Table 3.
IP and AMS interventions targeting CRKP
| References | ||||||||||||||||||
| 58 | 59 | 60 | 61 | 62 | 63 | 64 | 65 | 66 | 67 | 68 | 69 | 70 | 71 | 72 | 73 | 74 | 75 | |
| Interventions | ||||||||||||||||||
| Surveillance/screening | ✓ | ✓ | – | – | – | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ |
| Alerts and notifications | ✓ | – | ✓ | ✓ | – | ✓ | – | ✓ | ✓ | – | – | – | – | – | – | – | – | – |
| Isolation precautions | ✓ | – | ✓ | – | – | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – |
| Environmental disinfection | – | – | ✓ | – | – | – | ✓ | – | ✓ | ✓ | – | ✓ | ✓ | ✓ | – | – | – | – |
| Audits and feedback | – | – | – | ✓ | – | ✓ | – | – | – | ✓ | – | – | – | ✓ | – | ✓ | – | – |
| Consultations | – | – | – | – | – | – | ✓ | – | – | – | – | – | – | – | – | – | – | – |
| Antimicrobial policies and protocols | ✓ | – | – | ✓ | ✓ | – | – | – | – | – | – | – | – | – | – | – | ✓ | – |
| Care bundles | – | – | – | – | – | – | – | – | – | – | – | ✓ | – | – | – | – | – | – |
| Staff education and/patient education | – | – | ✓ | ✓ | – | – | – | – | – | ✓ | – | – | – | ✓ | – | ✓ | – | – |
| Intervention duration (months) | 36 | 14 | 48 | 36 | 24 | 14 | 2 | 36 | 6 | 17 | 4 | 24 | 8 | <1 | 2 | 72 | 3 | 6 |
| Behaviour change elements addressed | ||||||||||||||||||
| Capability | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Opportunity | – | – | – | ✓ | – | – | – | – | – | – | – | – | – | – | – | – | – | – |
| Motivation | – | – | – | ✓ | ✓ | – | – | ✓ | – | – | – | – | – | – | – | – | – | – |
AMS, antimicrobial stewardship; CRKP, carbapenem-resistant Klebsiella pneumoniae; IP, infection prevention.