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Hospital Acquired Infections (HAIs) in South Carolina

Carbapenem- Resistant Enterobacteriaceae

What are CRE?
Enterobacteriaceae are a large group of organisms frequently found in normal human intestines.  Common enterobacteriaceae include Klebsiella and E. Coli.  Strains of these bacteria have become resistant to an important class of antibiotics called carbapenems.  These carbapenem- resistant enterobacteriaeae (CRE) can cause infections, including pneumonia, bloodstream infections, wound or surgical site infections, and meningitis.  However, CRE usually affects patients whose normal defenses are compromised.  These infections are very serious because the patient will have few treatment options.  Therefore, it is important to prevent the spread of CRE.

What is the status of CRE in South Carolina?
Patients have become infected with CRE in our state; however, we do not know how often.  DHEC is currently surveying healthcare facilities to get a better idea of how frequently these infections are occurring. 

What actions can facilities take?
Facilities can implement the CRE prevention recommendations published by the CDC.

General Information
Management of Multi-drug Resistant Organisms in a Healthcare Setting