Infectious risk and crossing transmission: Which guidelines?

OPINION/FEEDBACK: Infectious risk and crossing transmission: which guidelines? Crossing transmission risk is important in SSR wards, although patients have few invasive acts but are moving. A piloting group chose 6 questions. Two experts analyzed each question, bibliographic analysis to look for formal guidelines, convincing elements and persistent questions. Those results were discussed during an expert conference to develop best practices guidelines for rehabilitation organization in SSR ward: - for SSR patients, can we define clinical and microbiological characteristics enable to improve crossing transmission risk? disease? Microbiological location?; - for patients with BMR or BHR bacteria, how can we use, organize and manage technical tools (architecture, tools, group work, swimming pools, cleaning) to reduce crossing transmission risk?; - for patients with BMR or BHR bacteria, how can we organize patients transfers out of room? To technical tools? To common places (restaurant, lounge), to home return (permission included) or to reduce crossing transmission risk?; - for patients with BMR or BHR bacteria (contact or bearer), how can SSR professional organize to reduce crossing transmission risk? Coordination between professionals, care planning, choice and use of tools and techniques…; - to reduce crossing transmission risk, what are located units, clinical and biological screening units, follow up BMR and BHR?; - for patients with BMR or BHR bacteria (contact or bearer), how information transmission can improve before, during and after SSR stay? Short guidelines will be held during next conference and long guidelines will be totally written.