Pathogens
ESBL- Extended Spectrum Beta-Lactamase producing organisms

ESBL- Extended Spectrum Beta-Lactamase producing organisms

Precautions

  • Contact Precautions only if:
    • In critical care units
    • Have risk factors for transmission (e.g. diarrhea, uncontained urine, stool incontinence, ostomies, and/or open draining wounds)
  • Droplet Precautions if present in sputum and has cough
  • AGP sign if needed

Susceptibilities

General Information

Gram negative organisms with beta-lactamase enzymes that confer resistance to 3rd generation cephalosporins in addition to lower order beta-lactams (eg, ampicillin).

Generally, ESBL refers to certain strains of E. coli, Klebsiella, and Proteus.

ESBL-producing organisms may be normal part of GI flora.

Elevated risk of ESBL if known prior colonization/infection, broad-spectrum antibiotic exposure within last 30 days, travel to endemic areas within last 30 days.

Asymptomatic colonization, or any syndrome caused by the organism carrying it (see the organism for list)