{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:44:01Z","timestamp":1786999441727,"version":"build-2736575974"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T00:00:00Z","timestamp":1662681600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2023,11]]},"abstract":"Abstract<\/jats:title>\n \n Objective:<\/jats:title>\n To increase compliance with carbapenemase-producing Enterobacteriaceae (CPE) screening through real-time audit and feedback in our hospital and decrease CPE transmissions.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n A before-and-after trial, using active enhanced surveillance of CPE carriers.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n A 500-bed, secondary, university-affiliated hospital that serves a population of 450,000 in a northern district in Israel.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n The study was conducted during 2016\u20132019 and included patients who were admitted to the hospital and fulfilled CPE screening criteria upon admission and during prolonged hospitalizations. On January 1, 2017, the infection control team implemented a new strategy of real-time feedback toward compliance with in-hospital screening guidelines. Other infection control measurements were performed without interventions. The primary outcome was compliance with appropriate CPE screening. Secondary outcomes included CPE acquisition and compliance with hand hygiene and contact precaution practices. Data were analyzed to calculate differences between compliance with CPE screening during the study period and to test the correlation between contact precautions and hand hygiene practices according to compliance with CPE screening.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n During the study period, 3,131 patients were eligible for CPE screening. We detected a statistically significant increase in compliance to CPE screening from 74% during 2017 to 92% in 2018 and 95% in 2019 (\n P<\/jats:italic>\n < .0001 for both comparisons). We detected a decrease in CPE transmission from 12% in 2017 to 2% in 2019 (\n P<\/jats:italic>\n < .0001). We did not find any correlation between other infection control interventions and CPE screening and acquisition.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Audit and feedback can improve appropriate CPE screening and may reduce CPE transmission in the hospital.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/ice.2022.224","type":"journal-article","created":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T00:54:47Z","timestamp":1662684887000},"page":"1788-1792","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":6,"title":["Audit and feedback as a tool to increase compliance with carbapenemase-producing Enterobacteriaceae (CPE) screening and decrease CPE transmission in the hospital"],"prefix":"10.1017","volume":"44","author":[{"given":"Orna","family":"Ben Natan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Stein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4608-2040","authenticated-orcid":false,"given":"Sharon","family":"Reisfeld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,9,9]]},"reference":[{"key":"S0899823X22002240_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s10916-015-0251-1"},{"key":"S0899823X22002240_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14703"},{"key":"S0899823X22002240_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2016.04.237"},{"key":"S0899823X22002240_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2018.05.024"},{"key":"S0899823X22002240_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-015-1008-4"},{"key":"S0899823X22002240_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2016.10.006"},{"key":"S0899823X22002240_ref4","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.jhin.2019.04.012","article-title":"Screening for carbapenemase-producing Enterobacteriaceae in previous carriers readmitted to hospital: evaluation of a change in screening policy","volume":"103","author":"Tucker","year":"2019","journal-title":"J Hosp Infect"},{"key":"S0899823X22002240_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2014.02.006"},{"key":"S0899823X22002240_ref16","doi-asserted-by":"publisher","DOI":"10.1067\/mic.2002.129427"},{"key":"S0899823X22002240_ref5","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1748-5908-1-9","article-title":"Audit and feedback and clinical practice guideline adherence: making feedback actionable","volume":"1","author":"Hysong","year":"2006","journal-title":"Implement Sci"},{"key":"S0899823X22002240_ref8","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h3728"},{"key":"S0899823X22002240_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.idh.2020.11.005"},{"key":"S0899823X22002240_ref2","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1111\/j.1469-0691.2012.03815.x","article-title":"Identification and screening of carbapenemase-producing Enterobacteriaceae","volume":"18","author":"Nordmann","year":"2012","journal-title":"Clin Microbiol Infect"},{"key":"S0899823X22002240_ref14","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw118"},{"key":"S0899823X22002240_ref12","first-page":"408","article-title":"Implementation and impact of an automated group monitoring and feedback system to promote hand hygiene among healthcare personnel","volume":"40","author":"Conway","year":"2014","journal-title":"Jt Comm J Qual Patient Saf"},{"key":"S0899823X22002240_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2011.01801.x"}],"container-title":["Infection Control & Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X22002240","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:17:41Z","timestamp":1706660261000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X22002240\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,9]]},"references-count":16,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["S0899823X22002240"],"URL":"https:\/\/doi.org\/10.1017\/ice.2022.224","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,9]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}