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Carbapenem-resistant enterobacteriaceae: an emerging problem in children
1Section of Pediatric Infectious Diseases, Department of Pediatrics, Rush University Medical Center, Rush Medical College, Chicago, Illinois, USA. Latania_Logan@rush.edu
Insights
Antibiotic resistance is a critical threat, especially carbapenem-resistant Enterobacteriaceae (CRE) in children. This review examines CRE infections in pediatric populations, covering epidemiology, risk factors, and treatment outcomes.
Area of Science:
- Infectious Diseases
- Microbiology
- Pediatric Medicine
Background:
- Antibiotic resistance in gram-negative bacteria is escalating globally.
- Carbapenem-resistant Enterobacteriaceae (CRE) pose a significant threat due to resistance to multiple antibiotic classes.
- CRE infections are linked to high morbidity and mortality, increasingly affecting vulnerable pediatric populations.
Purpose of the Study:
- To provide an overview of carbapenem-resistant Enterobacteriaceae (CRE).
- To focus on CRE infections specifically within the pediatric population.
- To summarize current data on CRE in children, including epidemiology, clinical features, resistance mechanisms, risk factors, and treatment.
Main Methods:
- This is a review article.
- It synthesizes existing literature and data on CRE infections in children.
- Focuses on epidemiological trends, clinical presentations, and therapeutic strategies.
Main Results:
- CRE infections in children are associated with severe illness and poor outcomes.
- Common carbapenemase types and risk factors in pediatric patients are identified.
- Data highlights the challenges in treating multi-drug resistant infections in this age group.
Conclusions:
- CRE represents a growing challenge in pediatric infectious diseases.
- Understanding the epidemiology and clinical characteristics of CRE in children is crucial for effective management.
- Further research and targeted interventions are needed to combat CRE in pediatric populations.
Abstract:
Antibiotic resistance among gram-negative bacteria has reached critical levels. The rise of carbapenem resistance in Enterobacteriaceae carrying additional resistance genes to multiple antibiotic classes has created a generation of organisms nearly resistant to all available therapy. Carbapenem-resistant Enterobacteriaceae (CRE) infections are known to be associated with significant morbidity and mortality, and these pathogens have now made their way to the most vulnerable populations, including children. This review provides a brief overview of CRE, with a focus on CRE infections in children, and highlights available data on the epidemiology, clinical characteristics, carbapenemase types, risk factors, treatment, and outcomes of these multi-drug resistant infections in the pediatric population.
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