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Preventing MDROs | HAIs | CDC
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<a data-post-id="105" href="/healthcare-associated-infections/php/public-health-strategy/index.html" tabindex="0"> Public Health and Policy Strategies </a> <a data-post-id="91" href="/healthcare-associated-infections/php/toolkit/index.html" tabindex="0"> Resources for Public Health </a> <a data-post-id="196" href="/healthcare-associated-infections/php/prevention-epicenters/index.html" tabindex="0"> Prevention Epicenters </a> <a data-post-id="238" href="/healthcare-associated-infections/php/haic-eip/index.html" tabindex="0"> Healthcare-Associated Infections - Community Interface Activity (HAIC) </a> <a data-post-id="501" href="/healthcare-associated-infections/php/data/index.html" tabindex="0"> HAIs: Reports and Data </a> <a data-post-id="2325" href="/healthcare-associated-infections/php/research/index.html" tabindex="0"> Research </a> <a data-post-id="106" href="/healthcare-associated-infections/php/preventing-mdros/index.html" tabindex="0"> Preventing MDROs </a> <a data-post-id="234" href="/healthcare-associated-infections/php/lab-resources/index.html" tabindex="0"> Laboratory Resources </a> <a class="view-all" href="/healthcare-associated-infections/site.html"> View All </a> </div> </div> </header> <main class="container cdc-main" role="main" aria-label="Main Content Area"> <section class="cdc-page-title-bar cdc-page-offset noindex"> <time class="cdc-page-title-bar__item cdc-page-title-bar__item--date" datetime="2024-04-09 04:00:00"> April 9, 2024 </time> </section> <div class="cdc-page-feature cdc-page-feature--ssi"></div> <div class="cdc-page-title cdc-page-offset syndicate"> <h1>Preventing MDROs</h1> </div> <div id="content" class="cdc-page-content cdc-page-offset syndicate container"> <div class="cdc-dfe-body "> <div class="cdc-dfe-body__top "> <div class="dfe-section dfe-section--page-summary summary-blurb summary-paragraph" data-section="cdc_listing_summary"> <div class="dfe-section__header"> <h2>At a glance</h2> </div> <div class="dfe-section__content"> <p>Multidrug-resistant organisms (MDROs) are continuing to develop and spread in healthcare settings throughout the United States. Because of this, efforts to prevent MDRO transmission are still needed. In the past, MDROs were identified after lab confirmation, however, research has found that these organisms can spread long before being detected. A prevention approach that incorporates multiple healthcare facilities can potentially limit spread more effectively than response strategies alone.</p> </div> <div id="nav-buttons"> </div> </div> </div> <div class="cdc-dfe-body__center "> <div class="dfe-section" data-section="cdc_listing_intro"> <a class="onThisPageAnchor" id="cdc_listing_intro-overview" name="Overview" title="Overview"><!-- --></a><h2>Overview</h2> <p>CDC has developed two guides and FAQs for healthcare facilities, state, local, and territorial health departments to limit the spread of novel or targeted (e.g., <em>Candida auri</em><em>s</em>, carbapenemase-producing CRE) MDROs, FAQs, and a graphic (Figure 1) showing the relationship between prevention and response activities.</p> <h3>Comparison of strategies</h3> <figure class="dfe-image dfe-image__large"><div class="links-options"><span class="file-view d-none d-sm-inline"><a href="#image-modal-1658" data-bs-toggle="modal" data-bs-target="#image-modal-1658">View Larger</a></span></div><div class="image-container calculated-ratio-16-9 aspect-ratio-16-9"><img src="/healthcare-associated-infections/media/images/Figure1-MDRO-Guidance-InfoGraphic.jpg" alt="Figure 1. Relationship between epidemic stages, response tiers, containment response, and prevention activities for novel or targeted MDROs."></div><div id="image-modal-1658" class="modal fade" tabindex="-1" aria-hidden="true"><div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="cdc-fa-circle-xmark ms-auto" data-bs-dismiss="modal" aria-label="Close"></button> </div> <div class="modal-body"> <img src="/healthcare-associated-infections/media/images/Figure1-MDRO-Guidance-InfoGraphic.jpg" alt="Figure 1. Relationship between epidemic stages, response tiers, containment response, and prevention activities for novel or targeted MDROs."> <div class="modal-caption">Figure 1. Relationship between epidemic st ages, response tiers, containment response, and prevention activities for novel or targeted MDROs.</div> </div> </div> </div></div> <div class="dfe-image-caption-container"><figcaption class="dfe-image-caption" id="caption-1658">Figure 1. Relationship between epidemic st ages, response tiers, containment response, and prevention activities for novel or targeted MDROs.</figcaption><div class="see-more-container"><a href="javascript:void(0)" data-toggle-content="caption-1658" class="see-more">Show More</a></div></div></figure> </div> <div class="dfe-section dfe-links-layout dfe-links-layout--detail" data-section="cdc_listing_res"> <a class="onThisPageAnchor" id="cdc_listing_res-mdro-guide" name="MDRO%20Guide" title="MDRO Guide"><!-- --></a><h2>MDRO Guide</h2> <p class="dfe-field"></p><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_107"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/php/preventing-mdros/preventing-mdros-faqs.html">Preventing MDROs: FAQs</a></p> <div class="dfe-curated-link__desc">FAQs for preventing multi-drug resistant organisms (MDROs).