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What is it?

MDROs are microorganisms resistant to treatment with multiple antimicrobial medications.
Common examples:

  • MRSA: Methicillin-resistant Staphylococcus aureus.
  • VRE: Vancomycin-resistant enterococci.
    Colonization vs. Infection:
  • Colonization: Organism is present without causing illness.
  • Infection: Organism causes tissue damage or illness.

Why does it matter?

  • Resistant infections can be difficult to treat.
  • Vulnerable residents may develop serious complications.
  • MDROs can spread through contact with contaminated hands, equipment, and surfaces.
    Risk factors:
  • Recent or prolonged antibiotic exposure.
  • Extended healthcare stays.
  • Wounds or indwelling medical devices.
  • Weakened immune system or chronic illness.

What should I look for?

MRSA:

  • May colonize skin or the nose without symptoms.
  • Infection may cause redness, swelling, pain, or drainage.
    VRE:
  • May colonize the gastrointestinal tract without symptoms.
  • Can cause urinary, wound, or bloodstream infections.
    General concerns:
  • Fever or new signs of infection.
  • Wound changes or unusual drainage.
  • New changes in resident condition.

What should I do?

  • Follow required infection-control precautions.
  • Perform hand hygiene consistently.
  • Use PPE according to facility instructions.
  • Clean and disinfect shared equipment appropriately.
  • Report concerning changes to the nurse.

Sources

  • CNA Module 6 — Drug-Resistant Infections
  • CDC — MDRO Prevention Guidance

Flashcards

What is an MDRO?01-foundations / diseases-conditions
Answer

A microorganism resistant to multiple antimicrobial drugs.

Why do MDROs affect precautions?02-mechanisms / diseases-conditions
Answer

They can spread in healthcare settings and complicate treatment.