Facility- and patient-level factors associated with implementation of contact precautions in hospitalized VA patients with positive CRE cultures

Geneva M Wilson; Margaret Fitzpatrick; Katie J Suda; Linda Poggensee; Makoto Jones; Martin E Evans; Charlesnika T Evans

doi:10.1017/ash.2024.36

Facility- and patient-level factors associated with implementation of contact precautions in hospitalized VA patients with positive CRE cultures

Antimicrob Steward Healthc Epidemiol. 2024 May 3;4(1):e76. doi: 10.1017/ash.2024.36. eCollection 2024.

Authors

Geneva M Wilson^{1

2}, Margaret Fitzpatrick^{1

3}, Katie J Suda^{4

5}, Linda Poggensee¹, Makoto Jones^{6

7}, Martin E Evans⁸, Charlesnika T Evans^{1

2}

Affiliations

¹ Center of Innovation for Complex Chronic Healthcare (CINCCH), Hines Jr. Veterans Affairs Hospital, Hines, IL, USA.
² Northwestern University Feinberg School of Medicine, Department of Preventive Medicine, Center for Health Services and Outcomes Research, Chicago, IL, USA.
³ Loyola Medical Center, Maywood, IL, USA.
⁴ Center for Health Equity Research and Promotion, VA Pittsburgh Heath Care System, Pittsburgh, PA, USA.
⁵ Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
⁶ Department of Veterans Affairs, VA Salt Lake City Healthcare System, Salt Lake City, UT, USA.
⁷ Department of Medicine, Division of Epidemiology, University of Utah, Salt Lake City, UT, USA.
⁸ Department of Veterans Affairs, Lexington VA Medical Center, Lexington, KY, USA.

Abstract

Decreasing the time to contact precautions (CP) is critical to carbapenem-resistant Enterobacterales (CRE) prevention. Identifying factors associated with delayed CP can decrease the spread from patients with CRE. In this study, a shorter length of stay was associated with being placed in CP within 3 days.