Multi-resistant organisms (MRO) - information for residential care facilities
People living in residential care facilities are often vulnerable individuals who are older or have chronic illnesses or disabilities, putting them at higher risk of infection. The risk associated with multi-resistant organisms (MROs) is dependent on factors associated with the microorganism/infectious agent, risk factors in the index case, the residential setting and the environment.
Residential care services should consider the risks of transmission of MROs and implement infection prevention and control strategies according to their specific circumstances. Understanding the modes of transmission of infectious agents and knowing how and when to apply the principles of infection prevention and control is critical to the success of an infection prevention and control program.
All Australian Government funded residential aged care facilities must have an infection prevention and control (IPC) lead nurse. The IPC lead nurse provides advice within the care service and is a key infection prevention and control contact. Find more information about IPC leads here.
Resources are available online and include:
Queensland Health guidelines and resources
- Queensland Health information sheet multi-resistant organisms for residential care facilities (PDF, 102KB)
- Queensland Health guideline for management of multi-resistant organisms
(PDF 580 kB) - Queensland Health guideline for management of outbreaks of communicable diseases in healthcare facilities (PDF 822 kB)
Other guidance
- Australian guidelines for the prevention and control of infection in healthcare, Section 3.4
- Australian Commission on Safety and Quality in Healthcare Infection prevention and control in aged care webpage
- NSW Clinical Excellence Commission information on multidrug resistant organisms
- Victorian Department of Health guideline on CPE for long term residential aged care facilities, May 2018
- CPE – Information for staff of LTRCFs (DOCX, 64kB)
- CPE – Information for residents, family and carers (DOCX, 49kB)
- CPE – Information for clinicians (DOCX, 47kB)
- Screening for CPE – Information for staff (PDF, 40kB)
- Screening for CPE – Information for residents (PDF, 40kB)
- Recommendations for the control of carbapenemase-producing Enterobacterales 2021
Training resources
- The World Health Organization provides a free online course on OpenWHO.org called antimicrobial resistance and infection prevention and control