</div> <time class="dfe-curated-link__date">Mar. 6, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_108"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html">MDRO Prevention Strategies</a></p> <div class="dfe-curated-link__desc">Prevention strategies against the spread of novel or targeted multidrug-resistant organisms (MDROs).</div> <time class="dfe-curated-link__date">Mar. 19, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_109"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/php/preventing-mdros/mdro-containment-strategy.html">MDRO Containment Strategy</a></p> <div class="dfe-curated-link__desc">Containment strategies for novel or targeted multidrug-resistant organisms (MDROs).</div> <time class="dfe-curated-link__date">Mar. 19, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_110"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/php/preventing-mdros/what-can-be-done.html">What Can Be Done</a></p> <div class="dfe-curated-link__desc">Learn what can be done to prevent & contain novel or targeted multidrug-resistant organisms (MDROs).</div> <time class="dfe-curated-link__date">Mar. 19, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_111"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/php/preventing-mdros/case-studies.html">Case Studies</a></p> <div class="dfe-curated-link__desc">Case studies of CDC’s MDRO Containment Strategy in action.</div> <time class="dfe-curated-link__date">Mar. 19, 2024</time></div></div> </div> <div class="dfe-section dfe-links-layout dfe-links-layout--list" data-section="cdc_listing_res2"> <a class="onThisPageAnchor" id="cdc_listing_res2-technical-appendix" name="Technical%20appendix" title="Technical appendix"><!-- --></a><h2>Technical appendix</h2> <p class="dfe-field"></p><div class="dfe-curated-link dfe-curated-link--list" data-post="1409_619"><div class="dfe-curated-link__content list"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/media/pdfs/tech-appendix-MDRO-508.pdf" target="_blank">Implementing Regional MDROs Prevention Bundles ─ Mathematical Modeling Methods and Findings<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span></a></p> <div class="dfe-curated-link__desc">Implementing Regional MDROs Prevention Bundles ─ Mathematical Modeling Methods and Findings</div> <time class="dfe-curated-link__date">Mar. 14, 2024</time></div></div> </div> <div class="dfe-section dfe-links-layout dfe-links-layout--detail" data-section="cdc_listing_res3"> <a class="onThisPageAnchor" id="cdc_listing_res3-lab-resources" name="Lab%20resources" title="Lab resources"><!-- --></a><h2>Lab resources</h2> <p class="dfe-field"></p><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_234"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/php/lab-resources/index.html">Laboratory Resources for HAIs</a></p> <div class="dfe-curated-link__desc">Laboratory resources to detect HAIs and antimicrobial resistance.</div> <time class="dfe-curated-link__date">Mar. 19, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1283_72"><div class="dfe-curated-link__image dfe-image detail"><a href="/antimicrobial-resistance-laboratory-networks/php/about/domestic.html" title="Antimicrobial Resistance Laboratory Network"><img src="/antimicrobial-resistance-laboratory-networks/media/images/2024/04/ARLN_Logo_24.jpg" alt="AR Lab Network logo. A high-tech map of the United States with gradient colors of teal, blue, purple, dark red, red and orange-red." title="AR Lab Network Logo"></a></div> <div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/antimicrobial-resistance-laboratory-networks/php/about/domestic.html">Antimicrobial Resistance Laboratory Network</a></p> <div class="dfe-curated-link__desc">Resources about CDC's AR Lab Network for U.S. labs for quicker response to antimicrobial resistance.</div> <time class="dfe-curated-link__date">Apr. 23, 2024</time></div></div> </div> <div class="dfe-section dfe-links-layout dfe-links-layout--detail" data-section="cdc_listing_res4"> <a class="onThisPageAnchor" id="cdc_listing_res4-investigation-guides-and-infection-control-assessments" name="Investigation%20guides%20and%20infection%20control%20assessments" title="Investigation guides and infection control assessments"><!-- --></a><h2>Investigation guides and infection control assessments</h2> <p class="dfe-field"></p><div class="dfe-curated-link dfe-curated-link--detail" data-post><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/staphylococcus-aureus/media/pdfs/VRSA-Investigation-Guide-05_12_2015.pdf" target="_blank">Investigation and Control of Vancomycin- Resistant Staphylococcus aureus (VRSA): 2015 Update<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span></a></p> </div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_236"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/php/toolkit/icar.html">Infection Control Assessment and Response (ICAR) Tool for General Infection Prevention and Control (IPC) Across Settings</a></p> <div class="dfe-curated-link__desc">Assess and improve a healthcare facility’s infection control and prevention practices.