Multi-resistant organisms (MRO) - information for residential care facilities
The risk of transmission of MROs is dependant on factors associated with the microorganism/infectious agent, risk factors in the index case, the residential setting and the environment. New mechanisms of antimicrobial resistance and increasing numbers of residents in aged care settings with MROs are challenging aged care providers.
The level of risk and specific type of MROs will differ between facilities; however, all health services need to consider the risks of transmission of MROs and implement infection prevention and control strategies according to their specific circumstances. Understanding the modes of transmission of infectious agents and knowing how and when to apply the basic principles of infection prevention and control is critical to the success of an infection prevention and control program.
Resources are available online and include:
- Queensland Health information sheet multi-resistant organisms for residential care facilities (PDF, 102KB)
- Antimicrobial prescribing and infections in Australian residential aged care facilities (acNAPS)
- 2016 Aged Care National Antimicrobial Prescribing Survey Report September 2017 (PDF, 40kB)
- Management of outbreaks of communicable diseases in healthcare facilities (PDF, 195kB)
- Multi-resistant organisms in the community – MRSA, VRE and C. DIFFICILE (PDF, 1.2MB)
- The Australian guidelines for the prevention and control of infection in healthcare
- Prevention and control of infection in residential and community aged care
- Victoria guideline on CPE for long term residential aged care facilities, May 2018
- CPE – Information for staff of LTRCFs (DOCX, 64kB)
- CPE – Information for residents, family and carers (DOCX, 49kB)
- CPE – Information for clinicians (DOCX, 47kB)
- Screening for CPE – Information for staff (PDF, 40kB)
- Screening for CPE – Information for residents (PDF, 40kB)
- A guide for acute care health facilities May 2017 (PDF, 3MB) Guidelines on carbapenemase-producing Enterobacteriaceae management.
- Recommendations for the control of Multi-drug resistant Gram-negatives: carbapenem resistant Enterobacteriaceae (PDF, 1.9MB)
- Antimicrobial resistance (AMR) occurs when disease-causing pathogens are able to withstand the killing or suppressing power of antimicrobial medicines. This phenomenon increases the global burden of infectious diseases and strains health systems.
- This course, Antimicrobial Resistance (Part 1) from USAID, aims to improve the learner's awareness and understanding of the basic principles of AMR, the impact AMR has on individuals and society, and why it is a major public health concern.
- A complementary course, Antimicrobial Resistance (Part 2), describes interventions that address the multiple factors contributing to AMR across the health system.