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Resistant bacteria and fungi

Some bacteria and fungi that can make us sick have evolved the ability to survive medical treatments. Treatment resistance is a significant problem because it makes infections more difficult to treat, which can lead to more serious medical complications.

These infections are transmitted by:

  • Contaminated hands of healthcare workers during patient care
  • Contact with a carrier or their care equipment or environment

Washing your hands is the best way to avoid spreading bacteria and fungi resistant to medical treatments.


Candida auris

Candida

  • Are yeast-type fungi
  • Are generally present in or on the human body (e.g.: skin, mouth, digestive or vaginal tract)
  • Can cause less serious illnesses (e.g.: thrush and vaginitis) or more serious ones (e.g.: blood infection)

Candida auris

  • A type of Candida
  • Spreads easily in hospitals and may contaminate several people at the same time
  • Is very often resistant to medications given for treatment of illnesses caused by Candida
I have been in contact with Candida auris

I am a carrier of Candida auris

  • A test confirmed that Candida auris is present on or in my body.

 

A) I am colonized

  • Candida auris is present, but I am not ill.
  • I do not need any specific treatment.

or

B) I am infected

  • Candida auris is present and making me ill.
  • I need specific medication for my care.
What happens to my health care?

In hospital or rehabilitation

  • I am usually admitted to a single room with private bathroom, and am quarantined in my room.
  • Personnel don a gown and gloves before entering my room.

 

In a CHSLD or a care unit in a residence

  • I could be placed in a single room with private bathroom.
  • Personnel could don a gown and gloves before entering my room.

 

In outpatients, home care and in dialysis

  • Personnel don a gown and gloves before providing care.
What happens when I return home?
  • I resume everyday activities (e.g.: shopping) and social activities (e.g.: visit close family and friends, go to the cinema or restaurant) as usual.

To learn more 

Candida auris - Québec.ca

Lame de microscope de cellules de Candida Auris


Carbapenemase-producing Enterabacteriaceae (CPE)

Enterabacteriaceae

  • Are bacteria that are normally present in the bowels and stools
  • Do not generally cause illness among individuals in good health 
  • Can sometimes cause urinary, wound or blood infections 

CPE

  • Are part of the Enterabacteriaceae family
  • Are resistant to carbapenems which are powerful antibiotics
I have been in contact with the CPE

I am a CPE carrier

  • A test has confirmed that CPE is present on or in my body. ps. 

 

A) I am colonized

  • CPE is present but not making me ill.
  • I do not need any specific treatment.

or

B) I am infected

  • CPE is present and making me ill.
  • I need specific medication for my care.
What happens to my health care?

In hospital or rehabilitation

  • I am usually admitted to a single room with private bathroom, and am quarantined in my room.
  • Personnel don a gown and gloves before entering my room.

 

In a CHSLD or a care unit in a residence

  • I could be placed in a single room with private bathroom.
  • Personnel could don a gown and gloves before entering my room.

 

In outpatients, home care and in dialysis

  • I wear clean clothes and I wash my hands before receiving care. 
  • Personnel don a gown and gloves before providing care.
What happens when I return home?
  • I resume everyday activities (e.g.: shopping) and social activities (e.g.: visit close family and friends, go to the cinema or restaurant) as usual.
  • My family members and I wash our hands frequently.

Illustration d'entérobactéries


Vancomycin-resistant Enterococci (VRE)

Enterococci

  • Are bacteria that are normally present in the bowels and stools
  • Do not generally cause illness among individuals in good health 
  • Can sometimes cause urinary, wound or blood infections 

VRE

  • Part of the Enterococci group
  • Resistant to Vancomycin which is a powerful antibiotic
I have been in contact with the VRE

I am a VRE carrier

  • A test has confirmed that VRE is present on or in my body.

 

A) I am colonized

  • VRE is present but not making me ill.
  • I do not need any specific treatment.

or

B) I am infected

  • VRE is present and making me ill.
  • I need specific medication for my care.
What happens to my health care?

In hospital or rehabilitation

  • I am usually admitted to a single room with private bathroom, and am quarantined in my room.
  • Personnel don a gown and gloves before entering my room.

 

In a CHSLD or a care unit in a residence

  • I could be placed in a single room with private bathroom.
  • Personnel could don a gown and gloves before entering my room.

 

In outpatients, home care and in dialysis

  • I wear clean clothes and I wash my hands before receiving care. 
  • Personnel don a gown and gloves before providing care.
What happens when I return home?
  • I resume everyday activities (e.g.: shopping) and social activities (e.g.: visit close family and friends, go to the cinema or restaurant) as usual.
  • My family members and I wash our hands frequently.

To learn more 

Vancomycin-resistant Enterococci (VRE) - Québec.ca

Illustration d'entérocoques


Methicillin-resistant Staphylococcus aureus (MRSA)

Staphylococci

  • Are bacteria normally present on skin and in nostrils 
  • Do not generally cause illness among individuals in good health 
  • Can sometimes cause urinary, wound or blood infections 

MRSA

  • Is part of the Staphylococci group
  • Resistant to methicillin which is an antibiotic
I have been in contact with the MRSA

I am a MRSA carrier

  • A test has confirmed that MRSA is present in or on my body.

 

A) I am colonized

  • MRSA is present but not making me ill.
  • I do not need any specific treatment.

or

B) I am infected

  • MRSA is present and making me ill.
  • I need specific medication for my care.
What happens to my health care?

In hospital or rehabilitation

  • I am usually admitted to a single room with private bathroom, and am quarantined in my room.
  • Personnel don a gown and gloves before entering my room.

 

In a CHSLD or a care unit in a residence

  • I could be placed in a single room with private bathroom.
  • Personnel could don a gown and gloves before entering my room.

 

In outpatients, home care and in dialysis

  • I wear clean clothes and I wash my hands before receiving care. 
  • Personnel could don a protective gown and gloves before providing certain care.
What happens when I return home?
  • I resume everyday activities (e.g.: shopping) and social activities (e.g.: visit close family and friends, go to the cinema or restaurant) as usual.
  • My family members and I wash our hands frequently.

To learn more 

Staphylococcus aureus - Québec.

Illustration de staphylocoques résistant à la méthicilline


More resources

Hand hygiene - Québec.ca

Antimicrobial resistance aux antimicrobiens - World health organization