Table 1. Characteristics of participating hospitals.
Non-Screening Hospital (N = 6) | Screening Hospital (N = 6) | p-value | |
Hospital Characteristics | |||
Inpatient Days per Month: | |||
Mean | 11,842 | 9,205 | 0.19 |
Median | 11,437 | 9,327 | |
Range | 7,369–14,627 | 5,220–12,492 | |
Mean Admissions per Year: | |||
Mean | 19,605 | 18,567 | 0.61 |
Median | 21,270 | 18,055 | |
Range | 9,882–26,317 | 13,188–25,875 | |
Mean Number of Beds: | |||
Mean | 395 | 376 | 0.64 |
Median | 421 | 382 | |
Range | 260–460 | 227–510 | |
Number of ESBL-E Clinical Isolates | 1,357 | 731 | 0.02 |
Number of ESBL-E Bloodstream Infections | 175 | 77 | 0.06 |
Number of Positive ESBL-E Rectal Screens | N/A | 1,887 | |
Infection Control Practices | |||
Contact Precautions for all identified ESBL-E† | 50.0% (3/6) | 66.6% (4/6) | 1.0 |
Private Room | 33.3% (2/6) | 66.6% (4/6) | 0.57 |
Cohort | 83.3% (5/6) | 33.3% (2/6) | 0.24 |
Precautions implemented for the duration of admission* | 50.0% (3/6) | 16.6% (1/6) | 0.55 |
ESBL-E flagged in electronic clinical database | 33.3% (2/6) | 66.6% (4/6) | 0.57 |
Clinical Isolates Positive for ESBL- Producing Organism | |||
Escherichia coli | 80.3% (1,131) | 87.4% (639) | 0.91 |
Klebsiella pneumoniae | 14.8% (209) | 8.1% (59) | 0.23 |
Klebsiella oxytoca | 1.2% (17) | 4.5% (33) | 0.23 |
Culture Site | |||
Urine | 72.6% (985) | 75.6% (553) | 0.54 |
Blood | 12.9% (175) | 10.5% (77) | 0.44 |
Respiratory | 6.0% (81) | 4.5% (33) | 0.41 |
Wound | 4.1% (56) | 5.9% (43) | 0.27 |
Abscess | 3.3% (45) | 1.8% (13) | 0.06 |
Other | 1.1% (15) | 1.6% (12) | 0.58 |
The remaining hospitals used contact precautions for patients considered at risk of transmission of ESBL (e.g. with diarrhea, incontinence or uncontained wound drainage).
The other 3 non-screening hospitals discontinued precautions after 1 negative specimen from the original site (1 hospital) or after 3 negative screening samples each separated by 1 week (2 hospitals). For the other 5 screening hospitals, 3 discontinued after 3 negative screening samples each separated by 1 week and 2 had no written protocols established for discontinuation of precautions.