Israel
#00279
SuccessNational
Implements
#00377 Implement coordinated infection-control and outbreak-containment bundles
Implementer
Israel Ministry of Health and participating healthcare facilities
Location
Israel31.5000, 34.8000
Description
A clonal outbreak of carbapenem-resistant Klebsiella pneumoniae spread across Israeli hospitals during 2006 and was not controlled by local measures. In 2007 the Ministry of Health mandated physical separation of carriers, dedicated staffing, reporting to a central registry and daily central oversight of institutional containment. Later work extended control to post-acute-care facilities, showing that containment must follow patients across the full care network.
Metrics
1Monthly incidence of new CRE cases55.5 at intervention start11.7 by May 2008cases per 100,000 patient-days
Lessons learned
- Regional spread cannot be controlled by isolated hospitals when patients move between facilities.
- Mandatory reporting, dedicated cohorts and central oversight can turn local practices into a functioning national system.
Sources
2