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Carbapenem-Resistant Enterobacteriaceae: Epidemiology and Prevention
Author(s) -
Neil Gupta,
Brandi Limbago,
Jean B. Patel,
Alexander J. Kallen
Publication year - 2011
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cir202
Subject(s) - carbapenem resistant enterobacteriaceae , enterobacteriaceae , klebsiella pneumoniae , epidemiology , medicine , public health , environmental health , molecular epidemiology , microbiology and biotechnology , biology , genotype , gene , escherichia coli , genetics , pathology
Over the past 10 years, dissemination of Klebsiella pneumoniae carbapenemase (KPC) has led to an increase in the prevalence of carbapenem-resistant Enterobacteriaceae (CRE) in the United States. Infections caused by CRE have limited treatment options and have been associated with high mortality rates. In the previous year, other carbapenemase subtypes, including New Delhi metallo-β-lactamase, have been identified among Enterobacteriaceae in the United States. Like KPC, these enzymes are frequently found on mobile genetic elements and have the potential to spread widely. As a result, preventing both CRE transmission and CRE infections have become important public health objectives. This review describes the current epidemiology of CRE in the United States and highlights important prevention strategies.

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