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

Author(s):  
Marissa S. Wirth ◽  
Margaret A. Fitzpatrick ◽  
Katie J. Suda ◽  
Geneva M. Wilson ◽  
Swetha Ramanathan ◽  
...  

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.

Author(s):  
Swetha Ramanathan ◽  
Katie J. Suda ◽  
Margaret A. Fitzpatrick ◽  
Marylou Guihan ◽  
Cassie Cunningham Goedken ◽  
...  

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.


2019 ◽  
Vol 132 (4) ◽  
pp. 530-534.e1 ◽  
Author(s):  
Ravinder Kang ◽  
Samuel T. Kunkel ◽  
Jesse A. Columbo ◽  
Philip P. Goodney ◽  
Sandra L. Wong

1997 ◽  
Vol 67 (1) ◽  
pp. 62-66 ◽  
Author(s):  
Andris Kazmers ◽  
Lloyd Jacobs ◽  
Anthony Perkins

2004 ◽  
Vol 172 (6 Part 1) ◽  
pp. 2362-2365 ◽  
Author(s):  
BENJAMIN A. SPENCER ◽  
CONSTANCE H. FUNG ◽  
MINGMING WANG ◽  
LISA V. RUBENSTEIN ◽  
MARK S. LITWIN

2021 ◽  
Vol 70 (37) ◽  
Author(s):  
Kristina L. Bajema ◽  
Rebecca M. Dahl ◽  
Mila M. Prill ◽  
Elissa Meites ◽  
Maria C. Rodriguez-Barradas ◽  
...  

2016 ◽  
Vol 60 (10) ◽  
pp. 6425-6429 ◽  
Author(s):  
Pranita D. Tamma ◽  
Yanjie Huang ◽  
Belita N. A. Opene ◽  
Patricia J. Simner

ABSTRACTCarbapenemase-producing (CP)Enterobacteriaceaeare largely responsible for the rapid spread of carbapenem-resistantEnterobacteriaceae(CRE). Distinguishing CP-CRE from non-CP-CRE has important infection control implications. In a cohort of 198 CRE isolates, for isolates that remained susceptible or intermediate to some carbapenem antibiotics, an ertapenem MIC of 0.5 μg/ml and meropenem, imipenem, and doripenem MICs of 2 μg/ml were best able to distinguish CP-CRE from non-CP-CRE isolates.


2019 ◽  
Vol 40 (7) ◽  
pp. 810-814 ◽  
Author(s):  
Brigid M. Wilson ◽  
Richard E. Banks ◽  
Christopher J. Crnich ◽  
Emma Ide ◽  
Roberto A. Viau ◽  
...  

AbstractStarting in 2016, we initiated a pilot tele-antibiotic stewardship program at 2 rural Veterans Affairs medical centers (VAMCs). Antibiotic days of therapy decreased significantly (P < .05) in the acute and long-term care units at both intervention sites, suggesting that tele-stewardship can effectively support antibiotic stewardship practices in rural VAMCs.


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