title: Evaluation of patient-held carbapenemase-producing Enterobacteriaceae (CPE) alert card.
abstract: Public Health England recommends patient-held cards for those colonized with carbapenemase-producing Enterobacteriaceae (CPE). Alert cards were provided to 104 CPE-positive inpatients, with follow-up at six months. Excluding those who died, the response rate was 39%. Sixteen patients (46%) recalled receiving the card; 13 (81%) of these retained it, most (64%) of whom reported using it. This is the first evaluation of a patient-held alert card for any antimicrobial-resistant (AMR) bacteria in the UK. This study demonstrated that, when retained, CPE alert cards can be an effective communication tool. Further work is required to evaluate effectiveness and improve retention.
authors.affiliation: Public Health England ‒ North West, Manchester, UK. Electronic address: Kristina.poole@phe.gov.uk.
authors.forename: K
authors.initials: K
authors.lastname: Poole
authors.affiliation: Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
authors.forename: R
authors.initials: R
authors.lastname: George
authors.affiliation: Public Health England ‒ North West, Manchester, UK.
authors.forename: T
authors.initials: T
authors.lastname: Shryane
authors.affiliation: Public Health England ‒ North West, Manchester, UK.
authors.forename: K
authors.initials: K
authors.lastname: Shankar
authors.affiliation: Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
authors.forename: J
authors.initials: J
authors.lastname: Cawthorne
authors.affiliation: Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
authors.forename: M
authors.initials: M
authors.lastname: Worsley
authors.affiliation: Manchester Medical School, University of Manchester, Manchester, UK.
authors.forename: N
authors.initials: N
authors.lastname: Savage
authors.affiliation: Public Health England ‒ North West, Manchester, UK.
authors.forename: J
authors.initials: J
authors.lastname: Scott
authors.affiliation: Public Health England ‒ North West, Manchester, UK; Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
authors.forename: W
authors.initials: W
authors.lastname: Welfare
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001426:Bacterial Proteins / Q000378:metabolism*; D002353:Carrier State / Q000382:microbiology*; D002648:Child; D002675:Child, Preschool; D003266:Continuity of Patient Care; D004755:Enterobacteriaceae / Q000201:enzymology* / Q000302:isolation & purification; D004756:Enterobacteriaceae Infections / Q000382:microbiology*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D050316:Medical Order Entry Systems / Q000458:organization & administration*; D008875:Middle Aged; D010865:Pilot Projects; D019095:Point-of-Care Systems / Q000458:organization & administration*; D006113:United Kingdom; D055815:Young Adult; D001618:beta-Lactamases / Q000378:metabolism*
chemical_list: D001426:Bacterial Proteins; D001618:beta-Lactamases; C063912:carbapenemase
keywords: Carbapenemase; Continuity of patient care; Enterobacteriaceae; Multidrug resistance; Organization and administration; Reminder systems