Carbapenem-Resistant and Extended-Spectrum β-Lactamase–Producing Enterobacterales in Children, United States, 2016–2020

Grome, Heather N.; Grass, Julian E.; Duffy, Nadezhda; Bulens, Sandra N.; Ansari, Uzma; Campbell, Davina; Lutgring, Joseph D.; Gargis, Amy S.; Masters, Thao; Kent, Alyssa G.; McKay, Susannah L.; Smith, Gillian; Wilson, Lucy E.; Vaeth, Elisabeth; Evenson, Bailey; Dumyati, Ghinwa; Tsay, Rebecca; Phipps, Erin; Flores, Kristina; Wilson, Christopher D.; Czaja, Christopher A.; Johnston, Helen; Janelle, Sarah J.; Lynfield, Ruth; O’Malley, Sean; Vagnone, Paula Snippes; Maloney, Meghan; Nadle, Joelle; Guh, Alice Y.

doi:10.3201/eid3006.231734

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Carbapenem-Resistant and Extended-Spectrum β-Lactamase–Producing Enterobacterales in Children, United States, 2016–2020

6 2024
By Grome, Heather N. ; Grass, Julian E. ; Duffy, Nadezhda ; ...
http://dx.doi.org/10.3201/eid3006.231734
Source: Emerg Infect Dis. 2024; 30(6):1104-1114

[PDF-866.31 KB]

English

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Details:

Alternative Title:

Emerg Infect Dis
Personal Author:

Grome, Heather N. ; Grass, Julian E. ; Duffy, Nadezhda ; Bulens, Sandra N. ; Ansari, Uzma ; ... More +

Grome, Heather N. ; Grass, Julian E. ; Duffy, Nadezhda ; Bulens, Sandra N. ; Ansari, Uzma ; Campbell, Davina ; Lutgring, Joseph D. ; Gargis, Amy S. ; Masters, Thao ; Kent, Alyssa G. ; McKay, Susannah L. ; Smith, Gillian ; Wilson, Lucy E. ; Vaeth, Elisabeth ; Evenson, Bailey ; Dumyati, Ghinwa ; Tsay, Rebecca ; Phipps, Erin ; Flores, Kristina ; Wilson, Christopher D. ; Czaja, Christopher A. ; Johnston, Helen ; Janelle, Sarah J. ; Lynfield, Ruth ; O’Malley, Sean ; Vagnone, Paula Snippes ; Maloney, Meghan ; Nadle, Joelle ; Guh, Alice Y. Less -
Description:

2019–2020 at 6 US sites. Among 159 CRE cases in children (median age 5 years), CRE was isolated from urine for 131 (82.4%) and blood from 20 (12.6%). Annual CRE incidence rate (cases/100,000 population) was 0.47–0.87. Among 207 ESBL-E cases in children (median age 6 years), ESBL-E was isolated from urine of 196 (94.7%) and blood of 8 (3.9%). Annual ESBL-E incidence rate was 26.5 in 2019 and 19.63 in 2020. CRE and ESBL-E rates were >2-fold higher among infants than other age groups. Most CRE and ESBL-E cases were healthcare-associated community-onset (68 [43.0%] for CRE vs. 40 [23.7%] for ESBL-E) or community-associated (43 [27.2%] for CRE vs. 109 [64.5%] for ESBL-E). Programs to detect, prevent, and treat multidrug-resistant infections must include pediatric populations (particularly the youngest) and outpatient settings.
Subjects:

[+]

Adolescent Anti-Bacterial Agents Beta-Lactamases Carbapenem-Resistant Enterobacteriaceae Carbapenems Child Child, Preschool Enterobacteriaceae Enterobacteriaceae Infections History, 21st Century Humans Infant Male Microbial Sensitivity Tests
Keywords:

[+]

Antimicrobial Resistance Bacteria Carbapenem-resistant Enterobacterales Child Communicable Diseases Enterobacterales Epidemiology Extended-spectrum β-lactamase-producing Enterobacterales Public Health United States
Source:

Emerg Infect Dis. 2024; 30(6):1104-1114
Pubmed ID:

38781979
Pubmed Central ID:

PMC11138972
Document Type:

Journal Article
Place as Subject:

United States
Volume:

30
Issue:

6
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

[+]

urn:sha256:4d603f61c01780edf1ec28565118a593c74c3513a38e5a8185951f964fbd2d7b
Download URL:

https://stacks.cdc.gov/view/cdc/156992/cdc_156992_DS1.pdf
File Type:

	23-1734-F.gif	gif
	23-1734-F.jpg	jpeg
	23-1734-Techapp-s1.pdf	pdf
	23-1734.nxml	xml

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