Carbapenem-Resistant Enterobacteriaceae (Cre)

• Urinary Tract Infection (UTI): Painful urination, frequent urge to urinate, fever.
• Pneumonia: Cough, shortness of breath, fever, chills.
• Bloodstream Infection (Sepsis): Fever, chills, rapid heart rate, confusion.
• Wound Infection: Redness, swelling, pain, pus at the surgical or wound site.

CRE primarily spreads through direct contact with an infected or colonized person, often via contaminated hands of healthcare workers. It can also spread indirectly through contact with contaminated surfaces (e.g., bed rails, medical equipment) in healthcare environments. It is not typically airborne.

• Hand hygiene: Frequent handwashing or use of alcohol-based hand sanitizer, especially in healthcare settings.
• Contact precautions: Use of gloves and gowns by healthcare workers when caring for CRE-infected patients.
• Environmental cleaning: Thorough disinfection of patient rooms and medical equipment.
• Antibiotic stewardship: Prudent use of antibiotics to prevent resistance development.
• No vaccine is available for CRE.