Although the sheer complexity and volume of factors that contribute to the emergence and spread of resistant infections are daunting, new tools and approaches may help us combat the threat.
Yesterday, the Centers for Disease Control and Prevention released their second Antibiotic Resistance Threats in the United States report. Overall, the scope and burden of antimicrobial resistance (AMR) is greater than previously estimated in 2013.
Transmissible CRE infections have been recognized for the last two decades. The first major documentation of CRE occurred in Okazaki, Japan, in the 1980s. Today, CRE infections tend to be most common in India and Southeast Asia.
In a 2016 survey of leading hospitals, 82% reported having an Antimicrobial Stewardship Program (ASP). However, this number will grow much larger after the new Centers for Medicare and Medicaid Services (CMS) rule goes into effect in Spring 2020.