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In April 2014, the mandatory requirements for reporting communicable diseases were updated to include Carbapenem Resistant Enterobacteriaceae (CRE) and Multi-drug Resistant Acinetobacter (MDRA). While there are many species of Enterobacteriaceae, only CRE-Ecoli and CRE — Klebsiella are on the list of notifiable conditions. The full list of notifiable conditions is available on the Texas Department of State Health Services (DSHS) website.
Any lab finding of CRE-Ecoli, CRE-Klebsiella or MDRA must be reported immediately regardless of the site of infection, even with colonization or surveillance cultures. Reports should be submitted immediately to the local health department or to DSHS using the facility’s standard reporting form or DSHS’s EPI 2 form. Consultation with the local health department or reporting jurisdiction is necessary to identify the best method for reporting notifiable conditions after hours, during holidays or on weekends.
Each facility should have policies in place to ensure appropriate infection prevention precautions are initiated once a case of CRE or MDRA is identified, even if infection control staff is not on-site. In addition, the facility should ask the laboratory to save the isolates for 3 months to allow for identification of any related cases through DNA fingerprinting.
For more information, contact your local health department or
Jessica Ross, CIC
Infectious Disease Control Unit
Texas Department of State Health Services
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Updated: October 22, 2014