Screening for carbapenemase-producing Enterobacteriaceae in previous carriers readmitted to hospital: evaluation of a change in screening policy

被引:11
作者
Tucker, A. [1 ]
George, R. [2 ]
Welfare, W. [1 ]
Cleary, P. [3 ]
Cawthorne, J. [2 ]
Dodgson, A. [2 ]
机构
[1] Publ Hlth England North West, Manchester, Lancs, England
[2] Manchester Univ NHS Fdn Trust, Manchester, Lancs, England
[3] Field Serv North West, Liverpool, Merseyside, England
关键词
Carbapenem-resistant; Enterobacteriaceae; Carbapenemase-producing; Screening; Hospitals; Evaluation;
D O I
10.1016/j.jhin.2019.04.012
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Carbapenemase-producing Enterobacteriaceae (CPE) are a growing problem in UK hospitals. Preventing transmission requires early detection. This study evaluates a new screening policy for patients with a history of blaKPC-associated CPE (KPC-CPE) in a higher incidence hospital. Previous policy assumed 'once positive always positive'. New policy uses rapid screening and risk assessment. Results show that most (76.5%) patients with a history of KPC-CPE do not have detectable KPC-CPE on readmission or during their subsequent hospital stay but that repeat screening after an initial negative result is required. The new policy takes a risk-based approach while prioritizing isolation facilities in a higher incidence trust. (C) 2019 Published by Elsevier Ltd on behalf of The Healthcare Infection Society.
引用
收藏
页码:156 / 159
页数:4
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