18 Mar Successful Infection Control and Prevention
Posted at 00:00h in Case Study
- SmartSteward’s real-time antibiogram from the facility identified isolates of carbapenem resistant Enterobacteriaceae (CRE) at the facility.
- CRE cause serious infections including UTI infections, bloodstream infections, wound infections, and pneumonia.
- The facility’s DON and physicians were notified about the CRE and acted to successfully prevent spread of infection.
- SmartSteward EYE™ identified a new clone of ESBL in 4 separate patients in 2 wings was discovered.
- Extended spectrum beta-lactamases (ESBLs) are caused by the overuse of Cephalosporins and Fluoroquinolones.
- The SmartSteward EYE™ heat map function indicated patients were in close proximity and notified the facility DON.
- SmartSteward™ reviewed and recommended actions to take, including suggesting potential sources, infection control practices, and guidance on future use of antibiotics.
- SmartSteward EYE™ deployed a new algorithm for the detection of Carbapenem Resistant Pseudomonas (CRP) immediately identify and new CRP isolate in our pilot facility right after deployment.
- Carbapenem Resistant Pseudomonas (CRP) occur in patients whose care requires devices like ventilators, urinary and intravenous catheters.
- The lab report did not highlight this dangerous MDRO and no one at the facility was aware of its presence.
- SmartSteward™ alerted the facility’s IPCO and medical director and sent guidance on isolation to prevent the spread of the CRP.
- The facility contacted the testing lab to confirm the presence of the CRP and requested a retest which came back positive to the presence of this CRP isolate.
- The facility was then able to isolate the patient to prevent the spread of this dangerous CRP.