Table 1.
Survey response | Facility complexity | Facility location | |||||
---|---|---|---|---|---|---|---|
Number of responsesa | High (n=78) | Low (n=42) | p-value | Rural (n=24) | Urban (n=96) | p-value | |
Laboratory practices | |||||||
No CRE cases seen at facility | 120 | 16 (20.5%) | 25 (59.5%) | <0.01 | 19 (79.2%) | 83 (86.5%) | 0.35 |
Use carbapenem MIC to initially identify CRE | 120 | 65 (83.3%) | 30 (71.4%) | 0.16 | 17 (70.8%) | 78 (81.3%) | 0.27 |
Provide preliminary report of CRE to IC | 118 | 61 (78.2%) | 24 (60.0%) | 0.05 | 13 (56.5%) | 72 (75.8%) | 0.07 |
Confirm carbapenemase production | 118 | 65 (83.3%) | 26 (65%) | 0.03 | 15 (65.2%) | 76 (80.0%) | 0.17 |
If yes, confirm with PCR | 91 | 43 (82.7%) | 9 (17.3%) | 0.01 | 6 (11.5%) | 46 (88.5%) | 0.16 |
Implementationb | |||||||
Lab involved in guidelines implementation | 119 | 65 (83.3%) | 30 (73.2%) | 0.23 | 14 (58.3%) | 81 (85.3%) | 0.01 |
Generally knowledgeable about guidelines | 119 | 71 (91.0%) | 28 (68.3%) | <0.01 | 16 (66.7%) | 83 (87.4%) | 0.03 |
Knowledgeable about laboratory procedures | 118 | 71 (91.0%) | 30 (83.3%) | 0.01 | 16 (69.6%) | 85 (89.5%) | 0.02 |
Comfortable executing guidelines | 118 | 67 (87.0%) | 30 (73.2%) | 0.08 | 15 (65.2%) | 82 (86.3%) | 0.03 |
Adequate national dissemination of guidelines | 118 | 54 (70.1%) | 19 (46.3%) | 0.02 | 10 (43.5%) | 63 (66.3%) | 0.06 |
Adequate local resources required for implementation | 118 | 54 (70.1%) | 17 (41.5%) | <0.01 | 9 (39.1%) | 62 (65.3%) | 0.03 |
Education/training | 118 | 56 (72.7%) | 21 (51.2%) | 0.03 | 10 (43.5%) | 67 (70.5%) | 0.03 |
Staffing | 118 | 47 (61.0%) | 19 (46.3%) | 0.17 | 6 (26.1%) | 60 (63.2%) | <0.01 |
Physical | 118 | 37 (48.1%) | 16 (39.0%) | 0.43 | 8 (34.8%) | 45 (47.4%) | 0.35 |
Laboratory | 118 | 55 (71.4%) | 21 (51.2%) | 0.04 | 9 (39.1%) | 67 (70.5%) | <0.01 |
CRE, carbapenem-resistant Enterobacteriaceae; MIC, minimum inhibitory concentration; IC, infection control
Number of facilities who answered that particular question out of the 120 total facilities responding to the survey. Percentages are calculating using the number of facilities responding to a particular question.
Responses considered positive for implementation questions were ‘strongly agree’ and ‘agree’