When do you discontinue contact precautions in patients known to be colonized with ESBL producing Enterobacterales?  

There is no widely accepted guideline regarding the timing of discontinuation of isolation for ESBL-producing organisms. However, according to the article “Duration of Contact Precautions for Acute-Care Settings” published by ICHE in 2018, Maintaining contact precautions for ESBL-E and ...

We do not isolate ESBL. We do isolate CRE and highly resistant GNRs for the duration of hospitalization. For patients with protracted post-acute stays we evaluate on a case-by-case basis, and screen for rectal carriage as Dr. @Kobayashi does, before stopping isolation. As with the case of MRSA, I su...