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Carbapenem-resistant Enterobacterales standardization across a large health care system

Published:October 20, 2022DOI:https://doi.org/10.1016/j.ajic.2022.10.006

      Highlights

      • Varying definitions of what consitutes a carbapenem-resistant Enterobacterales complicate identification and isolation of patients within the healthcare environment.
      • A crosswalk of definitions was reviewed by a multi-disciplinary workgroup.
      • A standardized definition of CRE was adopted by the system.
      • The electronic medical record was updated to promptly identify patients with carbapenem-resistant Enterobacterales.

      Abstract

      Carbapenem-resistant Enterobacterales (CRE) are multidrug resistant organisms that pose a significant risk in the health care setting. Standardized identification ensures prompt isolation and is imperative to maintain patient safety.

      Key Words

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      References

      1. Centers for Disease Control, Healthcare-associated infections (HAIs), Carbapenem resistant Enterbacterales. Accessed March 30, 2022. https://www.cdc.gov/hai/organisms/cre/cre-facilities.html.

      2. CDC, CRE technical information. Accessed April 1, 2022. www.cdc.gov/hai/organisms/cre/technical-info.html.

        • CLSI
        Performance standards for antimicrobial susceptibility testing.
        CLSI Guideline M100S. 32th ed. Clinical and Laboratory Standards Institute, Wayne, PA2016
      3. Illinois Department of Health, CRE reporting. Accessed April 4, 2022. https://dph.illinois.gov/topics-services/prevention-wellness/patient-safety-quality/cre/reporting.html.