Methods: Patients admitted throughout all time periods were monitored for development of CRE infection. Rates of CRE colonization and hospital acquired infection were compared between the limited surveillance and expanded surveillance periods.
Results: There was no statistically significant difference in the overall rate of CRE colonized patients identified by the two screening approaches (18 per 1000 patients screened in the limited surveillance period vs 22 per 1000 in the expanded screening period, p = 0.07). The number of patients with CRE identified on admission increased significantly from 2 per 1000 screened in the limited surveillance period to 9 per 1000 screened (p<0.001) in the expanded surveillance period. HA CRE infections decreased from 1.1 per 10000 patient days with limited surveillance to 0.8 per 10,000 patient days in the expanded surveillance though the difference was not statistically significant. The rate of progression from colonization to infection decreased by 80% with the expanded program (p<0.05).
M. Schmidt, None
J. Sitaras, None