Carbapenem-Resistant Enterobacteriaceae: Rapid Laboratory Diagnosis and Surveillance Culture for Infection Control
10.3904/kjm.2019.94.2.170
- Author:
Kwang Sook WOO
1
Author Information
1. Department of Laboratory Medicine, Dong-A University College of Medicine, Busan, Korea. wizard1005@dau.ac.kr
- Publication Type:Review
- From:Korean Journal of Medicine
2019;94(2):170-172
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Carbapenem-resistant Enterobacteriaceae (CRE) are increasing rapidly worldwide and in South Korea, which is a major problem for patient treatment and infection control. CRE is mainly due to carbapenem-hydrolyzing β-lactamase, which spreads through genetic mobile elements. Therefore, the rapid detection of carbapenemase-producing CRE (CP-CRE) and carrier surveillance are very important for infection control. Most clinical microbiology laboratories use automated real-time PCR methods for the rapid detection of CP-CRE; in some cases, additional accurate molecular tests are necessary. For the surveillance of risk groups, the complementary use of liquid culture and real-time PCR methods is important, taking into consideration their advantages and disadvantages. Furthermore, the expansion of surveillance targets is also necessary.
