Templates, forms and other supporting resources referred to within the guideline are available to be downloaded below.
Victorian guideline on CPE for health services, version 2.1
CPE surveillance data collection forms
The following forms are the CPE surveillance data collection forms. When completed, forms are to be submitted to VICNISS. Part A is to be used for all confirmed human CPE isolates whereas Part B is only used when the likelihood of transmission within a healthcare facility needs to be further investigated.
CPE isolate referral forms (human and environmental)
The following forms are to be used by diagnostic laboratories when referring any CPE isolates to the Microbiological Diagnostic Unit Public Health Laboratory (MDU PHL). Note that there are different forms for human and environmental isolates.
Patient, staff and clinician information sheets