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Cdc sample infographic11/24/2023 ![]() ![]() 001) in just over a year but did not return to pre-intervention baseline. The national monthly incidence of CRE decreased from 55.5 cases per 100,000 patient-days prior to the intervention to 11.7 cases per 100,000 patient-days (p<. The Israeli Ministry of Health launched a nationwide intervention to limit further spread of antimicrobial-resistant bacteria in hospitals through creation of a national task force on antimicrobial resistance and infection control and targeted interventions for carbapenem-resistant Enterobacterales (CRE), which included centralized reporting, isolation and Contact Precautions for known carriers, geographic separation for hospitalized carriers of CRE, and ACH site visits to assess infection control policies and laboratory methods for CRE identification. In 2006, Israeli acute-care hospitals (ACHs) faced clonal outbreaks of Klebsiella pneumoniae carbapenemase-producing Klebsiella pneumoniae that were not controlled by individual hospital measures. ![]() The results of the study show that comprehensive efforts to identify and isolate patients with VRE can reduce transmission. The overall VRE prevalence at participating facilities decreased from 2.2% in 1997 to 1.4% in 1998, and to 0.5% in 1999 (p = 0.001). In collaboration with CDC, the task force assessed the regional prevalence of VRE and implemented a coordinated response with a bundle of interventions that included colonization screening, infection control assessments, use of isolation and Transmission-Based Precautions for VRE carriers, and education, across 32 healthcare facilities in the region. In 1997, following a rapid increase in vancomycin-resistant enterococci (VRE) in the Siouxland region of Iowa, Nebraska, and South Dakota, Siouxland health officials created a task force to prevent further spread. These prevention interventions targeted different MDROs and were applied in regions with different health systems and epidemiology but had common elements that include enhanced surveillance, education, communication, and improving infection prevention and control practices. ![]() Several reports, summarized below, describe decreases in MDROs following implementation of prevention strategies in healthcare facilities across a region. ![]()
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