KMID : 0384320150360040191
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Korean Journal of Family Medicine 2015 Volume.36 No. 4 p.191 ~ p.194
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Four Cases of Carbapenem-Resistant Enterobacteriaceae Infection from January to March in 2014
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Kim So-Ri
Rim Chang-Bun Kim Young-Hun Kim Jong-Woo Song Young-Woong Shin Sang-Ho Yoon Hee-Jung Shim Se-Hoon
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Abstract
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Infection with carbapenem-resistant Enterobacteriaceae (CRE) and other multidrug resistant bacteria has increased rapidly in Korea. The Korea Centers for Disease Control and Prevention reported 1,609 cases of CRE infection in the country in 2013. The risk factors for CRE infection include history of treatment with antibiotics such as cephalosporins or carbapenem, trauma, diabetes, cancer, and history of ventilator support. Herein, we report four cases of CRE infection seen during a 3-month period in our hospital in 2014. CRE infection is associated with a high mortality rate of 30% to 50%, even with combination antibiotic therapy. Prevention of CRE infection in hospital settings is fundamental to controlling its transmission. Key preventive measures include, contact precautions, hand hygiene, education of healthcare personnel, screening for CRE when indicated, and exercising discretion in prescribing carbapenem or cephalosporins.
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KEYWORD
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Carbapenemase, Enterobacteriaceae, Enterobacter cloacae, Drug Resistance, Bacterial
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