Carbapenemase-producing Enterobacteriaceae within a Victorian Health Service – Working with the new Victorian Guidelines

Tracy Sloane 1, P.Louise Wright 1, Rhonda Stuart 1, Elizabeth Gillespie 1

Monash Health, Dandenong, VIC, Australia


The term carbapenem-producing Enterobacteriaceae (CPE) refers to bacteria that are members of the family Enterobacteriaceae that produce carbapenemase enzyme rendering them resistant to carbapenem antibiotics.
Increasing numbers have been identified in Australia and Victoria specifically and analysis has indicated that local transmission has occurred.

Our hospital identified a CPE positive case, which, following initial contact tracing and screening, resulted in local transmission, subsequent to the release of the new Victorian Guideline on carbapenemase-producing Enterobacteriaceae. With ongoing screening no further transmissions have been identified.
This presentation aims to tell our story: from identifying a CPE case, screening 14 room contacts, discovering a transmission and the subsequent screening of 32 ward contacts whilst working within the framework of the new Victorian guidelines.

We will reflect on all aspects of our continuing involvement including use of infection control resources; focussing on what went well and what could be improved upon, in the hope our experience can inform those who may encounter CPE in the future.

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