Post by Master Kim on Feb 21, 2015 0:29:13 GMT -5
Carbapenem-resistant enterobacteriaceae (CRE) - en.wikipedia.org/wiki/Carbapenem_resistant_enterobacteriaceae
Carbapenem-resistant enterobacteriaceae (CRE) are gram-negative bacteria that are nearly resistant to the carbapenem class of antibiotics, considered the "drug of last resort" for such infections. Enterobacteriaceae are common commensals and infectious agents. Experts fear CRE as the new "superbug". The bacteria kill up to half of patients who get bloodstream infections, a rate much higher than other resistant infections such as MRSA or Clostridium difficile. The bacteria are also sometimes referred to as "nightmare bacteria".
Carbapenem-resistant enterobacteriaceae (CRE) are gram-negative bacteria that are nearly resistant to the carbapenem class of antibiotics, considered the "drug of last resort" for such infections. Enterobacteriaceae are common commensals and infectious agents. Experts fear CRE as the new "superbug". The bacteria kill up to half of patients who get bloodstream infections, a rate much higher than other resistant infections such as MRSA or Clostridium difficile. The bacteria are also sometimes referred to as "nightmare bacteria".
Patient's family cites earlier case of superbug at UCLA - www.latimes.com/business/la-fi-ucla-infections-20150219-story.html
Dr. Zachary Rubin of the Ronald Reagan UCLA Medical Center takes questions from the media in Los Angeles. At left is Dr. Robert Cherry and next to him is Dr. Benjamin Schwartz. (Damian Dovarganes / Associate Press)
February 19, 2015
That patient, an 18-year-old man still hospitalized at UCLA Ronald Reagan Medical Center, was first diagnosed in October with the drug-resistant superbug CRE after he was treated with a medical scope tied to outbreaks at hospitals across the country, his attorney said Thursday.
UCLA declined to discuss specific patients but said it acted swiftly as soon as it discovered the problem. According to its timeline, the hospital identified the first patient in mid-December and immediately launched a full-scale investigation.
Officials said it took until Jan. 28 for doctors to confirm the infections were tied to the medical scopes used in endoscopic retrograde cholangiopancreatography, or ERCP.
Some medical experts caution that it can be difficult to connect the dots when an initial case pops up. The hospital said seven patients were infected and 179 more may have been exposed.
Los Angeles attorney Pete Kaufman said his client was diagnosed with CRE in October at the hospital. He declined to identify the patient by name. The San Fernando Valley man became infected after he was treated with a duodenoscope.
The patient recovered and was released in January, Kaufman said. The man returned to UCLA that same month and got re-infected with CRE after undergoing a second scope, according to the family.
Kaufman said he's still being treated at UCLA and his prognosis for recovery is good.
For their part, Kaufman said the patient's family blames the medical device manufacturer, not UCLA, for the infection.
“We don't think that UCLA did anything wrong,” he said. “Based on the early investigation we think it is the fault of the manufacturer for not determining an effective cleaning protocol” for the medical scope used.
At a news conference Thursday, UCLA officials made no mention of a CRE case in October while discussing their investigative timeline. A university spokeswoman declined to comment on any specific patients and their treatment, citing patient confidentiality.
Dr. Zachary Rubin, medical director of clinical epidemiology and infection prevention at UCLA Medical Center, said the hospital is always on the lookout for the CRE bacteria but didn't see any sign of a bigger problem until December.
Some medical experts said that confirming the link between CRE and the scopes often takes extensive detective work and sifting through numerous causes for an infection. L.A. County health officials also defended UCLA's response to the outbreak......
Dr. Zachary Rubin of the Ronald Reagan UCLA Medical Center takes questions from the media in Los Angeles. At left is Dr. Robert Cherry and next to him is Dr. Benjamin Schwartz. (Damian Dovarganes / Associate Press)
February 19, 2015
That patient, an 18-year-old man still hospitalized at UCLA Ronald Reagan Medical Center, was first diagnosed in October with the drug-resistant superbug CRE after he was treated with a medical scope tied to outbreaks at hospitals across the country, his attorney said Thursday.
UCLA declined to discuss specific patients but said it acted swiftly as soon as it discovered the problem. According to its timeline, the hospital identified the first patient in mid-December and immediately launched a full-scale investigation.
Officials said it took until Jan. 28 for doctors to confirm the infections were tied to the medical scopes used in endoscopic retrograde cholangiopancreatography, or ERCP.
Some medical experts caution that it can be difficult to connect the dots when an initial case pops up. The hospital said seven patients were infected and 179 more may have been exposed.
Los Angeles attorney Pete Kaufman said his client was diagnosed with CRE in October at the hospital. He declined to identify the patient by name. The San Fernando Valley man became infected after he was treated with a duodenoscope.
The patient recovered and was released in January, Kaufman said. The man returned to UCLA that same month and got re-infected with CRE after undergoing a second scope, according to the family.
Kaufman said he's still being treated at UCLA and his prognosis for recovery is good.
For their part, Kaufman said the patient's family blames the medical device manufacturer, not UCLA, for the infection.
“We don't think that UCLA did anything wrong,” he said. “Based on the early investigation we think it is the fault of the manufacturer for not determining an effective cleaning protocol” for the medical scope used.
At a news conference Thursday, UCLA officials made no mention of a CRE case in October while discussing their investigative timeline. A university spokeswoman declined to comment on any specific patients and their treatment, citing patient confidentiality.
Dr. Zachary Rubin, medical director of clinical epidemiology and infection prevention at UCLA Medical Center, said the hospital is always on the lookout for the CRE bacteria but didn't see any sign of a bigger problem until December.
Some medical experts said that confirming the link between CRE and the scopes often takes extensive detective work and sifting through numerous causes for an infection. L.A. County health officials also defended UCLA's response to the outbreak......
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