Communicable Diseases
Healthcare-Associated Infections (HAIs) / Multidrug-Resistant Organisms (MDRO)
Dallas County Health and Human Services - 2377 N. Stemmons Freeway, Dallas, TX 75207
Telephone: 214-819-2000
If you have identified a patient with an HAI, please place them on contact precautions immediately.
- To report cases, please send an encrypted email to HAI@dallascounty.org or fax to DCHHS secure fax line at 214-875-2580.
- If you have any questions, you can reach us at (214) 819-2004 and ask for the HAI team.
For additional information and guidance on HAI/MDRO reporting, click here.
Healthcare-Associated Infection (HAI)
A healthcare-associated infection (HAI) is an infection that develops during, or soon after, receiving healthcare services or being in a healthcare setting. These settings include hospitals, clinics, doctor's offices, surgery centers, nursing homes, or home-care visits by a health professional.
Multidrug-Resistant Organisms (MDRO)
For epidemiologic purposes, MDROs are defined as microorganisms, predominantly bacteria, that are resistant to one or more classes of antimicrobial agents (1). Although the names of certain MDROs describe resistance to only one agent (e.g., MRSA, VRE), these pathogens are frequently resistant to most available antimicrobial agents.
Candida auris
Candida auris is an emerging fungal infection that recently became reportable in Texas.
Downloadable Information
- C. auris fact sheet for IPs
- Candida auris for patients
- Candida auris patient testing info
- Candida auris colonization info for patients
- Facility instructions for C. auris surveillance
- C. auris Screening checklist
- C. auris Point Prevalence Surveys (PPS) instructions
Additional C. auris Resources
- CDC C. auris info for healthcare facilities: https://www.cdc.gov/fungal/candida-auris/health-professionals.html
- EPA List P for disinfectants approved for C. auris: https://www.epa.gov/pesticide-registration/list-p-antimicrobial-products-registered-epa-claims-against-candida-auris#products
CRE and CROs
Carbapenem-resistant Enterobacterales (CRE), also known as Carbapenem-resistant organisms (CROs), are gram-negative bacilli which are resistant to at least one of the carbapenem antibiotics or produce a carbapenemase.
Downloadable Information
- Screening checklist
- CRE Point Prevalence Surveys (PPS) instructions
Additional CRE and CRO Resources
- CDC CRE: https://www.cdc.gov/hai/organisms/cre/index.html
- EPA List E: https://www.epa.gov/pesticide-registration/list-e-epas-registered-antimicrobial-products-effective-against
- EPA List H: https://www.epa.gov/pesticide-registration/list-h-registered-antimicrobial-products-label-claims-against-methicillin
For Reporting Facilities and IPs
If you’ve identified a positive MDRO lab, you will be asked for the following information for Dallas County’s case investigation:
- Patient’s date of admission
- Location admitted from
- Date of discharge (if applicable)
- Location discharged to (if applicable)
- Unit and room numbers the patient was in during the 30 days prior to positive screen
- Did they have any roommates?
- Ancillary services
- Indwelling devices at time of collection
- Basic medical records - face sheet, admit/discharge summaries, H&P, relevant labs
Send an encrypted email to HAI@dallascounty.org or fax to DCHHS secure fax line at (214) 875-2580.
Reporting Facilities and IP Resources
- DCHHS HAI Intro for Stakeholders PowerPoint - Educational tool for IPs and could be shared during staff trainings
- Inter-Facility Transfer Form - DCHHS is HIGHLY RECOMMENDING that all facilities implement using this form when transferring patients
- CDC Contact Precautions Sign Example
- CDC Enhanced Barrier Precautions Sign Example - DISCLAIMER – this is only for use in nursing facilities; contact us with questions about how to implement in your unique facility
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