</div> <time class="dfe-curated-link__date">Mar. 18, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1444_1340"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/infection-control/hcp/basics/index.html">Infection Control Basics</a></p> <div class="dfe-curated-link__desc">Infection control basics in healthcare include standard and transmission-based precautions.</div> <time class="dfe-curated-link__date">Feb. 12, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1444_1342"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/infection-control/hcp/basics/transmission-based-precautions.html">Transmission-Based Precautions</a></p> <div class="dfe-curated-link__desc">Transmission-based precautions are used when patients already have confirmed or suspected infections...</div> <time class="dfe-curated-link__date">Feb. 12, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="175_8363"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="https://www.cdc.gov/fungal/candida-auris/c-auris-infection-control.html">Candida auris Infection Prevention</a></p> <div class="dfe-curated-link__desc">C. auris infection control in inpatient settings include diligent standard contact precautions, hand...</div> <time class="dfe-curated-link__date">Jan. 16, 2023</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_256"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/php/toolkit/water-management.html">Considerations for Reducing Risk: Water in Healthcare Facilities</a></p> <div class="dfe-curated-link__desc">Healthcare facilities should consider these actions to reduce water-based health risks.</div> <time class="dfe-curated-link__date">Mar. 27, 2024</time></div></div> </div> <div class="dfe-section dfe-links-layout dfe-links-layout--detail" data-section="cdc_listing_res5"> <a class="onThisPageAnchor" id="cdc_listing_res5-colonization-screenings" name="Colonization%20screenings" title="Colonization screenings"><!-- --></a><h2>Colonization screenings</h2> <p class="dfe-field"></p><div class="dfe-curated-link dfe-curated-link--detail" data-post="1283_71"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/antimicrobial-resistance-laboratory-networks/php/about/index.html">Antimicrobial Resistance Laboratory Networks</a></p> <div class="dfe-curated-link__desc">Antimicrobial resistance resources and testing information for laboratorians.</div> <time class="dfe-curated-link__date">Apr. 14, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="https://stacks.cdc.gov/view/cdc/25250">CDC Health Advisory: New Carbapenem-Resistant Enterobacteriaceae Warrant Additional Action by Healthcare Providers</a></p> </div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1341_46"><div class="dfe-curated-link__image dfe-image detail"><a href="/cre/about/index.html" title="About <em></em>Carbapenem-resistant Enterobacterales"><img src="/cre/media/images/CRE.jpg" alt="CRE can cause infections in patients in hospitals." title="carbapenem-resistant Enterobacteriaceae (CRE)"></a></div> <div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/cre/about/index.html">About <em></em>Carbapenem-resistant Enterobacterales</a></p> <div class="dfe-curated-link__desc">Carbapenem-resistant Enterobacterales (CRE) are germs resistant to one or several antibiotics called...</div> <time class="dfe-curated-link__date">Feb. 22, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_1012"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/media/docs/Screening-FAQs-verbal-consent-example.docx" target="_blank">Screening FAQs: verbal consent example<span aria-label=" docx icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--docx" aria-hidden="true"></span></a></p> <time class="dfe-curated-link__date">Mar. 12, 2023</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_1013"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/media/docs/es/Screening-FAQs-verbal-consent-SPANISH.docx" target="_blank">Screening FAQs: verbal consent example (Spanish)<span aria-label=" docx icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--docx" aria-hidden="true"></span></a></p> <time class="dfe-curated-link__date">May 9, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_1015"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/media/docs/other-languages/Screening-FAQs-verbal-consent-HAITIANCREOLE.docx" target="_blank">Screening FAQs: verbal consent example (Haitian creole)<span aria-label=" docx icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--docx" aria-hidden="true"></span></a></p> <time class="dfe-curated-link__date">May 9, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_1016"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/media/docs/other-languages/Screening-FAQs-verbal-consent-VIETNAMESE.docx" target="_blank">Screening FAQs: verbal consent example (Vietnamese)<span aria-label=" docx icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--docx" aria-hidden="true"></span></a></p> <time class="dfe-curated-link__date">May 9, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_1014"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/media/docs/other-languages/Screening-FAQs-verbal-consent-SIMPLIFIEDCHINESE.docx" target="_blank">Screening FAQs: verbal consent example (simplified Chinese)<span aria-label=" docx icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--docx" aria-hidden="true"></span></a></p> <time class="dfe-curated-link__date">May 9, 2024</time></div></div> </div> <div class="dfe-section dfe-links-layout dfe-links-layout--featured" data-section="cdc_listing_res6"> <a class="onThisPageAnchor" id="cdc_listing_res6-inter-facility-transfer-form" name="Inter-facility%20transfer%20form" title="Inter-facility transfer form"><!