We’ve had three CRE bacteremia cases linked to step-down transfers in the past 10 days, with identical NDM patterns on PCR… For those managing similar clusters, have you found universal CHG bathing plus daily catheter necessity checks sufficient, or did you add preemptive contact precautions on transfer while awaiting cultures?
We saw NDM last month; added preemptive contact and admission rectal screens — helped. Doing ‘step-down’ sink cultures yet? CDC: https://www.cdc.gov/hai/organisms/cre/cre-toolkit/index.html.
With ‘three cases in 10 days,’ we added bleach terminal cleans and staff cohorting. Any shared floaters.