Removing CRE-Klebsiella Pneumoniae from Healthcare Buildings, Nursing Homes, Hospitals, Long Term Care Centers, Rehab Centers Using Hydroxyl Generators/Processors from Odorox Air/Pyure
What Are Carbapenem-Resistant Enterobacteriaceae?
More commonly known as CRE, carbapenem-resistant Enterobacteriaceae are bacteria that are located in a person’s gastrointestinal (GI) tract that can cause major infections. Some of these Enterobacteriaceae are resistant to antibiotics, making it harder to eradicate CRE from hospital settings. While they were common in the US before 1992, they have recently become a much bigger problem. Enterobacteriaceae that produce a certain arbapenemase have become a major issue.
How These Bacteria Become Resistant to the Use of Carbapenems
CRE can become resistant to carbapenems for a number of reasons. In the past, most CRE were resistant to carbapenems for a number of reasons but recently things have changed. As Klebsiella pneumoniae carbapenemase (KPC) and other carbapenamases have emerged, they have caused CRE to become more resistant. Genes on KPC are very mobile and can be transmitted easily from one bacterium to others very quickly, which causes resistance to spread. This means that more and more bacteria are becoming resistant to the usual treatment types, leaving doctors and other medical care professionals wondering how they will treat these medical problems.
How Common Are These CRE in the US?
Unfortunately, these Enterobacteriaceae are becoming more and more common in the US. While there isn’t systematic surveillance from the CDC, passive surveillance shows an increase in numbers. This is especially true for people who have been exposed to the bacterium in other countries where it is endemic.
Why are CRE This Important?
CRE are very important and need to be studied and understood for many reasons. Primarily, these are organisms that are resistant to many types of antibiotics, leaving people wondering how to remove CRE (Carbapenem-resistant Enterobacteriaceae) in health care settings. Additionally, these organisms have very high mortality rates with some studies showing rates of up to 50%. Third, there are many CRE that have carbapenemases that can transmit from one bacterium to another, causing resistance to spread. Finally, infections in healthcare and community settings are often caused by Enterobacteriaceae. If they become resistant to treatment, then this is going to be a major problem as people try to figure out how to kill CRE bacteria.
Infection vs. Colonization
CRE can either be classified as a colonization or an infection. If there is a colonization, then there is CRE on the body but there is no disease or symptom. They can later cause infections if they are able to enter areas in the body such as the lungs, bladder, or bloodstream. Infections have symptoms that can vary depending on what part of the body was affected.
Who Is at Risk for CRE Infection?
Anyone who works in healthcare, is in a medical setting for treatment, or is exposed to antimicrobials is at risk for acquisition. Outbreaks are often associated with long-term care, mechanical ventilation, and antimicrobials such as fluoroquinolones and carbapenems.
Infections can occur in almost any part of the body including intra-abdominal abscesses, bloodstream infections, and pneumonia. Most CRE bacterial infections target the urinary tract, specifically in those who have catheters or urinary retention. CRE can kill up to 50% of all people who have bloodstream infections.
CRE is generally transmitted from one person to another via contaminated equipment or hands. Good hand hygiene and personal protective equipment are both imperative to stop the spread of CRE.
When to Stop Isolation
The CDC has not made a recommendation on when to stop isolating patients due to CRE. People can actually be colonized by CRE for months at a time, which means that they can still be considered dangerous. Doctors who want to eliminate CRE from nursing homes shouldn’t discontinue isolation based on one negative culture because past studies have shown that CRE may still be present on the patient.
Rapidly isolating patients who are colonized or infected is important but so is treating the environment. Using hydroxyl generator air machines from Odorox/Pyure is a great way to find and eradicate CRE in the environment. They can kill CRE in the air and on surfaces, producing a cleaner and safer hospital, nursing home, or other healthcare area.
Mr. Kevin Woods 500 Broad Avenue
Buildings and Grounds Supervisor / Leonia, NJ 07605
Transportation Coordinator Phone: 201.302.5200 x. 3215
December 6, 2020
The Leonia Board of Education began using the Pyure technology in 2018.
Our districtÕs goal was to improve the indoor air quality in our school buildings. We have been very satisfied with the equipment and the results. When the pandemic broke out in the winter of 2020, we began using the equipment in almost all areas throughout our school district. We knew we needed to increase custodial cleaning and district wide disinfection, however adding the Pyure Odorox technology only increased our overall goal. In March of 2020, we implemented more Pyure Odorox units and have been very satisfied with the results. We intend to have Pyure’s equipment play a major role in our return to school efforts as we move along in the pandemic this winter season.
I welcome any questions and fully endorse the Pyure technology for any school.
Dear Odorox Air Technologies,
I would like to thank you for introducing our hotel to your green technology for odor elimination. Traditionally I am very skeptical and not impressed easily when it comes to new technologies that claim to do so many wonderful things. Well, I can tell you that the job your Odorox machines have done removing odor on our smoking floor/hallways, guest rooms, ballrooms, and common areas has made me one of your strongest supporters. We set your machines up in a desired area and go about the rest of our daily duties. When we return a short time later the space smells fresh and revitalized and your Odorox machine is ready for its next challenge.
As the Director of Housekeeping at a very busy Hilton in Parsippany New Jersey I am regularly confronted with various odor challenges. Just recently we started refinishing our bathtubs in all of our guest rooms. We know from past experience that this process can create a strong chemical small that can make our guests and staff uncomfortable. Equipped with your machine I am happy to report these nuisance odors are things of the past.
Keeping our property smelling great is a key component to keeping our customers satisfied with the Hilton experience. I would like to thank Odorox for making my job just a little bit easier.
Head of Housekeeping Services
One Hilton Court, Parsippany, NJ 07054 Direct Line: 973 267 7373
Fax: 973 984 2896
Reservations: www.hilton.com or 1-800-HILTONS
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Odorox hydroxyl technology destroys 99.9% of germs, bacteria, mold, mildew, voc's and viruses in the air and on porous and non-porous surfaces which can cause illness and infections. MDU/RX FDA approved and safe to use in spaces occupied by people, pets, and plants.