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Multidrug Resistant Organisms Discharge Instructions


About this topic


Multidrug resistant organisms may also be called MDROs. These are germs that may not respond to the treatment methods used most of the time. The drugs most often used to treat these germs or infections do not work. The MDRO are germs that have developed a resistance to some kinds of antibiotics. These germs may be bacteria, viruses, parasites, or a fungus. Sometimes they cause an illness and other times the germs just live in the body without hurting it. ‚  
Germs are all around. They can be easily passed from one person to others in many ways. Some germs can be spread when you share things that may have the germs on them. Touching things like remote controls, bedside rails, IV poles, and objects in the hospital can easily spread germs. You may also get an infection if you touch body fluids of a person with an infection. Poor handwashing also causes the spread of germs. ‚  
Not all germs are MDROs. Most of the time, germs are sensitive to the drugs used to treat the infection. But when you have an infection with a MDRO, if you take a drug commonly used your infection will not get better. This also means you are more likely to pass the infection on to others. ‚  

What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
  • Be sure to keep your hands clean. Wash them with soap and water or use an alcohol-based hand rub before and after you touch an infected area.
  • Talk to your doctor about how to care for your infection. Ask your doctor about:
    • If you should keep your infected area covered.
    • When you should change your bandages.
    • When you may take a bath or shower.
  • If you need help with wound care, remind your caregiver to wash hands before and after changing your bandage. Your caregiver may want to wear gloves during the wound care.
  • Do not share personal items such as towels, washcloths, or clothing that may have touched your wound.
  • Wash items that may have touched your wound. Use a dryer to dry these items completely.
  • Be sure to keep the surfaces in your home clean, especially those that you may touch often.

What follow-up care is needed?


Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. ‚  

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Fight an infection. To get the most benefit, it is very important you do not miss any doses. Use your drugs as you have been told, even if you are feeling better. Take each dose of the drug as ordered. The infection can come back if you do not take all of your drugs.

Will physical activity be limited?


Talk to your doctor about when you can go back to school, work, or daily activities. ‚  

What problems could happen?


Germs can spread and cause more serious infection to many parts of the body like: ‚  
  • Skin
  • Blood
  • Heart
  • Bones
  • Lungs
  • Brain

What can be done to prevent this health problem?


  • If you are in the hospital, you will be placed on isolation. This means you will only be allowed to leave your room for some tests or procedures. You will also need to take special precautions when you leave your room. You may need to wear a gown, gloves, or mask when you leave your room. The staff who care for you will take extra care to prevent the spread of infection.
  • All people, including visitors, should wash their hands when they come in and when they leave your room.
  • Outside of the hospital, handwashing is the best way to stop the spread of MDRO to others. Wash your hands often with soap and water for at least 15 seconds, especially after coughing or sneezing. Alcohol based hand sanitizers also work to kill germs.
  • Avoid sharing your towels, washcloths, or soap with anyone. Clean commonly handled things often, like door handles, remotes, toys, and phones. Wipe them with a disinfectant.
  • Wipe down shared equipment with a disinfectant mixture, such as a household cleaner. This is very important at places like gyms to stop the spread of the germs.
  • Do not touch others wounds or bandages.
  • Keep open wounds covered if you are playing in a group sporting event.
  • Wash and dry soiled sheets, towels, and clothing in the warmest temperature listed on the clothing label.

When do I need to call the doctor?


  • Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills, wound that will not heal, or pain.
  • Signs of wound infection. These include swelling, redness, warmth around the wound; too much pain when touched; yellowish, greenish, or bloody discharge; foul smell coming from the wound; wound opens up.
  • Very loose stools
  • A new rash
  • You are not feeling better in 2 to 3 days or you are feeling worse

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my condition.
  • I can tell you how to care for my infection.
  • I can tell you what I should do to help keep from passing on germs to others.
  • I can tell you what I will do if I have swelling, redness, or warmth around my wound.

Where can I learn more?


Centers for Disease Control and Prevention ‚  
http://www.cdc.gov/drugresistance/about.html ‚  
National Institute of Allergy and Infectious Diseases ‚  
http://www.niaid.nih.gov/topics/antimicrobialresistance/understanding/Pages/default.aspx ‚  

Last Reviewed Date


2016-01-13 ‚  

List_set bdysylist


  • Infectious Disease

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care provider 's advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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Copyright ‚ © 2016 Wolters Kluwer Clinical Drug Information, Inc. and its affiliates and/or licensors. All rights reserved. ‚  
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