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

来源：

JOURNAL OF HOSPITAL INFECTION | 2019年 / 103卷 / 02期

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

页码：156 / 159

页数：4

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