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Carbapenem-resistant Enterobacteriaceae epidemiology in Veterans’ Affairs medical centers varies by facility characteristics

Published online by Cambridge University Press:  11 December 2020

Marissa S. Wirth*
Affiliation:
Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr Veterans’ Affairs (VA) Medical Center, Hines, Illinois
Margaret A. Fitzpatrick
Affiliation:
Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr Veterans’ Affairs (VA) Medical Center, Hines, Illinois Department of Medicine, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois
Katie J. Suda
Affiliation:
Center for Health Equity Research and Promotion, VA Pittsburgh Health Care System, Pittsburgh, Pennsylvania University of Pittsburgh School of Medicine, Department of Medicine, Pittsburgh, Pennsylvania
Geneva M. Wilson
Affiliation:
Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr Veterans’ Affairs (VA) Medical Center, Hines, Illinois
Swetha Ramanathan
Affiliation:
Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr Veterans’ Affairs (VA) Medical Center, Hines, Illinois
Martin E. Evans
Affiliation:
Lexington VA Medical Center, Lexington, Kentucky
Makoto M. Jones
Affiliation:
Salt Lake City VA, Salt Lake City, Utah University of Utah, Salt Lake City, Utah
Christopher D. Pfeiffer
Affiliation:
Portland VA Health Care System, Portland, Oregon Oregon Health & Science University, Portland, Oregon
Charlesnika T. Evans
Affiliation:
Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr Veterans’ Affairs (VA) Medical Center, Hines, Illinois Preventive Medicine and Center for Health Services and Outcomes Research, Northwestern University, Chicago, Illinois
*
Author for correspondence: Marissa S. Wirth, E-mail: Marissa.Gutkowski@va.gov

Abstract

This is an epidemiological study of carbapenem-resistant Enterobacteriaceae (CRE) in Veterans’ Affairs medical centers (VAMCs). In 2017, almost 75% of VAMCs had at least 1 CRE case. We observed substantial geographic variability, with more cases in urban, complex facilities. This supports the benefit of tailoring infection control strategies to facility characteristics.

Type
Concise Communication
Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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