Evaluation of patient-held carbapenemase-producing Enterobacteriaceae (CPE) alert card
Summary Public Health England recommends patient-held cards for those colonized with carbapenemase-producing Enterobacteriaceae (CPE). Alert cards were provided to 104 CPE-positive inpatients, with follow-up at six months. Excluding those who died, the response rate was 39%. Sixteen patients (46%) r...
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Veröffentlicht in: | The Journal of hospital infection 2016-01, Vol.92 (1), p.102-105 |
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creator | Poole, K George, R Shryane, T Shankar, K Cawthorne, J Worsley, M Savage, N Scott, J Welfare, W |
description | Summary Public Health England recommends patient-held cards for those colonized with carbapenemase-producing Enterobacteriaceae (CPE). Alert cards were provided to 104 CPE-positive inpatients, with follow-up at six months. Excluding those who died, the response rate was 39%. Sixteen patients (46%) recalled receiving the card; 13 (81%) of these retained it, most (64%) of whom reported using it. This is the first evaluation of a patient-held alert card for any antimicrobial-resistant (AMR) bacteria in the UK. This study demonstrated that, when retained, CPE alert cards can be an effective communication tool. Further work is required to evaluate effectiveness and improve retention. |
doi_str_mv | 10.1016/j.jhin.2015.10.008 |
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Alert cards were provided to 104 CPE-positive inpatients, with follow-up at six months. Excluding those who died, the response rate was 39%. Sixteen patients (46%) recalled receiving the card; 13 (81%) of these retained it, most (64%) of whom reported using it. This is the first evaluation of a patient-held alert card for any antimicrobial-resistant (AMR) bacteria in the UK. This study demonstrated that, when retained, CPE alert cards can be an effective communication tool. Further work is required to evaluate effectiveness and improve retention.</description><identifier>ISSN: 0195-6701</identifier><identifier>EISSN: 1532-2939</identifier><identifier>DOI: 10.1016/j.jhin.2015.10.008</identifier><identifier>PMID: 26615457</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bacterial Proteins - secretion ; beta-Lactamases - secretion ; Carbapenemase ; Carrier State - microbiology ; Child ; Child, Preschool ; Continuity of Patient Care ; Enterobacteriaceae ; Enterobacteriaceae - enzymology ; Enterobacteriaceae - isolation & purification ; Enterobacteriaceae Infections - microbiology ; Female ; Humans ; Infant ; Infant, Newborn ; Infectious Disease ; Male ; Medical Order Entry Systems - organization & administration ; Middle Aged ; Multidrug resistance ; Organization and administration ; Pilot Projects ; Point-of-Care Systems - organization & administration ; Reminder systems ; United Kingdom ; Young Adult</subject><ispartof>The Journal of hospital infection, 2016-01, Vol.92 (1), p.102-105</ispartof><rights>2015</rights><rights>Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-3365bb3b05197c8500592e1e4c4c9f3d9e8c280fbceba784b836ea4516ee4abb3</citedby><cites>FETCH-LOGICAL-c514t-3365bb3b05197c8500592e1e4c4c9f3d9e8c280fbceba784b836ea4516ee4abb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jhin.2015.10.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26615457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Poole, K</creatorcontrib><creatorcontrib>George, R</creatorcontrib><creatorcontrib>Shryane, T</creatorcontrib><creatorcontrib>Shankar, K</creatorcontrib><creatorcontrib>Cawthorne, J</creatorcontrib><creatorcontrib>Worsley, M</creatorcontrib><creatorcontrib>Savage, N</creatorcontrib><creatorcontrib>Scott, J</creatorcontrib><creatorcontrib>Welfare, W</creatorcontrib><title>Evaluation of patient-held carbapenemase-producing Enterobacteriaceae (CPE) alert card</title><title>The Journal of hospital infection</title><addtitle>J Hosp Infect</addtitle><description>Summary Public Health England recommends patient-held cards for those colonized with carbapenemase-producing Enterobacteriaceae (CPE). Alert cards were provided to 104 CPE-positive inpatients, with follow-up at six months. Excluding those who died, the response rate was 39%. Sixteen patients (46%) recalled receiving the card; 13 (81%) of these retained it, most (64%) of whom reported using it. This is the first evaluation of a patient-held alert card for any antimicrobial-resistant (AMR) bacteria in the UK. This study demonstrated that, when retained, CPE alert cards can be an effective communication tool. Further work is required to evaluate effectiveness and improve retention.