kawan kawan ni cik jeana nk kongsi satu ilmu..
ni sejenis jangkitan yang cikjeana baru dengar..huhuhu kesian kan .. bakteria ni sangat merbahaya tau.. so.. take care of your self..
What are
Carbapenem-Resistant Enterobacteriaceae (CRE)?
CRE are
bacteria that are resistant to most antibiotics. Enterobacteriaceae is a
family of bacteria. Many of these bacteria live in our environment (in soil or
water). Some of them can get into our bodies and make us sick. Members of the Enterobacteriaceae
family of bacteria can cause pneumonia, kidney and bladder infections, and
bloodstream infections. Most of the Enterobacteriaceae can be
treated with antibiotics. However, because antibiotics have been overused, many
of the Enterobacteriaceae have become resistant to most of the available
antibiotics. The carbapenem antibiotics were developed to treat bacteria that
had become resistant to most other antibiotics. About 10 years ago, we began to
see bacteria from the Enterobacteriaceae family that had become
resistant to the carbapenem antibiotics. These are called Carbapenem-Resistant Enterobacteriaceae
or CRE
.
Are CRE
dangerous?
They can
be, because they are found in hospitals, and can cause infection in people who
are very sick. Patients in intensive care units are at greatest risk,
especially if they are on ventilators and have central intravenous catheters in
place.
Are CRE
treatable?
Yes,
usually. However, because we have few antibiotics available to treat CRE, they
can be difficult to treat. Patients can die from infections with CRE.
What are
hospitals doing to prevent CRE?
Hospitals
are very aware of CRE and are taking steps to prevent infection in their
patients. Careful use of antibiotics can make it less likely that CRE will
appear in a hospital. If a patient does become infected with CRE, hospitals
take special precautions to prevent spread of the CRE to other patients
.
How can
CRE be transmitted to other patients?
CRE can
be transferred from the patient to the environment and to the hands of the care
provider (doctor or nurse or other person) when the care provider touches the
patient or touches the patient with medical equipment, then touches another
patient.
What kind
of precautions can the hospital use?
Hospitals
use “standard precautions” for all patient care activities. Standard
precautions means that healthcare personnel wash their hands before they touch
a patient and after they finish caring for the patient, and they wear gloves
and a gown for patient care activities that might result in exposure to blood
or body fluids.
If a patient is infected with CRE, additional infection control measures are
taken. These are called “contact precautions”. The patient is usually placed in
a private room. The care provider wears gloves and a gown any time he/she is in
the patient’s room. The patient must stay in the room and visitors may be
restricted.
How can I
prevent CRE in myself or a family member?
As far as
we know now, the greatest risk for acquiring a CRE is in a hospital, especially
in an ICU. If you or a family member are hospitalized, you should follow
instructions for hand washing and other infection control measures as
requested. You should also expect your nurse and other care providers to wash
their hands and wear gloves and gown if necessary. If you have questions, talk
with your physician or nurse.
What
should I do if I think I have CRE?
Talk to
your health care provider.
Where can
I obtain additional information on CRE?
The CDC website (http://www.cdc.gov/ncidod/dhqp/ar_kp.html)
has some general information on drug resistant bacteria, and several pages of
information on Klebsiella. Klebsiella is a member of the
Enterobacteriaceae family. It was the first member of the family to develop
carbapenem resistance. The other CRE are similar in their ways of making people
sick, and their resistance to treatment with common antibiotic