-- --></a><h2>Inter-facility transfer form</h2> <p class="dfe-field"></p><div class="dfe-curated-link dfe-curated-link--featured" data-post="1409_601"><div class="dfe-curated-link__content featured"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/media/pdfs/Interfacility-IC-Transfer-Form-508.pdf" target="_blank">Inter-Facility Infection Control Transfer Form for States Establishing HAI Prevention Collaboratives<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span></a></p> <div class="dfe-curated-link__desc">Inter-Facility Infection Control Transfer Form for States Establishing HAI Prevention Collaboratives</div> <time class="dfe-curated-link__date">Mar. 14, 2024</time></div></div> </div> <div class="dfe-section dfe-links-layout dfe-links-layout--detail" data-section="cdc_listing_res7"> <a class="onThisPageAnchor" id="cdc_listing_res7-mdro-resources" name="MDRO%20resources" title="MDRO resources"><!-- --></a><h2>MDRO resources</h2> <p class="dfe-field"></p><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_234"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/php/lab-resources/index.html">Laboratory Resources for HAIs</a></p> <div class="dfe-curated-link__desc">Laboratory resources to detect HAIs and antimicrobial resistance.</div> <time class="dfe-curated-link__date">Mar. 19, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="175_8323"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="https://www.cdc.gov/fungal/candida-auris/index.html">Candida auris General Information</a></p> <div class="dfe-curated-link__desc">Candida auris is an emerging fungus that presents a serious global health threat. Some strains of Ca...</div> <time class="dfe-curated-link__date">Sept. 25, 2023</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_648"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/media/pdfs/CRE-handout-V7-508.pdf" target="_blank">CRE Carbapenem-resistant Enterobacterales Handout<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span></a></p> <time class="dfe-curated-link__date">Mar. 14, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_589"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/media/pdfs/CRPA-handout-V7-508.pdf" target="_blank">CRPA Carbapenem-resistant Pseudomonas aeruginosa Handout<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span></a></p> <time class="dfe-curated-link__date">Mar. 14, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1409_647"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/healthcare-associated-infections/media/pdfs/CRAB-handout-V7-508.pdf" target="_blank">CRAB Carbapenem-resistant Acinetobacter baumannii Handout<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span></a></p> <time class="dfe-curated-link__date">May 29, 2024</time></div></div><div class="dfe-curated-link dfe-curated-link--detail" data-post="1469_49"><div class="dfe-curated-link__content detail"><p class="dfe-curated-link__title"><a href="/long-term-care-facilities/hcp/prevent-mdro/PPE.html">Implementation of Personal Protective Equipment (PPE) Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms (MDROs)</a></p> <div class="dfe-curated-link__desc">How to use PPE, infection control guidelines, and more to prevent MDROs.</div> <time class="dfe-curated-link__date">Mar. 8, 2024</time></div></div> </div> </div> <div class="cdc-dfe-body__right page-right-rail"> <aside class="page-right-rail__static noindex" role="complementary"> <div class="on-this-page " data-sid=""> <h2 class="on-this-page__heading"> On This Page </h2> <div class="card-body"> <ul> <li><a href="#cdc_listing_intro-overview">Overview</a></li> <li><a href="#cdc_listing_res-mdro-guide">MDRO Guide</a></li> <li><a href="#cdc_listing_res2-technical-appendix">Technical appendix</a></li> <li><a href="#cdc_listing_res3-lab-resources">Lab resources</a></li> <li><a href="#cdc_listing_res4-investigation-guides-and-infection-control-assessments">Investigation guides and infection control assessments</a></li> <li><a href="#cdc_listing_res5-colonization-screenings">Colonization screenings</a></li> <li><a href="#cdc_listing_res6-inter-facility-transfer-form">Inter-facility transfer form</a></li> <li><a href="#cdc_listing_res7-mdro-resources">MDRO resources</a></li> </ul> </div> </div> </aside> <aside class="page-right-rail__dynamic noindex" role="complementary"> <div data-related-nav></div> </aside> </div> </div> <div data-journey-next></div> <section class="container page-mobile-bar"> <time class="page-mobile-bar__item page-mobile-bar__item--date" datetime="2024-04-09 00:00:00"> April 9, 2024 </time> </section> <div class="page-content-sources noindex"> <div class="page-content-sources__header"> <a data-action="summary" class="collapsed" href="#content-sources" role="button" data-bs-toggle="collapse" aria-expanded="false" aria-controls="content-sources" data-cs-toggle="">Sources</a> <a data-action="print" href="#print" class="d-none d-md-block" aria-label="print this page" onclick="window.print()">Print</a> <a data-action="share" href="#share" data-bs-toggle="dropdown" 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