CMS Medicare FFS Provider e-News, Thursday, March 14, 2013:
The Centers for Disease Control and Prevention (CDC) and CMS are asking your assistance in tackling what may be one of the most pressing patient safety threats of our time carbapenem resistant Enterobacteriaceae (CRE). CDC recently released a report on the presence of CRE in U.S. inpatient medical facilities, demonstrating that action is needed now to halt the spread of these deadly bacteria. We are asking for rapid action from healthcare leaders to ensure that infection prevention measures are aggressively implemented in your facilities and those around you. Enterobacteriaceae are a family of more than 70 bacteria, including Klebsiella pneumoniae and E. coli, which normally live in the digestive system. Over time, some of these bacteria have become resistant to a group of antibiotics known as carbapenems, often referred to as last resort antibiotics. During the last decade, CDC has tracked one type of CRE from a single healthcare facility to facilities in at least 42 states. In some healthcare facilities, these bacteria already pose a routine threat to patients. CDC has released a concise, practical CRE prevention toolkit with recommendations for controlling CRE transmission in hospitals, long term acute care facilities, nursing homes, and health departments. Key recommendations follow CDC’s “Detect and Protect” strategy, including:
- Enforcing use of infection control precautions (standard and contact precautions).
- Grouping patients with CRE together.
- Dedicating rooms, staff, and equipment to the care of patients with CRE whenever possible.
- Having facilities alert each other when patients with CRE transfer back and forth.
- Asking patients whether they have recently received care somewhere else (including another country).
- Using antibiotics wisely.
When fully implemented, CDC recommendations have been proven to work. Medical facilities in several states have reduced CRE infection rates by following CDC’s prevention guidelines.
The United States is at a critical point in our ability to stop the spread of CRE. If we do not act quickly, we will miss our window of opportunity and CRE could become widespread across the country.
Additional information can be accessed at www.CDC.org