Case Details Each new carbapenemase (‘Subtype’ is reportable as a new case. Citrobacter freundii Morganella morganii ♦ Aetiologic Agent Citrobacter unspecified Pantoea unspecified Select the genus and Enterobacter cloacae Proteus mirabilis species provided on the Enterobacter unspecified Proteus unspecified lab slip. If the species is Escherichia coli Providencia unspecies not provided select the genus with unspecified Klebsiella oxytoca Raoultella unspecified species (e.g., Klesbsiella Klebsiella pneumoniae Serratia marcescens species) Klebsiella unspecified Further Differentiation If Aetiologic is Note: If the same carbapenemase (e.g., KPC in E. coli and Klebsiella pneumonia) has been specify’, enter ‘Other, detected in more than one organism (Aetiologic Agent), select the organism in Aetiologic the bacterial genus and Agent that occurs first alphabetically, and type the subsequent organism(s) into Further species Differentiation. SME OXA-48 NDM/KPC NDM Subtype NDM/OXA-48 KPC Select the NDM/GES IMP carbapenemase VIM/IMP IMI provided on the lab slip. VIM/KPC GES Other, specify: VIM Confirmed Person Under Investigation ♦ Classification ♦ Classification Does Not Meet Definition Date Do not close case as PUI Confirmed Person Investigation ♦ Outbreak ♦ Outbreak Case Does Not Meet Definition Classification Classification Date Do not close case as PUI Complete Closed- Duplicate-Do Not Use ♦ Disposition ♦ Disposition Entered In Error Lost to Follow Up Date Does Not Meet Definition Untraceable Closed ♦ Status Date ♦ Status Open (re-opened) ♦ Status Date Closed ♦ Status Date ♦ High Medium Low (At health unit’s discretion) Priority
Case Details Each new carbapenemase (‘Subtype’ is reportable as a new case. ♦ Aetiologic Agent Select the genus and species provided on the lab slip. If the species is not provided select the genus with unspecified species (e.g., Klesbsiella species) Citrobacter freundii Citrobacter unspecified Enterobacter cloacae Enterobacter unspecified Escherichia coli Klebsiella oxytoca Klebsiella pneumoniae Klebsiella unspecified Morganella morganii Pantoea unspecified Proteus mirabilis Proteus unspecified Providencia unspecies Raoultella unspecified Serratia marcescens Further Differentiation If Aetiologic is ‘Other, specify’, enter the bacterial genus and species Note: If the same carbapenemase (e.g., KPC in E. coli and Klebsiella pneumonia) has been detected in more than one organism (Aetiologic Agent), select the organism in Aetiologic Agent that occurs first alphabetically, and type the subsequent organism(s) into Further Differentiation. Subtype Select the carbapenemase provided on the lab slip. OXA-48 NDM KPC IMP IMI GES VIM SME NDM/KPC NDM/OXA-48 NDM/GES VIM/IMP VIM/KPC Other, specify: ♦ Classification Confirmed Person Under Investigation Does Not Meet Definition Do not close case as PUI ♦ Classification Date ♦ Outbreak Case Classification Confirmed Person Investigation Does Not Meet Definition Do not close case as PUI ♦ Outbreak Classification Date ♦ Disposition Complete Closed- Duplicate-Do Not Use Entered In Error Lost to Follow Up Does Not Meet Definition Untraceable ♦ Disposition Date ♦ Status Closed ♦ Status Date Open (re-opened) ♦ Status Date Closed ♦ Status Date ♦ Priority High Medium Low (At health unit’s discretion)
CPE%20Investigation%20Tool.docx