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As a result, individuals colonized with C. auris and/or CPOs require transmission-based precautions in all healthcare settings, even if they do not have an active infection. Additional infection prevention and control measures \(e.g., use of gown and gloves, scheduling visits to occur at the end of the day\) are recommended during the provision of healthcare in outpatient and home healthcare settings in order to prevent transmission to other patients cared for by the same healthcare providers. ) /Pg 7 0 R /K [2] >> endobj 51 0 obj << /Type /StructElem /S /P /E (NJDOH and CDC do not recommend reassessment of C. auris and/or CPO colonization because evidence has shown individuals positive for C. auris and CPOs remain colonized for years and may alternate between positive and negative test results following their initial identification. Any individual that has a history of being colonized or infected with C. auris and/or CPOs should remain on transmission-based precautions for all healthcare admissions and encounters following their initial identification. ) /Pg 7 0 R /K [0] >> endobj 52 0 obj << /Type /StructElem /S /P /E (In acute care settings, individuals colonized or infected with C. auris and/or CPOs require Contact Precautions with room restriction, except for medically necessary care. ) /Pg 7 0 R /K [3] >> endobj 53 0 obj << /Type /StructElem /S /P /E (In long-term care settings, individuals colonized or infected with ) /Pg 7 0 R /K [4] >> endobj 54 0 obj << /Type /StructElem /S /P /E (C. auris and/or CPOs that do not have other conditions or diagnoses that would require Contact Precautions should be placed on Enhanced Barrier Precautions, which does not require room restriction. ) /Pg 7 0 R /K [5] >> endobj 55 0 obj << /Type /StructElem /S /H3 /T (For more information, please visit: www.cdc.gov/hai/mdro-guides/index.html ) /E (For more information, please visit: www.cdc.gov/hai/mdro-guides/index.html ) /Pg 7 0 R /K [15 16] >> endobj 56 0 obj << /Type /StructElem /S /H3 /T (If you have additional questions, please contact the New Jersey Department of Health HAI/AR Unit at: DOH.CDS.HAIAR.EPI@doh.nj.gov.) /E (If you have additional questions, please contact the New Jersey Department of Health HAI/AR Unit at: DOH.CDS.HAIAR.EPI@doh.nj.gov.) /Pg 7 0 R /K [7 8] >> endobj 57 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [31] >> endobj 58 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [17] >> endobj 59 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [18] >> endobj 60 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [22] >> endobj 61 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [23] >> endobj 62 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [24] >> endobj 63 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [25] >> endobj 64 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [26] >> endobj 65 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [27] >> endobj 66 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [28] >> endobj 67 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [29] >> endobj 68 0 obj << /Type /StructElem /S /Figure /P 36 0 R /Pg 7 0 R /K [30] >> endobj 69 0 obj << /Type /StructElem /S /H1 /T (Candida auris \(C. auris\) & Carbapenemase-Producing Organisms \(CPOs\): Fact vs. Fiction) /E (Candida auris \(C. auris\) & Carbapenemase-Producing Organisms \(CPOs\): Fact vs. Fiction) /Pg 8 0 R /K [5] >> endobj 70 0 obj << /Type /StructElem /S /H2 /T (Myth # 4) /E (Myth # 4) /Pg 8 0 R /K [11] >> endobj 71 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [18] >> endobj 72 0 obj << /Type /StructElem /S /H4 /T (Individuals colonized or infected with C. auris and/or CPOs require placement in a private room. ) /E (Individuals colonized or infected with C. auris and/or CPOs require placement in a private room. ) /Pg 8 0 R /K [8] >> endobj 73 0 obj << /Type /StructElem /S /H2 /T (Myth # 5) /E (Myth # 5) /Pg 8 0 R /K [12] >> endobj 74 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [19] >> endobj 75 0 obj << /Type /StructElem /S /H4 /T (Alcohol-based hand rub \(ABHR\) is not effective against C. auris or CPOs.) /E (Alcohol-based hand rub \(ABHR\) is not effective against C. auris or CPOs.) /Pg 8 0 R /K [1] >> endobj 76 0 obj << /Type /StructElem /S /H2 /T (Myth # 6) /E (Myth # 6) /Pg 8 0 R /K [13] >> endobj 77 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [20] >> endobj 78 0 obj << /Type /StructElem /S /H4 /T (Chlorhexidine gluconate \(CHG\) bathing can be used as a decolonization method for individuals colonized or infected with C. auris and/or CPOs. ) /E (Chlorhexidine gluconate \(CHG\) bathing can be used as a decolonization method for individuals colonized or infected with C. auris and/or CPOs. ) /Pg 8 0 R /K [10] >> endobj 79 0 obj << /Type /StructElem /S /H1 /T (Facts) /E (Facts) /Pg 8 0 R /K [9] >> endobj 80 0 obj << /Type /StructElem /S /P /E (While private rooms are preferred when available, placement in a private room is not required. Individuals colonized or infected with ) /Pg 8 0 R /K [2] >> endobj 81 0 obj << /Type /StructElem /S /P /E (C. auris and/or CPOs can be placed in shared rooms with other individuals colonized or infected with the same