CRE surveillance cultures may not help predict susceptibility patterns, study finds

Can carbapenem-resistant Enterobacteriaceae susceptibility results obtained from surveillance cultures predict the susceptibility of a clinical CRE? New research published in the American Journal of Infection Control says maybe.

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Researchers analyzed the susceptibility profile of a colonizing CRE to forecast its susceptibility when recovered from a clinical specimen. Ultimately, the researchers observed an overall agreement of 88.7 percent for the combinations of 11 antibiotics with 53 pairs of Klebsiella pneumoniae carbapenemase-producing K. pneumoniae.

That said, there were also considerable errors observed for aminoglycoside agents and colistin, meaning the predictability of the susceptibility profile for these clinical isolates is limited.

“We recommend caution when prior surveillance results are used to guide therapy,” the authors concluded.

 

 

More articles on CRE:
Could hospital waste hosting superbugs spread the bacteria to the public?
Study examines risk of CRE colonization becoming an infection: 3 findings
CDC report reveals CRE is on the rise: 5 things to know

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