Status of and comprehensive preventive strategies for multidrug-resistant organisms in Korea: a focus on carbapenem-resistant Enterobacterales
The rise of multidrug-resistant organisms represents a serious global public health concern. In Korea, the increasing prevalence of carbapenem-resistant Enterobacterales (CRE) is particularly concerning due to the difficulties associated wi...
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| Format: | Article |
| Language: | English |
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Ewha Womans University College of Medicine
2024-07-01
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| Series: | The Ewha Medical Journal |
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| Online Access: | http://www.e-emj.org/archive/view_article?pid=emj-47-3-34 |
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| author | Do Hyeon Park Pyoeng Gyun Choe |
| author_facet | Do Hyeon Park Pyoeng Gyun Choe |
| author_sort | Do Hyeon Park |
| collection | DOAJ |
| description | The rise of multidrug-resistant organisms represents a serious global public
health concern. In Korea, the increasing prevalence of carbapenem-resistant
Enterobacterales (CRE) is particularly concerning due to the difficulties
associated with treatment. Data from the Korea Global Antimicrobial Resistance
Surveillance System indicate a yearly increase in CRE cases, with
carbapenemase-producing Enterobacterales being the predominant type. The
capacity of CRE to resist multiple broad-spectrum antibiotics leads to higher
medical costs and mortality rates, underscoring the need for urgent action.
Effective prevention is crucial to curbing CRE outbreaks and transmission.
Antimicrobial stewardship programs (ASPs) play a key role and require commitment
from healthcare professionals to minimize unnecessary antibiotic use, as well as
from policymakers to ensure adherence to ASP guidelines. Given the complexity of
CRE transmission, ASP efforts must be integrated with infection control
strategies for maximum effectiveness. These strategies include adherence to
standard and contact precautions, environmental disinfection, preemptive
isolation, and comprehensive education and training for healthcare personnel.
Additionally, surveillance testing for patients at high risk for CRE and the use
of real-time diagnostic kits can facilitate early detection and reduce further
transmission. Strategies for the prevention of CRE infection should be tailored
to specific healthcare settings. Ongoing research is essential to update and
refine infection control guidelines and effectively prevent CRE outbreaks. |
| format | Article |
| id | doaj-art-0137429cdedb4763a8bed0f43cafc756 |
| institution | OA Journals |
| issn | 2234-2591 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Ewha Womans University College of Medicine |
| record_format | Article |
| series | The Ewha Medical Journal |
| spelling | doaj-art-0137429cdedb4763a8bed0f43cafc7562025-08-20T01:56:28ZengEwha Womans University College of MedicineThe Ewha Medical Journal2234-25912024-07-0147310.12771/emj.2024.e34emj-47-3-34Status of and comprehensive preventive strategies for multidrug-resistant organisms in Korea: a focus on carbapenem-resistant EnterobacteralesDo Hyeon ParkPyoeng Gyun ChoeThe rise of multidrug-resistant organisms represents a serious global public health concern. In Korea, the increasing prevalence of carbapenem-resistant Enterobacterales (CRE) is particularly concerning due to the difficulties associated with treatment. Data from the Korea Global Antimicrobial Resistance Surveillance System indicate a yearly increase in CRE cases, with carbapenemase-producing Enterobacterales being the predominant type. The capacity of CRE to resist multiple broad-spectrum antibiotics leads to higher medical costs and mortality rates, underscoring the need for urgent action. Effective prevention is crucial to curbing CRE outbreaks and transmission. Antimicrobial stewardship programs (ASPs) play a key role and require commitment from healthcare professionals to minimize unnecessary antibiotic use, as well as from policymakers to ensure adherence to ASP guidelines. Given the complexity of CRE transmission, ASP efforts must be integrated with infection control strategies for maximum effectiveness. These strategies include adherence to standard and contact precautions, environmental disinfection, preemptive isolation, and comprehensive education and training for healthcare personnel. Additionally, surveillance testing for patients at high risk for CRE and the use of real-time diagnostic kits can facilitate early detection and reduce further transmission. Strategies for the prevention of CRE infection should be tailored to specific healthcare settings. Ongoing research is essential to update and refine infection control guidelines and effectively prevent CRE outbreaks.http://www.e-emj.org/archive/view_article?pid=emj-47-3-34antimicrobial stewardshipbacterial drug resistancecarbapenemaseinfection controlrepublic of korea |
| spellingShingle | Do Hyeon Park Pyoeng Gyun Choe Status of and comprehensive preventive strategies for multidrug-resistant organisms in Korea: a focus on carbapenem-resistant Enterobacterales The Ewha Medical Journal antimicrobial stewardship bacterial drug resistance carbapenemase infection control republic of korea |
| title | Status of and comprehensive preventive strategies for
multidrug-resistant organisms in Korea: a focus on carbapenem-resistant
Enterobacterales |
| title_full | Status of and comprehensive preventive strategies for
multidrug-resistant organisms in Korea: a focus on carbapenem-resistant
Enterobacterales |
| title_fullStr | Status of and comprehensive preventive strategies for
multidrug-resistant organisms in Korea: a focus on carbapenem-resistant
Enterobacterales |
| title_full_unstemmed | Status of and comprehensive preventive strategies for
multidrug-resistant organisms in Korea: a focus on carbapenem-resistant
Enterobacterales |
| title_short | Status of and comprehensive preventive strategies for
multidrug-resistant organisms in Korea: a focus on carbapenem-resistant
Enterobacterales |
| title_sort | status of and comprehensive preventive strategies for multidrug resistant organisms in korea a focus on carbapenem resistant enterobacterales |
| topic | antimicrobial stewardship bacterial drug resistance carbapenemase infection control republic of korea |
| url | http://www.e-emj.org/archive/view_article?pid=emj-47-3-34 |
| work_keys_str_mv | AT dohyeonpark statusofandcomprehensivepreventivestrategiesformultidrugresistantorganismsinkoreaafocusoncarbapenemresistantenterobacterales AT pyoenggyunchoe statusofandcomprehensivepreventivestrategiesformultidrugresistantorganismsinkoreaafocusoncarbapenemresistantenterobacterales |