Duration of Contact Precautions in Acute Care Settings

Publication Date: February 1, 2018

Key Points

Key Points

This expert guidance document provides recommendations regarding discontinuation of contact precautions (CP) at the individual patient level in acute-care hospitals employing CP for 1 or more of the following organisms: methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), Clostridium difficile (CDI), and multidrug-resistant Enterobacteriaceae (MDR-E), including carbapenem-resistant Enterobacteriaceae (CRE) and extended-spectrum β-lactamase (ESBL)–producing organisms.

Recommendations herein are based on synthesis of limited evidence, theoretical rationale, current practices, practical considerations, the opinion of the writing group, consideration of potential harms, and a survey of 134 institutions within the SHEA Research Network, 26% of which are outside the United States and Canada.

Methicillin-Resistant Staphylococcus aureus (MRSA)

...ethicillin-Resistant Staphylococcus aureus (...

...tal uses CP for patients previously colon...


...nts not on antimicrobial therapy w...


...igh-risk patients, such as those with chro...


...tside an outbreak setting, if a facility’...


Vancomycin-Resistant Enterococci (VRE)

...mycin-Resistant Enterococci...

...uses CP when caring for patients col...


...ds that, following treatment of VRE infection...


...ls should consider extending CP prior to as...


...utside an outbreak setting and if faci...


Multidrug-Resistant Enterobacteriaceae (MDR-E)

...Resistant Enterobacteriaceae (MDR-E)...

...pital uses CP for patients infected or coloni...


...mmends that for extensively drug-resistant E...


Clostridium difficile

...ridium difficile...

...HEA recommends that patients with C. diffic...


...ld consider extending CP through the dur...


At this time, insufficient evidence...


Microbiological Screening and Molecular Testing

...iological Screening and Molecular Testin...

...s time, insufficient evidence exists to make a for...