Abstract：
BACKGROUND:There is a lack of empiric evidence regarding the optimal approach to controlling the transmission of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) and carbapenem-resistant Enterobacteriaceae (CRE). In this context, we expect that infection control practices for these organisms vary widely between hospitals. METHODS:A survey examining infection control practices for ESBL-E and CRE was distributed to 6 academic and 9 community hospitals in Toronto, Canada. RESULTS:All hospitals responded to the survey. Among 15 hospitals in 1 geographic area, 8 different approaches to the management of ESBL-E were utilized. There was wide variation in the use infection control practices including admission screening (53% and 53%), contact precautions (53% and 100%), and isolation (60% and 100%) for ESBL-E and CRE, respectively. Of hospitals performing admission screening, 75% used risk factor-based screening for ESBL-E and CRE. CONCLUSION:Even within a single geographic area, there is wide variation in infection control strategies to contain or control ESBL-E and CRE. These results are concerning given evidence that a coordinated approach may be required to prevent or limit the emergence of CRE.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Lowe C,Katz K,McGeer A,Muller MP,Toronto ESBL Working Group.doi
10.1016/j.ajic.2011.11.008subject
Has Abstractpub_date
2012-11-01 00:00:00pages
836-9issue
9eissn
0196-6553issn
1527-3296pii
S0196-6553(11)01312-5journal_volume
40pub_type
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journal_title：American journal of infection control
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