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Carbapenem-Resistant Enterobacteriaceae: A Strategic Roadmap for Infection Control

Published online by Cambridge University Press:  15 March 2017

N. Deborah Friedman ,
Yehuda Carmeli ,
Aaron Lea Walton  and
Mitchell James Schwaber
N. Deborah Friedman*
Affiliation:
Barwon Health, Victoria, Australia
Yehuda Carmeli
Affiliation:
Tel Aviv Sourasky Medical Center, Tel Aviv, Israel National Center for Infection Control, Israel Ministry of Health, Tel Aviv, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Aaron Lea Walton
Affiliation:
Barwon Health, Victoria, Australia
Mitchell James Schwaber
Affiliation:
National Center for Infection Control, Israel Ministry of Health, Tel Aviv, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
*
Address correspondence to A/Prof. N. Deborah Friedman, Departments of Medicine and Infectious Diseases, Barwon Health, Geelong, VIC 3220 Australia (Deborahf@barwonhealth.org.au).
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Abstract

The incidence of carbapenem-resistant Enterobacteriaceae (CRE) has increased worldwide with great regional variability. Infections caused by these organisms are associated with crude mortality rates of up to 70%. The spread of CRE in healthcare settings is both an important medical problem and a major global public health threat. All countries are at risk of falling victim to the emergence of CRE; therefore, a preparedness plan is required to avoid the catastrophic natural course of this epidemic. Proactive and adequate preventive measures locally, regionally, and nationally are required to contain the spread of these bacteria. The keys to success in preventing the establishment of CRE endemicity in a region are early detection through targeted laboratory protocols and containment of spread through comprehensive infection control measures. This guideline provides a strategic roadmap for infection control measures based on the best available evidence and expert opinion, to enable preparation of a multifaceted preparedness plan to abort epidemics of CRE.

Infect Control Hosp Epidemiol 2017;38:580–594

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Type
Review Article
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Infection Control & Hospital Epidemiology , Volume 38 , Issue 5 , May 2017 , pp. 580 - 594
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© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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