Identification and infection control of carbapenem-resistant Enterobacterales in intensive care units
Infections with multidrug-resistant organisms among patients in intensive care units (ICUs) are associated with high mortality. Among multidrug-resistant organisms, carbapenem-resistant Enterobacterales (CRE) harbor important pathogens for healthcare-associated infections, including pneumonia, bacte...
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Korean Society of Critical Care Medicine
2021-08-01
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doaj-a5e2c6045bca4d3fb5801fbf2fd1cbaa2021-09-09T01:09:36ZengKorean Society of Critical Care MedicineAcute and Critical Care2586-60522586-60602021-08-0136317518410.4266/acc.2021.004091311Identification and infection control of carbapenem-resistant Enterobacterales in intensive care unitsJongyoun Yi0Kye-Hyung Kim1 Department of Laboratory Medicine, Pusan National University School of Medicine, Busan, Korea Medical Research Institute, Pusan National University Hospital, Busan, KoreaInfections with multidrug-resistant organisms among patients in intensive care units (ICUs) are associated with high mortality. Among multidrug-resistant organisms, carbapenem-resistant Enterobacterales (CRE) harbor important pathogens for healthcare-associated infections, including pneumonia, bacteremia, and urinary tract infections. Risk factors for CRE colonization include underlying comorbid conditions, prior antibiotics exposure, prior use of healthcare facilities, device use, and longer ICU stay. The mortality rate due to invasive CRE infection is 22%–49%, and CRE colonization is associated with an approximately 10-fold increased risk of CRE infection. Infection control measures include hand hygiene, contact precautions, minimizing the use of devices, and environmental control. Additionally, implementing active surveillance of CRE carriage should be considered in ICU settings.http://www.accjournal.org/upload/pdf/acc-2021-00409.pdfcarbapenemcarbapenem-resistant enterobacteriaceaedrug resistanceinfection controlintensive care units |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jongyoun Yi Kye-Hyung Kim |
spellingShingle |
Jongyoun Yi Kye-Hyung Kim Identification and infection control of carbapenem-resistant Enterobacterales in intensive care units Acute and Critical Care carbapenem carbapenem-resistant enterobacteriaceae drug resistance infection control intensive care units |
author_facet |
Jongyoun Yi Kye-Hyung Kim |
author_sort |
Jongyoun Yi |
title |
Identification and infection control of carbapenem-resistant Enterobacterales in intensive care units |
title_short |
Identification and infection control of carbapenem-resistant Enterobacterales in intensive care units |
title_full |
Identification and infection control of carbapenem-resistant Enterobacterales in intensive care units |
title_fullStr |
Identification and infection control of carbapenem-resistant Enterobacterales in intensive care units |
title_full_unstemmed |
Identification and infection control of carbapenem-resistant Enterobacterales in intensive care units |
title_sort |
identification and infection control of carbapenem-resistant enterobacterales in intensive care units |
publisher |
Korean Society of Critical Care Medicine |
series |
Acute and Critical Care |
issn |
2586-6052 2586-6060 |
publishDate |
2021-08-01 |
description |
Infections with multidrug-resistant organisms among patients in intensive care units (ICUs) are associated with high mortality. Among multidrug-resistant organisms, carbapenem-resistant Enterobacterales (CRE) harbor important pathogens for healthcare-associated infections, including pneumonia, bacteremia, and urinary tract infections. Risk factors for CRE colonization include underlying comorbid conditions, prior antibiotics exposure, prior use of healthcare facilities, device use, and longer ICU stay. The mortality rate due to invasive CRE infection is 22%–49%, and CRE colonization is associated with an approximately 10-fold increased risk of CRE infection. Infection control measures include hand hygiene, contact precautions, minimizing the use of devices, and environmental control. Additionally, implementing active surveillance of CRE carriage should be considered in ICU settings. |
topic |
carbapenem carbapenem-resistant enterobacteriaceae drug resistance infection control intensive care units |
url |
http://www.accjournal.org/upload/pdf/acc-2021-00409.pdf |
work_keys_str_mv |
AT jongyounyi identificationandinfectioncontrolofcarbapenemresistantenterobacteralesinintensivecareunits AT kyehyungkim identificationandinfectioncontrolofcarbapenemresistantenterobacteralesinintensivecareunits |
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1717761630959304704 |