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Enterobacteriaceae resistant to carbapenems (CRE), a major worldwide problem, usually carry plasmids that encode for resistance to numerous antibiotics besides carbapenems, making them virtually untreatable.
To study prevalence and epidemiology of CRE, researchers in eight medical centers in the greater New York/New Jersey area — one epicenter for CRE —conducted an observational cohort study involving 1133 bloodstream infections with Klebsiella pneumoniae, 2550 with Escherichia coli, and 279 with Enterobacter. Among these, 121 were caused by CRE, the vast majority blaKPC-carbapenemase producing K. pneumoniae. Carbapenem resistance was seen in 9.7%, 0.1%, and 2.2% of K. pneumoniae, E. coli, and Enterobacter isolates, respectively, and varied …