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The Limits of Serial Surveillance Cultures in Predicting Clearance of Colonization with Carbapenemase-Producing Enterobacteriaceae

Published online by Cambridge University Press:  17 March 2015

Jessica D. Lewis ,
Kyle B. Enfield ,
Amy J. Mathers ,
Eve T. Giannetta  and
Costi D. Sifri
Jessica D. Lewis
Affiliation:
Division of Infectious Diseases & International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia
Kyle B. Enfield
Affiliation:
Division of Pulmonary & Critical Care Medicine, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia Office of Hospital Epidemiology/Infection Prevention & Control, University of Virginia Health System, Charlottesville, Virginia
Amy J. Mathers
Affiliation:
Division of Infectious Diseases & International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia Department of Pathology, University of Virginia Health System, Charlottesville, Virginia.
Eve T. Giannetta
Affiliation:
Office of Hospital Epidemiology/Infection Prevention & Control, University of Virginia Health System, Charlottesville, Virginia
Costi D. Sifri*
Affiliation:
Division of Infectious Diseases & International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia Office of Hospital Epidemiology/Infection Prevention & Control, University of Virginia Health System, Charlottesville, Virginia
*
Address all correspondence to Costi D. Sifri, MD, Division of Infectious Diseases & International Health, Office of Hospital Epidemiology/Infection Prevention & Control, University of Virginia Health System, P.O. Box 800473, Charlottesville, VA 22908-0473 (csifri@virginia.edu).
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Abstract

An accepted practice for patients colonized with multidrug-resistant organisms is to discontinue contact precautions following 3 consecutive negative surveillance cultures. Our experience with surveillance cultures to detect persistent carbapenemase-producing Enterobacteriaceae (CPE) colonization suggests that extrapolation of this practice to CPE-colonized patients may not be appropriate.

Infect Control Hosp Epidemiol 2015;36(7):835–837

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 36 , Issue 7 , July 2015 , pp. 835 - 837
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

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