Department of Health

Carbapenemase producing Enterobacteriaceae management - forms and sample letters

In May 2018 the Department of Health and Human Services released updated guidelines on carbapenemase-producing Enterobacteriaceae for health services and long-term residential care facilities.

Find out more about carbapenemase-producing Enterobacteriaceae managment and download the guidelines

The department has developed a suite of forms and sample letters for health services in line with the revised guidelines. These documents are available from this page:

  • CPE - Sample case letter - doctor
  • CPE - Sample room contact letter
  • CPE - Sample ward contact letter
  • CPE notification form Part A
  • CPE notification form Part B
  • Carbapenem resistant isolate - referral form FM2458
  • Carbapenem resistant environmental isolates - request form FM2699


Forms and templates
Date published
16 May 2018
7 documents
Department of Health and Human Services
Update frequency
Available format

Reviewed 17 May 2018

Contact details

Do not email patient notifications.

Communicable Disease Section Department of Health GPO Box 4057, Melbourne, VIC 3000

Was this page helpful?