42 states in the last ten years...
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http://vitals.nbcnews.com/_news/2013/03/05/17195353-more-bad-news-about-nightmare-bacteria-cdc-says?lite
http://www.examiner.com/article/cre-an-antibiotic-resistant-menace
http://ohsonline.com/articles/2013/03/06/cdc-warns-cre-infections-more-common.aspx
Drug-resistant germs called carbapenem-resistant Enterobacteriaceae, or CRE, have become more resistant to last-resort antibiotics during the past decade, a new report in CDC's Vital Signs indicates. The bacteria are causing more hospitalized patients to get infections that can be impossible to treat.
CRE germs kill one of every two patients who get bloodstream infections from them, and they readily transfer their antibiotic resistance to other bacteria. "For example, carbapenem-resistant klebsiella can spread its drug-destroying weapons to a normal E. coli bacteria, which makes the E.coli resistant to antibiotics also. That could create a nightmare scenario since E. coli is the most common cause of urinary tract infections in healthy people, according to the agency.
Making Health Care Safer
Stop Infections from Lethal CRE Germs Now
CRE infections are spreading, and urgent action is needed to stop them.
Although CRE germs are not very common, they have increased from 1% to 4% in the past decade. One type of CRE has increased from 2% to 10%.
CRE are more common in some US regions, such as the Northeast, but 42 states report having had at least one patient test positive for one type of CRE.
About 18% of long-term acute care hospitals and about 4% of short-stay hospitals in the US had at least one CRE infection during the first half of 2012.
CRE's ability to spread themselves and their resistance raises the concern that potentially untreatable infections could appear in otherwise healthy people.
CRE infections can be prevented.
Medical facilities in several states have reduced CRE infection rates by following CDC's prevention guidelines (see box).
Israel decreased CRE infection rates in all 27 of its hospitals by more than 70% in one year with a coordinated prevention program.
The US is at a critical time in which CRE infections could be controlled if addressed in a rapid, coordinated, and consistent effort by doctors, nurses, lab staff, medical facility leadership, health departments/states, policy makers, and the federal government.
http://www.cdc.gov/hai/organisms/cre/cre-toolkit/index.html
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