Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-24T05:28:12.121Z Has data issue: false hasContentIssue false
  • English
  • Français

A survey of infection control strategies for carbapenem-resistant Enterobacteriaceae in Department of Veterans’ Affairs facilities

Published online by Cambridge University Press:  22 September 2020

Swetha Ramanathan Open the ORCID record for Swetha Ramanathan [Opens in a new window] ,
Katie J. Suda ,
Margaret A. Fitzpatrick ,
Marylou Guihan ,
Cassie Cunningham Goedken ,
Nasia Safdar ,
Martin Evans ,
Makoto Jones ,
Christopher D. Pfeiffer  and
Eli N. Perencevich
...Show all authors
Swetha Ramanathan*
Affiliation:
Department of Veterans’ Affairs, Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, Illinois
Katie J. Suda
Affiliation:
Center for Health Equity Research and Promotion, VA Pittsburgh Health Care System, Pittsburgh, Pennsylvania Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Margaret A. Fitzpatrick
Affiliation:
Department of Veterans’ Affairs, Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, Illinois Department of Medicine, Division of Infectious Diseases, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois
Marylou Guihan
Affiliation:
Department of Veterans’ Affairs, Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, Illinois Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois
Cassie Cunningham Goedken
Affiliation:
Center for Comprehensive Access Delivery & Research, Iowa City, Iowa Department of Veterans’ Affairs, Iowa City VA Health Care System, Iowa City, Iowa
Nasia Safdar
Affiliation:
Department of Veterans’ Affairs, William S. Middleton Memorial VA Medical Center, Madison, Wisconsin Department of Medicine, Division of Infectious Diseases, University of Wisconsin School of Public Health and Medicine, Madison, Wisconsin
Martin Evans
Affiliation:
Department of Veterans’ Affairs, Lexington VA Medical Center, Lexington, Kentucky
Makoto Jones
Affiliation:
Department of Veterans’ Affairs, VA Salt Lake City Healthcare System, Salt Lake City, Utah Department of Medicine, Division of Epidemiology, University of Utah, Salt Lake City, Utah
Christopher D. Pfeiffer
Affiliation:
Department of Veterans’ Affairs, Portland VA Health Care System, Portland, Oregon Department of Medicine, Division of Infectious Diseases, Oregon Health & Science University, Portland, OR, USA
Eli N. Perencevich
Affiliation:
Department of Veterans’ Affairs, Iowa City VA Health Care System, Iowa City, Iowa Department of Pathology, University of Iowa Carver College of Medicine, Iowa City, Iowa
Michael Rubin
Affiliation:
Department of Veterans’ Affairs, VA Salt Lake City Healthcare System, Salt Lake City, Utah Department of Medicine, Division of Epidemiology, University of Utah, Salt Lake City, Utah
Charlesnika T. Evans
Affiliation:
Department of Veterans’ Affairs, Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, Illinois Center for Healthcare Studies and Department of Preventive Medicine Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
*
Author for correspondence: Swetha Ramanathan, E-mail: Swetha.Ramanathan@va.gov
Get access Rights & Permissions [Opens in a new window]

Abstract

A survey of Veterans’ Affairs Medical Centers on control of carbapenem-resistant Enterobacteriaceae (CRE) and carbapenem-producing CRE (CP-CRE) demonstrated that most facilities use VA guidelines but few screen for CRE/CP-CRE colonization regularly or regularly communicate CRE/CP-CRE status at patient transfer. Most respondents were knowledgeable about CRE guidelines but cited lack of adequate resources.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 7 , July 2022 , pp. 939 - 942
Check for updates
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Centers for Disease Control and Prevention. Antibiotic Resistant Threats in the United States, 2019. Atlanta: CDC; 2019.Google Scholar
FAQs about choosing and implementing a CRE definition. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/organisms/cre/definition.html. Accessed January 22, 2020.Google Scholar
Fitzpatrick, MA, Suda, KJ, Ramanathan, S, et al. Laboratory practices for identification and reporting of carbapenem-resistant Enterobacteriaceae in Department of Veterans’ Affairs facilities. Infect Control Hosp Epidemiol 2019;40:463–466.CrossRefGoogle Scholar
Bart, Y, Paul, M, Eluk, O, Geffen, Y, Rabino, G, Hussein, K. Risk factors for recurrence of carbapenem-resistant Enterobacteriaceae carriage: case-control study. Infect Control Hosp Epidemiol 2015;36:936–941.CrossRefGoogle ScholarPubMed
Damschroder, LJ, Aron, DC, Keith, RE, Kirsh, SR, Alexander, JA, Lowery, JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 2009;4:50.CrossRefGoogle ScholarPubMed
Facility complexity model. VHA Office of Productivity Efficiency & Staffing website. http://opes.vscc.med.va.gov/Pages/Facility-Complexity-Model.aspx. Accessed December 17, 2019.Google Scholar
Martischang, R, Buetti, N, Balmelli, C, Saam, M, Widmer, A, Harbarth, S. Nationwide survey of screening practices to detect carriers of multidrug-resistant organisms upon admission to Swiss healthcare institutions. Antimicrob Resist Infect Control 2019;8:37.CrossRefGoogle Scholar
Lee, BY, Bartsch, SM, Wong, KF, et al. Simulation show hospitals that cooperate on infection control obtain better results than hospitals acting alone. Health Affairs 2012;31:2295–2303.CrossRefGoogle ScholarPubMed
Trepanier, P, Mallard, K, Muenier, D, et al. Carbapenem-producing Enterobacteriaceae in the UK: a national study (EuSCAPE-UK) on prevalence, incidence, laboratory detection methods and infection control measures. J Antimicrob Chemother 2017;72:596–603.CrossRefGoogle Scholar
Shimasaki, T, Segreti, J, Tomich, A, Kim, J, Hayden, MK, Ling, MY. Active screening and interfacility communication of carbapenem-resistant Enterobacteriaceae (CRE) in a tertiary-care hospital. Infect Control Hosp Epidemiol 2018;39:1058–1062.CrossRefGoogle Scholar
Supplementary material: File

Ramanathan et al. Supplementary Materials

Ramanathan et al. Supplementary Materials 1

Download Ramanathan et al. Supplementary Materials(File)
File 192.5 KB
Supplementary material: PDF

Ramanathan et al. Supplementary Materials

Ramanathan et al. Supplementary Materials 2

Download Ramanathan et al. Supplementary Materials(PDF)
PDF 647.8 KB