Facilities/Settings
Carbapenem-resistant Enterobacteriaceae (CRE) Infection
Due to the movement of patients throughout the healthcare system, if CRE are a problem in one facility, then typically they are a problem in other facilities in the region as well. Regional approaches to controlling these organisms are important especially when they first are recognized in a region.
Health Care Facilities Should:
- Promote antimicrobial stewardship
- Recognize these organisms as important to patient safety
- Understand their prevalence in the facility and in the region
- Identify colonized and infected patients in the facility and ensure precautions are implemented
- Participate in regional and facility-based prevention efforts designed to stop the transmission of these organisms
- Notify health departments of outbreaks
Tools
- 2012: CRE Toolkit Guidance for Control of Carbapenem-Resistant Enterobacteriaceae
- Inter-facility Infection Control Transfer Form [PDF - 178 KB]
Guidelines
- Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, 2007
- Management of Multidrug-Resistant Organisms In Healthcare Settings, 2006
More Resources
- Laboratory protocol: Multiplex Real-Time PCR Detection of Klebsiella pneumoniae carbapenemase and New Delhi metallo-β-Lactamse genes [PDF - 110 KB]
- Options for Evaluating Environmental Cleaning
also available for download [PDF - 389 KB] - Appendices to the Conceptual Program Model for Environmental Evaluation
- CDC Environmental Checklist for Monitoring Terminal Cleaning [PDF - 99KB]
- Environmental Cleaning Eval Worksheet [Excel - 63 KB]
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