A Regional Approach to Prepare for Carbapenemase Producing Enterobacteriaceae (CPE)

Sue Atkins 1

Regional Infection Control Consultant, Department Of Health And Human Services, Ballarat, VIC, Australia


The Carbapenemase Producing Enterobacteriaceae (CPE) threat is real. Regional health services are not immune, and although many of these services see very little resistant organisms, preparedness is the key!

An audit of the 12 acute health services in the Grampians region was conducted in January 2016 to determine the regions preparedness for CPE and guide the development of resources to fill the gaps.

A CPE Resource Kit was developed. This kit consisted of a CPE policy template, Emergency Department Infectious Disease Quick Reference Guide that included triage triggers to identify CPE, an Infection Prevention and Control Screening Tool for all emergency department presentations and admissions, an Extra Precautions Information Booklet for Patients, a staff information sheet and power point presentation to raise awareness of CPE detection and management. The kit was released in February 2016.

The CPE preparedness audit identified that the 12 acute health services in the Grampians Region were on average 32.2% prepared to detect and manage a case of CPE. This result confirmed the need for resources to support preparedness activities in the region. A post implementation audit will be conducted in July 2016 and it is expected that health services will be fully prepared to detect and manage CPE.

The resource kit has assisted health services in the Grampians Region to commence the development of consistent and appropriate process and practices to prevent, detect and manage CPE using a collaborative approach.

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