ENTEROBACTERIACEAE (CARBAPENEM-RESISTANT)

CRE

SYMPTOMS

• Vary with the infected organ
• Severe pneumonia
• Severe urinary tract infection
• High fever
• Sepsis
• Septic shock

WHO IS SUSCEPTIBLE?

• Primarily people in acute and long term health care setting being treated for other conditions
• Patients with compromised immune systems or have invasive devices like tubes going into their body.
• Patients taking specific antibiotics might be more likely to get CRE

HOW IS IT SPREAD?

• A person must be exposed to CRE bacteria
• Most often spread person to person

HOW DOES IT SPREAD IN A HOSPITAL?

• Spread through contact with an infected/colonized person
• Particularly contact with wounds or stool
• Often enter the body through medical devices such as intravenous catheters and urinary catheters

HOW DO WE PREVENT SPREADING?

• Hand hygiene
• Place CRE colonized/infected patients on contact precaution
• Minimize use of invasive device
• Sterile technique

HOW DO WE TREAT CRE?

• Often resistant to antibiotics but susceptible to 1+ antibiotics
• Tx decisions made on a case-by-case basis
• Some people might be colonized rather than infected with CRE and may not require any tx

FINANCIAL/SOCIAL OUTCOME FOR PATIENT

• 50% survival rate
• Costs attributed to these ARIs (Antibiotic Resistant Infections) ranged from $18,588 to $29,069 per patient
• The duration of hospital stay was extended 6.4 - 12.7 days for affected patients

CITATION

• http://www.medicinenet.com/cre_infection/page3.htm#what_are_symptoms_and_si...
• http://www.cdc.gov/hai/organisms/cre/cre-patientgeneral.html