Carbapenem-resistant Enterobacteriaceae (CRE)

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Digitally-colorized scanning electron microscopic (SEM) image of Klebsiella pneumoniae (CRKP) bacteria, which are carbapenem-resistant. The two CRKP cells are interacting with human white blood cells. Image provided by Institute of Allergy and Infectious Diseases (NIAID).


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Carbapenem-resistant Enterobacteriaceae (CRE) are a family of Gram-negative bacteria that are resistant to carbapenem, a class of anti-biotics used to treat infections. Carbapenems offer a broad-spectrum defense against a wide variety of both Gram-negative and Gram-positive bacteria, meaning that increasing resistance by CRE, to which there is no reliable treatment, is a major concern for the health industry. [2,3] Previously rare in the United States before 1992, CRE are becoming increasingly more common.[1] Although Enterobacteriaceae are normal human intestinal flora, resistance may be caused by the occurrence of hydrolyzing enzymes, such as serine β-lactamase KPC and the metallo–β-lactamase VIM.[3] Resistance to carbapenems is common in a number of Enterobacteriaceae, such as Kelbsiella pneumoniae and E. coli [3]. CRE typically cause infections in patients of hospitals and nursing homes [3]. The increasing prevalence and lack of reliable treatment have led many to predict CRE as the next "superbug." [3]



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(1) Neil Gupta, Brandi M. Limbago, Jean B. Patel, Alexander J. Kallen; Carbapenem-Resistant Enterobacteriaceae: Epidemiology and Prevention. Clin Infect Dis 2011; 53 (1): 60-67. doi: 10.1093/cid/cir202




Authored by Carter Powell for BIOL 238 Microbiology, taught by Joan Slonczewski, 2017, Kenyon College.



Edited by Carter Powell for BIOL 238 Microbiology, 2017, Kenyon College.