Evidence map›Paper›PMID 36081188›Full record

ArticleInfection control and hospital epidemiology2023

Audit and feedback as a tool to increase compliance with carbapenemase-producing Enterobacteriaceae (CPE) screening and decrease CPE transmission in the hospital.

Orna Ben Natan, Michal Stein, Sharon Reisfeld

Abstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Evaluating the Clinical Benefit of Carbapenem-ResistantInfection and drug resistance · 2025
    Article
  2. Article
  3. Epidemiology of Carbapenemase-Producing Enterobacterales Carriage in a Paediatric Tertiary Health Care Centre of Ontario, Canada.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2024
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Orna Ben Natan *Infectious Diseases and Infection Control Units, Hillel Yaffe Medical Center, Hadera, Israel.
Michal Stein *Pediatric Infectious Diseases Unit, Sheba Medical Center, Tel-Hashomer, Israel.
Sharon ReisfeldInfectious Diseases and Infection Control Units, Hillel Yaffe Medical Center, Hadera, Israel.ORCID 0000-0003-4608-2040

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo increase compliance with carbapenemase-producing Enterobacteriaceae (CPE) screening through real-time audit and feedback in our hospital and decrease CPE transmissions.

designA before-and-after trial, using active enhanced surveillance of CPE carriers.

settingA 500-bed, secondary, university-affiliated hospital that serves a population of 450,000 in a northern district in Israel.

methodsThe study was conducted during 2016-2019 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.

resultsDuring 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 (

conclusionAudit and feedback can improve appropriate CPE screening and may reduce CPE transmission in the hospital.

Indexed as

Carbapenem-Resistant EnterobacteriaceaeEnterobacteriaceae InfectionsBacterial Proteinsbeta-LactamasesControlled Before-After StudiesFeedbackHospitals, UniversityHumansInfection ControlBacterial Proteinsbeta-Lactamases

Identifiers

PMID36081188
PMCPMC10665877

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.