http://creativecommons.org/licenses/by-nc-nd/4.0/ ) 116 D.M. Tran, M. Larsson and L. Olson et al. / Journal of Infection 79 (2019) 115-122 Conclusion: These data indicate that there is an epidemic spread of CRE in Vietnamese hospitals with rapid transmission to hospitalised patients.

Purpose This paper aims to inquire into the awareness of Vietnamese architects about design for safety (DfS) and the level of engagement in applying DfS among them to get a generic view of the implementation of DfS in Vietnam. Design/methodology/approach Quantitative research was used, in which a questionnaire was sent to Vietnamese architects to evaluate how they consider and apply DfS in the design process. Inferential and descriptive statistics then analysed the obtained data to identify the role of each factor. Findings The results from the survey conclude that Vietnamese architects have low engagement in applying DfS despite their high awareness and positive attitude towards DfS. Besides, the participants showed the need for further DfS education and training, which is lacking in Vietnamese formal education. In addition, the research also confirms that DfS education and training have positive impacts on the frequency of DfS implementation in Vietnam. Research limitations/implications This research contributes to the knowledge of DfS implementation in developing countries. In line with this, further studies on the DfS concept in developing countries are needed to draw a more objective overview and give the solution for the low DfS appliance. Originality/value To the best of the authors’ knowledge, this is the first study inquiring into the implication of DfS in Vietnam, contributing to improving the lack of knowledge in this field in developing countries and Vietnam in particular.

Abstract. This paper presents a liquidity risk management model allows to assess the impact of stress scenarios on a banking system within a top-down approach. The impact of stress scenarios on a banking system includes: (i) individual bank reactions to the shock, (ii) the shock transmission across banks, through interbank networks and financial market channels and (iii) the recover rate, the proportion of the debt a creditor receives in an event of a default. The macro economic model is estimated and simulated quarterly and the data in balance sheet is yearly for the Vietnamese banking system. The results show a high vulnerability of the trading portfolios and interbank market.

BackgroundCarbapenem-resistant Enterobacteriaceae (CRE) is an increasing problem worldwide, but particularly problematic in low- and middle-income countries (LMIC) due to limitations of resources for surveillance of CRE and infection prevention and control (IPC). MethodsA point prevalence survey (PPS) with screening for colonization with CRE was conducted on 2233 patients admitted to neonatal, pediatric and adult care at 12 Vietnamese hospitals located in northern, central and southern Vietnam during 2017 and 2018. CRE colonisation was determined by culturing of fecal specimens on selective agar for CRE. Risk factors for CRE colonisation were evaluated. A CRE admission and discharge screening sub-study was conducted among one of the most vulnerable patient groups; infants treated at an 80-bed Neonatal ICU from March throughout June 2017 to assess CRE acquisition, hospital-acquired infection (HAI) and treatment outcome.ResultsA total of 1165 (52%) patients were colonized with CRE, most commonly Klebsiella pneumoniae (n = 805), Escherichia coli (n = 682) and Enterobacter spp. (n = 61). Duration of hospital stay, HAI, intubation, peripheral venous catheter and treatment with a carbapenem were independent risk factors for CRE colonization. The PPS showed that the prevalence of CRE colonization increased on average 4.2% per day and mean CRE colonisation rates increased from 13% on the day of admission to 89% at day 15 of hospital stay. At the NICU CRE colonisation increased from 32% at admission to 87% at discharge, mortality was significantly associated (OR 5·5, P < 0·01) with CRE colonisation and HAI on admission.ConclusionThese data indicate that there is an epidemic spread of CRE in Vietnamese hospitals with rapid transmission to hospitalized patients. CRE colonization places a major burden on the healthcare system due to the increased risk of HAI caused by CRE and associated increased mortality. This study shows that large-scale epidemiological surveillance of CRE using affordable methods is possible in low- and middle-income countries.Disclosures All authors: No reported disclosures.