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Evaluation of patient-held carbapenemase-producing Enterobacteriaceae (CPE) alert card

K Poole1, R George2, T Shryane1

  • 1Public Health England ‒ North West, Manchester, UK.

The Journal of Hospital Infection
|November 30, 2015
PubMed

Insights

Patient alert cards for carbapenemase-producing Enterobacteriaceae (CPE) colonization show promise. When retained, these cards effectively communicate critical information, though further research is needed to improve patient retention and overall effectiveness.

Area of Science:

  • Infectious Diseases
  • Public Health
  • Microbiology

Background:

  • Carbapenemase-producing Enterobacteriaceae (CPE) represent a significant public health threat.
  • Patient-held alert cards are recommended by Public Health England for individuals colonized with CPE.
  • Effective communication strategies are crucial for managing antimicrobial resistance (AMR).

Purpose of the Study:

  • To evaluate the effectiveness and retention of patient-held alert cards for CPE-colonized inpatients.
  • To assess the utility of patient-held cards as a communication tool for AMR bacteria in the UK.
  • To identify factors influencing the retention and use of alert cards.

Main Methods:

  • A prospective study involving 104 CPE-positive inpatients who received alert cards.
  • Follow-up conducted at six months post-discharge.
  • Data collected on card recall, retention, and reported usage.

Main Results:

  • A response rate of 39% was achieved among eligible patients.
  • 46% of respondents recalled receiving the card.
  • Of those who recalled the card, 81% retained it, and 64% reported using it.

Conclusions:

  • Patient-held alert cards for CPE can be an effective communication tool when retained by patients.
  • This study provides the first evaluation of such a tool for any AMR bacteria in the UK.
  • Further research is necessary to enhance card retention and overall effectiveness in managing CPE colonization.

Keywords:
CarbapenemaseContinuity of patient careEnterobacteriaceaeMultidrug resistanceOrganization and administrationReminder systems

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