BACKGROUND: There is a lack of empiric evidence regarding the optimal approach to controlling the transmission of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) and carbapenem-resistant Enterobacteriaceae (CRE). In this context, we expect that infection control practices for these organisms vary widely between hospitals. METHODS: A survey examining infection control practices for ESBL-E and CRE was distributed to 6 academic and 9 community hospitals in Toronto, Canada. RESULTS: All hospitals responded to the survey. Among 15 hospitals in 1 geographic area, 8 different approaches to the management of ESBL-E were utilized. There was wide variation in the use infection control practices including admission screening (53% and 53%), contact precautions (53% and 100%), and isolation (60% and 100%) for ESBL-E and CRE, respectively. Of hospitals performing admission screening, 75% used risk factor-based screening for ESBL-E and CRE. CONCLUSION: Even within a single geographic area, there is wide variation in infection control strategies to contain or control ESBL-E and CRE. These results are concerning given evidence that a coordinated approach may be required to prevent or limit the emergence of CRE.
BACKGROUND: There is a lack of empiric evidence regarding the optimal approach to controlling the transmission of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) and carbapenem-resistant Enterobacteriaceae (CRE). In this context, we expect that infection control practices for these organisms vary widely between hospitals. METHODS: A survey examining infection control practices for ESBL-E and CRE was distributed to 6 academic and 9 community hospitals in Toronto, Canada. RESULTS: All hospitals responded to the survey. Among 15 hospitals in 1 geographic area, 8 different approaches to the management of ESBL-E were utilized. There was wide variation in the use infection control practices including admission screening (53% and 53%), contact precautions (53% and 100%), and isolation (60% and 100%) for ESBL-E and CRE, respectively. Of hospitals performing admission screening, 75% used risk factor-based screening for ESBL-E and CRE. CONCLUSION: Even within a single geographic area, there is wide variation in infection control strategies to contain or control ESBL-E and CRE. These results are concerning given evidence that a coordinated approach may be required to prevent or limit the emergence of CRE.
Authors: Cédric Dananché; Thomas Bénet; Bernard Allaouchiche; Romain Hernu; Laurent Argaud; Olivier Dauwalder; François Vandenesch; Philippe Vanhems Journal: Crit Care Date: 2015-02-10 Impact factor: 9.097
Authors: Lena M Biehl; Hartmut Bertz; Johannes Bogner; Ute-Helke Dobermann; Johanna Kessel; Carolin Krämer; Sebastian Lemmen; Marie von Lilienfeld-Toal; Silke Peter; Mathias W Pletz; Holger Rohde; Stefan Schmiedel; Sören Schubert; Andrew J Ullmann; Gerd Fätkenheuer; Maria J G T Vehreschild Journal: Antimicrob Resist Infect Control Date: 2017-04-13 Impact factor: 4.887