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KMID : 0384320150360040191
Korean Journal of Family Medicine
2015 Volume.36 No. 4 p.191 ~ p.194
Four Cases of Carbapenem-Resistant Enterobacteriaceae Infection from January to March in 2014
Kim So-Ri

Rim Chang-Bun
Kim Young-Hun
Kim Jong-Woo
Song Young-Woong
Shin Sang-Ho
Yoon Hee-Jung
Shim Se-Hoon
Abstract
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.
KEYWORD
Carbapenemase, Enterobacteriaceae, Enterobacter cloacae, Drug Resistance, Bacterial
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