Table 1 Interventions undertaken to curtail the epidemic spread of CRKP in 4 cumulative stages a
Intervention | Description | Date begun |
|---|---|---|
Baseline period | No intervention and regular surveillance cultures | Jan 2013- June 2013 |
Period 1 | 1. Active surveillance cultures 2. De-escalation interventions | July 2013–June 2014 |
2.1 First level interventions | ||
 • contact precautions  • patient isolation: single room isolation or cohorting  • cohorting of medical care  • disinfection and sterilization | ||
2.2 Second level interventions | ||
 • contact precautions  • disinfection and sterilization | ||
IPC interventions | 2.3 Third level interventions | |
 • disinfection and sterilization | ||
3. Target bundles interventions | ||
 • intravascular catheter-related infection  • ventilation associated pneumonia  • catheter-associated urinary tract infection  • skin and soft tissue infections. | ||
Period 2 | 1. Active surveillance cultures 2. Modified de-escalation interventions | July 2014–June 2015 |
Modified IPC interventions | + Enhanced external medical staff education + Contact precautions of shared equipment + Enhanced terminal room disinfection | |
|  | 2.1 First level interventions (as Period 1) 2.2 Second level interventions (as Period 1) 2.3 Third level interventions (as Period 1) | |
3. Target bundles interventions (as Period 1) | ||
Period 3 | Follow up period 2 | July 2015–June 2016 |