title: Electronic Public Health Registry of Extensively Drug-Resistant Organisms, Illinois, USA.
abstract: In response to clusters of carbapenem-resistant Enterobacteriaceae (CRE) in Illinois, USA, the Illinois Department of Public Health and the Centers for Disease Control and Prevention Chicago Prevention Epicenter launched a statewide Web-based registry designed for bidirectional data exchange among health care facilities. CRE occurrences are entered and searchable in the system, enabling interfacility communication of patient information. For rapid notification of facilities, admission feeds are automated. During the first 12 months of implementation (November 1, 2013-October 31, 2014), 1,557 CRE reports (≈4.3/day) were submitted from 115 acute care hospitals, 5 long-term acute care hospitals, 46 long-term care facilities, and 7 reference laboratories. Guided by a state and local public health task force of infection prevention specialists and microbiologists and a nonprofit informatics entity, Illinois Department of Public Health deployed a statewide registry of extensively drug-resistant organisms. The legal, technical, and collaborative underpinnings of the system enable rapid incorporation of other emerging organisms.
authors.forename: William E
authors.initials: WE
authors.lastname: Trick
authors.forename: Michael Y
authors.initials: MY
authors.lastname: Lin
authors.forename: Robynn
authors.initials: R
authors.lastname: Cheng-Leidig
authors.forename: Mary
authors.initials: M
authors.lastname: Driscoll
authors.forename: Angela S
authors.initials: AS
authors.lastname: Tang
authors.forename: Wei
authors.initials: W
authors.lastname: Gao
authors.forename: Erica
authors.initials: E
authors.lastname: Runningdeer
authors.forename: M Allison
authors.initials: MA
authors.lastname: Arwady
authors.forename: Robert A
authors.initials: RA
authors.lastname: Weinstein
mesh_terms: D015780:Carbapenems / Q000494:pharmacology* / Q000627:therapeutic use; D002487:Centers for Disease Control and Prevention, U.S.; D003428:Cross Infection / Q000188:drug therapy*; D004352:Drug Resistance, Microbial / Q000276:immunology*; D004756:Enterobacteriaceae Infections / Q000453:epidemiology; D066275:Health Information Exchange / Q000706:statistics & numerical data*; D006801:Humans; D007087:Illinois; D011159:Population Surveillance / Q000379:methods*; D011634:Public Health / Q000379:methods* / Q000639:trends; D012042:Registries; D014481:United States
chemical_list: D015780:Carbapenems
keywords: Illinois; United States; antimicrobial resistance; automated medical records system; bacteria; computers; drug resistance; extensively drug-resistant organisms; microbial; registries