Due to the movement of patients throughout the healthcare system, if CRE are a problem in one facility, then typically they are a problem in other facilities in the region as well. Regional approaches to controlling these organisms are important especially when they first are recognized in a region.
Health Care Facilities Should:
- Require and strictly enforce CDC guidance for CRE detection, prevention, tracking, and reporting
- Make sure their lab can accurately identify CRE
- Promote antimicrobial stewardship
- Recognize these organisms as important to patient safety
- Understand their prevalence in the facility and in the region
- Identify colonized and infected patients in the facility and ensure precautions are implemented. Resources for testing CRE for carbapenemases and performing colonization screening are available through the AR Lab Network. Contact your state HAI coordinator for more information on accessing AR Lab Network testing.
- When transferring a patient, require staff to notify the other facility about infections, including CRE. (Inter-Facility Infection Control Transfer Form pdf icon[PDF – 3 pages])
- Participate in regional and facility-based prevention efforts designed to stop the transmission of these organisms
- Notify health departments of outbreaks