multidrug-resistant organisms and resistance genes. In long-term care facilities where Enhanced Barrier Precautions are implemented, cohorting of individuals in shared rooms based on common organisms and resistance genes \(e.g., C. auris and/or CPOs\) is encouraged.) /Pg 8 0 R /K [3] >> endobj 82 0 obj << /Type /StructElem /S /P /E (ABHR is effective against C. auris and CPOs, and is the preferred method of hand hygiene, except when hands are visibly soiled and when providing care to a patient/resident with diarrhea, due to evidence of better compliance compared to soap and water.) /Pg 8 0 R /K [0] >> endobj 83 0 obj << /Type /StructElem /S /P /E (There are currently no proven effective methods of decolonization for individuals colonized or infected with C. auris and/or CPOs. High concentrations of CHG may suppress organism growth temporarily, but there is insufficient evidence of long-term organism suppression associated with the use of CHG.) /Pg 8 0 R /K [4] >> endobj 84 0 obj << /Type /StructElem /S /H3 /T (For more information, please visit: www.cdc.gov/hai/mdro-guides/index.html ) /E (For more information, please visit: www.cdc.gov/hai/mdro-guides/index.html ) /Pg 8 0 R /K [14 15] >> endobj 85 0 obj << /Type /StructElem /S /H3 /T (If you have additional questions, please contact the New Jersey Department of Health HAI/AR Unit at: DOH.CDS.HAIAR.EPI@doh.nj.gov.) /E (If you have additional questions, please contact the New Jersey Department of Health HAI/AR Unit at: DOH.CDS.HAIAR.EPI@doh.nj.gov.) /Pg 8 0 R /K [6 7] >> endobj 86 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [30] >> endobj 87 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [16] >> endobj 88 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [17] >> endobj 89 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [21] >> endobj 90 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [22] >> endobj 91 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [23] >> endobj 92 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [24] >> endobj 93 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [25] >> endobj 94 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [26] >> endobj 95 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [27] >> endobj 96 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [28] >> endobj 97 0 obj << /Type /StructElem /S /Figure /P 37 0 R /Pg 8 0 R /K [29] >> endobj 98 0 obj << /Type /StructElem /S /H1 /T (Candida auris \(C. auris\) & Carbapenemase-Producing Organisms \(CPOs\): Fact vs. Fiction) /E (Candida auris \(C. auris\) & Carbapenemase-Producing Organisms \(CPOs\): Fact vs. Fiction) /Pg 9 0 R /K [3] >> endobj 99 0 obj << /Type /StructElem /S /H2 /T (Myth # 7) /E (Myth # 7) /Pg 9 0 R /K [11] >> endobj 100 0 obj << /Type /StructElem /S /Figure /P 38 0 R /Pg 9 0 R /K [17] >> endobj 101 0 obj << /Type /StructElem /S /H4 /T (The incubation period \(i.e., the time between exposure and the onset of colonization or infection\) for C. auris and/or CPOs is short.) /E (The incubation period \(i.e., the time between exposure and the onset of colonization or infection\) for C. auris and/or CPOs is short.) /Pg 9 0 R /K [8] >> endobj 102 0 obj << /Type /StructElem /S /H2 /T (Myth # 8) /E (Myth # 8) /Pg 9 0 R /K [12] >> endobj 103 0 obj << /Type /StructElem /S /Figure /P 38 0 R /Pg 9 0 R /K [18] >> endobj 104 0 obj << /Type /StructElem /S /H4 /T (Healthcare facilities can refuse residents based on their positive C. auris and/or CPO status, or based on pending C. auris and/or CPO test results. ) /E (Healthcare facilities can refuse residents based on their positive C. auris and/or CPO status, or based on pending C. auris and/or CPO test results. ) /Pg 9 0 R /K [1] >> endobj 105 0 obj << /Type /StructElem /S /H2 /T (Myth # 9) /E (Myth # 9) /Pg 9 0 R /K [13] >> endobj 106 0 obj << /Type /StructElem /S /Figure /P 38 0 R /Pg 9 0 R /K [19] >> endobj 107 0 obj << /Type /StructElem /S /H4 /T ( The family and household members of a case patient are at high risk for acquiring C. auris and/or CPOs. ) /E ( The family and household members of a case patient are at high risk for acquiring C. auris and/or CPOs. ) /Pg 9 0 R /K [10] >> endobj 108 0 obj << /Type /StructElem /S /H1 /T (Facts) /E (Facts) /Pg 9 0 R /K [9] >> endobj 109 0 obj << /Type /StructElem /S /P /E (There is no known incubation period for C. auris and/or CPOs. The lack of a known incubation period makes the use of serial point prevalence surveys, or unit-wide colonization screenings, especially important for assessment of transmission events and assessment of the effectiveness of control measures implemented.) /Pg 9 0 R /K [2] >> endobj 110 0 obj << /Type /StructElem /S /P /E /Pg 9 0 R /K [0] >> endobj 111 0 obj << /Type /StructElem /S /P /E (Healthy people are not at increased risk of C. auris or CPO colonization or infection. C. auris and CPOs most often impact people who have had frequent hospital stays or live in nursing homes, have weakened immune systems from conditions such as cancer or diabetes, receive lots of antibiotics, or have devices like tubes going into their body \(for example, breathing tubes, feeding tubes, catheters in a vein, or bladder catheters\). 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