patient's if they are carriers (colonizers) of this pathogen nor will they be putting these patients on Contact Precaution.

Collector will still track as a DX if VRE or ESBL or MRO is causing of symptoms of infection, but won't mark in TASK if contact precaution/isolation if they are not applied.

• SBGH as of Feb 8th we are not isolating VRE positive or ESBL positive pts (active infections or colonized) Laura kolesar.
• GRACE - They are no longer screening or isolating VRE or ESBL pts at GGH.--Lisa Kaita 14:50, 2016 February 8 (CST)
• The term "Surveillance " is no longer in effect for VRE either as patients will no longer have swabs done on admission. HSC has DC'd this effective Feb 8.16 including Isolation precautions as described above. ID has stated all WRHA sites will follow these changes over next week or 2.--Llemoine 15:02, 2016 February 8 (CST)
  • Further to VRE changes-we will not change all previous data/codes/tasks entered prior to Feb 8th.--Llemoine 15:09, 2016 February 8 (CST)
• VIC As of Feb. 8, 2016 no longer screening/isolating VRE/ESBL positive patients Pamela Piche 15:55, 2016 February 17 (CST)}}
• CON -no longer doing isolation for VRE as per WRHA policy
• OAK Template:Discussion-waiting for input. Trish Ostryzniuk 17:31, 2016 February 17 (CST)

• • As above-this is a regional policy.--Lpruden2 07:53, 2016 February 18 (CST)

22 - Enterococcus -vancomycin-resistant (VRE)

NOTE: Database Task team meeting Nov 7.13

Template:Discussion Regarding coding of MRSA and VRE colonization. As has been pointed out before, this is problematic. Allan reported that Dr. Kumar has said he has no need for that information, and that Dr. Olafson indicated that MRSA colonization is needed for the national Vital Signs project. Julie reported that in the past 2 years there were 2 requests for data related to these variables. It was decided that Allan with contact Dr. Embil and see if we can obtain this data from Infection Control. If so, we could import it into the database, and have our data collectors cease obtaining it.Trish Ostryzniuk 17:50, 2013 November 7 (CST)