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bacterial Proteins - secretion</subject><subject>beta-Lactamases - secretion</subject><subject>Carbapenemase</subject><subject>Carrier State - microbiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Continuity of Patient Care</subject><subject>Enterobacteriaceae</subject><subject>Enterobacteriaceae - enzymology</subject><subject>Enterobacteriaceae - isolation & purification</subject><subject>Enterobacteriaceae Infections - microbiology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infectious Disease</subject><subject>Male</subject><subject>Medical Order Entry Systems - organization & administration</subject><subject>Middle Aged</subject><subject>Multidrug resistance</subject><subject>Organization and administration</subject><subject>Pilot Projects</subject><subject>Point-of-Care Systems - organization & administration</subject><subject>Reminder systems</subject><subject>United Kingdom</subject><subject>Young Adult</subject><issn>0195-6701</issn><issn>1532-2939</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtr3DAURkVpaSZp_0AXxctk4anetqEUwjB5QKCFPrZCur5u5HjkqWQH8u8jM0kXWZSurric70OcS8gHRteMMv2pX_e3Pqw5ZSov1pTWr8iKKcFL3ojmNVlR1qhSV5QdkeOUekpp3qu35IhrzZRU1Yr82t7bYbaTH0MxdsU-vzBM5S0ObQE2OrvHgDubsNzHsZ3Bh9_FNkwYR2chD28BLRanm2_bs8IOGKcl1r4jbzo7JHz_NE_Iz4vtj81VefP18npzflOCYnIqhdDKOeGoYk0FtaJUNRwZSpDQdKJtsAZe084BOlvV0tVCo5WKaURpc_KEnB568-_-zJgms_MJcBhswHFOhlVassyr-n9QWutKSJFRfkAhjilF7Mw--p2ND4ZRs6g3vVnUm0X9ssvqc-jjU__sdtj-jTy7zsDnA4BZyL3HaBJk2YCtjwiTaUf_7_4vL-Iw-ODBDnf4gKkf5xiyasNM4oaa78vxl9uzbFVyLsQjxL2pVA</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Poole, K</creator><creator>George, R</creator><creator>Shryane, T</creator><creator>Shankar, K</creator><creator>Cawthorne, J</creator><creator>Worsley, M</creator><creator>Savage, N</creator><creator>Scott, J</creator><creator>Welfare, W</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20160101</creationdate><title>Evaluation of patient-held carbapenemase-producing Enterobacteriaceae (CPE) alert card</title><author>Poole, K ; George, R ; Shryane, T ; Shankar, K ; Cawthorne, J ; Worsley, M ; Savage, N ; Scott, J ; Welfare, W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-3365bb3b05197c8500592e1e4c4c9f3d9e8c280fbceba784b836ea4516ee4abb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bacterial Proteins - secretion</topic><topic>beta-Lactamases - secretion</topic><topic>Carbapenemase</topic><topic>Carrier State - microbiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Continuity of Patient Care</topic><topic>Enterobacteriaceae</topic><topic>Enterobacteriaceae - enzymology</topic><topic>Enterobacteriaceae - isolation & purification</topic><topic>Enterobacteriaceae Infections - microbiology</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infectious Disease</topic><topic>Male</topic><topic>Medical Order Entry Systems - organization & administration</topic><topic>Middle Aged</topic><topic>Multidrug resistance</topic><topic>Organization and administration</topic><topic>Pilot Projects</topic><topic>Point-of-Care Systems - organization & administration</topic><topic>Reminder systems</topic><topic>United Kingdom</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Poole, K</creatorcontrib><creatorcontrib>George, R</creatorcontrib><creatorcontrib>Shryane, T</creatorcontrib><creatorcontrib>Shankar, K</creatorcontrib><creatorcontrib>Cawthorne, J</creatorcontrib><creatorcontrib>Worsley, M</creatorcontrib><creatorcontrib>Savage, N</creatorcontrib><creatorcontrib>Scott, J</creatorcontrib><creatorcontrib>Welfare, W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>The Journal of hospital infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Poole, K</au><au>George, R</au><au>Shryane, T</au><au>Shankar, K</au><au>Cawthorne, J</au><au>Worsley, M</au><au>Savage, N</au><au>Scott, J</au><au>Welfare, W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of patient-held carbapenemase-producing Enterobacteriaceae (CPE) alert card</atitle><jtitle>The Journal of hospital infection</jtitle><addtitle>J Hosp Infect</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>92</volume><issue>1</issue><spage>102</spage><epage>105</epage><pages>102-105</pages><issn>0195-6701</issn><eissn>1532-2939</eissn><abstract>Summary Public Health England recommends patient-held cards for those colonized with carbapenemase-producing Enterobacteriaceae (CPE). Alert cards were provided to 104 CPE-positive inpatients, with follow-up at six months. Excluding those who died, the response rate was 39%. Sixteen patients (46%) recalled receiving the card; 13 (81%) of these retained it, most (64%) of whom reported using it. This is the first evaluation of a patient-held alert card for any antimicrobial-resistant (AMR) bacteria in the UK. This study demonstrated that, when retained, CPE alert cards can be an effective communication tool. Further work is required to evaluate effectiveness and improve retention.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>26615457</pmid><doi>10.1016/j.jhin.2015.10.008</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Bacterial Proteins - secretion beta-Lactamases - secretion Carbapenemase Carrier State - microbiology Child Child, Preschool Continuity of Patient Care Enterobacteriaceae Enterobacteriaceae - enzymology Enterobacteriaceae - isolation & purification Enterobacteriaceae Infections - microbiology Female Humans Infant Infant, Newborn Infectious Disease Male Medical Order Entry Systems - organization & administration Middle Aged Multidrug resistance Organization and administration Pilot Projects Point-of-Care Systems - organization & administration Reminder systems United Kingdom Young Adult |
title | Evaluation of patient-held carbapenemase-producing Enterobacteriaceae (CPE) alert card |
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