Table 2.
Infection prevention strategies currently used for carbapenem-resistant Enterobacteriaceae (CRE) at participating hospitals
| Infection prevention strategies currently in place for patients with CRE infection |
Adoption among respondents* |
|---|---|
| Contact precautions (gown, gloves, private room, dedicated patient care equipment) |
21 (100) |
| Notify next facility of multidrug-resistant organism detection for patient transferred to another facility |
19 (90) |
| Patient asked to minimize leaving room | 18 (86) |
| Notify prior facility of multidrug-resistant organism detection for patient received by transfer |
14 (67) |
| Patient asked to wear protective gown when leaving room | 12 (57) |
| Cohort patients with same multidrug-resistant organism in a single room |
10 (48) |
| Active CRE screening for exposed patients | |
| Roommate of CRE patient | 5 (28) |
| Neighboring room inhabitants of CRE patient | 1 (6) |
| Roommate/neighboring rooms if CRE cluster | 5 (28) |
| Daily chlorhexidine gluconate bathing† | 4 (22) |
| Active effort to minimize device use | 4 (22) |
| Active effort to minimize antibiotic use ***Active CRE screening for patients admitted |
2 (11) |
| From long-term acute care | 2 (11) |
| Undergoing hemodialysis | 4 (6) |
| From nursing home | 1 (6) |
| From other hospitals | 1 (6) |
| With indwelling urinary catheters | 0 |
| With indwelling central line catheters | 0 |
| One-to-one nursing cohort (nurse only takes care of CRE patients) |
0 |
NOTE. Values are presented as n (%).
Percentage calculated per number of respondents for each question, ranging from 86%-100% (18 to 21) response.
One hospital had adopted housewide chlorhexidine gluconate bathing; the remainder used chlorhexidine gluconate in at least 1 intensive care unit and used chlorhexidine gluconate bathing for patients with drug-resistant organisms, including CRE.