In 2012, the Dutch Working Party for Infection Control (WIP) issued the first Guideline for prevention of transmission of highly-resistant micro-organisms (HRMO) in Hospitals. The next step was to focus on long-term care facilities (LTCFs) both for nursing homes as for small-scale living facilities with nursing home care. These facilities providing care for residents with functional disabilities, chronical illnesses and cognitive disorders, such as dementia. The objective was to adapt the Guideline for prevention of transmission of HRMO in hospitals to LTCFs with a strong accent on living conditions and social interactions. Residents of LTCFs may be carriers of HRMO over a long period of time and most of the residents of the LTCF stay for extended periods of time. To respect individual living circumstances and to prevent unnecessary limitations in the social life of the residents due to the use of isolation measures, the WIP has chosen to describe infection control precautions per individual micro-organism instead of a 'one size fits all' method. The term "isolation" was therefore replaced by the term "additional" precautions. This guideline describes the screening policies for residents in LTCFs, definition and detection of HRMO carriage, standard and additional infection control precautions for HRMO positive residents, documentation and communication of HRMO carriage and discontinuation of additional infection control precautions. It also describes contact tracing of HRMO, environmental control/investigation, surveillance of HRMO and what is important when there is an outbreak.

中文翻译：

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荷兰预防长期护理设施（LTCF）中医院内高耐药性微生物（HRMO）传播的指南。

2012年，荷兰感染控制工作组（WIP）发布了第一条预防高耐药性微生物（HRMO）在医院中传播的指南。下一步将重点放在养老院的长期护理设施（LTCF）和带有养老院护理的小型生活设施上。这些设施为患有功能障碍，慢性病和认知障碍（如痴呆症）的居民提供护理。目的是使《预防HRMO在医院中传播》指南适应LTCF，并着重强调生活条件和社会互动。LTCF的居民可能会长期担任HRMO的携带者，而LTCF的大多数居民会停留较长的时间。为了尊重个人的生活环境并防止由于使用隔离措施而导致居民的社会生活受到不必要的限制，WIP选择按每个微生物描述感染控制预防措施，而不是采用“一刀切”的方法。因此，术语“隔离”由术语“其他”预防措施代替。本指南描述了针对LTCF居民的筛查政策，HRMO运送的定义和检测，HRMO阳性居民的标准和其他感染控制预防措施，HRMO运送的文件和通讯以及其他感染控制预防措施的终止。它还描述了HRMO的联系人追踪，环境控制/调查，HRMO的监视以及爆发时的重要事项。