Guanghong Han, PhD IPAC Conference ∙ Charlottetown, PEI June 19, 2017 The impact of vancomycin‐ resistant Enterococci (VRE) policy and practice changes in BC • Surveillance epidemiologist at Provincial Infection Control Network of BC (PICNet) •No conflict of interest to declare Disclosure •VRE control policy was developed by each health authority •Common practices included active screening, contact precautions, and isolation •Four health authorities modified VRE control policy from 2010 – Ended targeted or admission screening for VRE – Discontinued contact precautions with VRE patient – Isolated VRE patient with risk assessment Background Health authorities in BC Plus: Provincial Health Services Authority provide specialized health services throughout the province • Identify changes in VRE prevention and control policy •Evaluate impact of the changes on incidence rate of VRE infection and colonization Objectives • Setting: all acute care facilities in BC • Policy review: VRE screening and isolation policy in each health authority from 2010 to 2015 •Data collection: VRE infection and colonization for periods of three years before and after changes, or from 2008/09 to 2014/15 •Data analysis: –Overall trend of VRE rate –Comparison of VRE rates before and after changes Methods Changes in VRE screening, contact precautions and isolation Results Health authority VRE screening Contact precautions and isolation Date Island HealthEnd targeted admission screeningDiscontinued unless infected and have risk factors for transmission. Electronic VRE alerts on patient removed2010 End screening in critical care units2012 End screening in renal units2014...
Type: Media