Carbapenem-resistant Enterobacteriaceae: biology, epidemiology, and management

Ann N Y Acad Sci. 2014 Sep:1323:22-42. doi: 10.1111/nyas.12537.

Abstract

Introduced in the 1980s, carbapenem antibiotics have served as the last line of defense against multidrug-resistant Gram-negative organisms. Over the last decade, carbapenem-resistant Enterobacteriaceae (CRE) have emerged as a significant public health threat. This review summarizes the molecular genetics, natural history, and epidemiology of CRE and discusses approaches to prevention and treatment.

Keywords: antimicrobial resistance; carbapenem-resistant Enterobacteriaceae; carbapenemases; infection control; molecular genetics; treatment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Alleles
  • Carbapenems / pharmacology*
  • Drug Resistance, Microbial / genetics
  • Enterobacteriaceae / drug effects*
  • Enterobacteriaceae Infections / diagnosis
  • Enterobacteriaceae Infections / drug therapy*
  • Enterobacteriaceae Infections / epidemiology
  • Enterobacteriaceae Infections / microbiology
  • Promoter Regions, Genetic

Substances

  • Carbapenems