Patients with carbapenem-resistant Enterobacteriaceae in emergency room; is this a real problem?

[...]the patient could be just colonized by CRE without any sign of infection and became a silent source of these multidrug resistant bacteria in the hospital. In some reports, the incidence of CRE and its transmission in long-term care facilities is higher than in acute care hospitals (2,13). [...]...

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Bibliographic Details
Published in:Future microbiology 2019-12, Vol.14 (18), p.1527-1530
Main Authors: Salomão, Matias C, Freire, Maristela P, Levin, Anna Sara S
Format: Article
Language:English
Subjects:
Antibiotics
carbapenem-resistant Enterobacteriaceae
Carbapenem-Resistant Enterobacteriaceae - enzymology
Carbapenem-Resistant Enterobacteriaceae - pathogenicity
Carbapenems - pharmacology
community acquired infection
community multidrug resistant infection
community-onset infection
Compliance
CRE bacteria
CRE control
CRE in agricultural settings
Cross Infection - microbiology
Cross Infection - prevention & control
Cross Infection - transmission
Drug Resistance, Multiple, Bacterial
Emergency medical care
emergency room
Emergency Service, Hospital - standards
Emergency Service, Hospital - statistics & numerical data
Enterobacteriaceae Infections - microbiology
Enterobacteriaceae Infections - prevention & control
Enterobacteriaceae Infections - transmission
environment contamination
horizontal transmission
Humans
Hygiene
Immunocompromised hosts
Infections
Long term health care
Multidrug resistance
Multidrug resistant organisms
Patients
Risk groups
Surveillance
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Summary:[...]the patient could be just colonized by CRE without any sign of infection and became a silent source of these multidrug resistant bacteria in the hospital. In some reports, the incidence of CRE and its transmission in long-term care facilities is higher than in acute care hospitals (2,13). [...]this strategy should be used in very specific contexts. In situations where the ER is responsible for a small but constant number of new cases of CRE, screening high risk patients is a possibility. [...]we believe that surveillance cultures should be recommended in high-risk units for CRE, such as ICUs and wards with immunocompromised patients; and should be performed in countries with high or moderate CRE prevalence.
ISSN:1746-0913
1746-0921
DOI:10.2217/fmb-2019-0263