Quote from lkulmann
Another nightmare germ...is this like C-diff on steroids? Does purell kill it or is it strictly soap and h2o?
Another worry about CRE is:
"In addition to spreading among people, CRE easily spread their antibiotic resistance to other kinds of germs, making those potentially untreatable as well."
At the following link is a map of the U.S. showing CRE prevalence by region:
From the related slide notes: "Much of the increase in CRE is likely related to the emergence and spread of the genes coding for carbapenemases. In the United States, the most commonly identified carbapenemase is Klebsiella pneumoniae
The article at the above link is very informative...
an excerpt (but it's worth reading the whole article as I see it)...
"CRE are important for a number of reasons. First, these organisms are often resistant to multiple classes of antimicrobials substantially limiting treatment options. Second, infections caused by these organisms are associated with high mortality rates, up to 50% in some studies. Third, many CRE possess carbapenemases which can be transmitted from one Enterobacteriaceae to another potentially facilitating transmission of resistance. Fourth, Enterobacteriaceae are a common cause of infections in both community and healthcare settings. Carbapenem resistance among these organisms could therefore have far-reaching impact."
and per your comment about vanco:
"Several antimicrobials have been associated with CRE acquisition including carbapenems, cephalosporins, fluoroquinolones, and vancomycin."