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.
A few months back I purchased an Odorox Hydroxyl Generator. We originally purchased the Hydroxyl Generator as a last step for COVID-19 related cleaning procedure. We have since also used it to remedy odors as well and the unit has worked as advertised, all the while leaving a clean fresh smell in the room as the Odorox does its job.
We have ordered a few more Hydroxyl Generator with the intended plan to use the Hydroxyl Generators on a regular basis. I am happy that BioShine has this product. Our long time sales rep, Jeff Zahles took the time to further explain the benefits of a Hydroxyl Generator by explaining in great detail about how the Odorox Hydroxyl Generator works and even showed me short video clips online of an Odorox Hydroxyl Generator in action.
I would like to thank BioShine for introducing this product line to me as it has already worked wonders for us. I would not have found or known about this product otherwise. So I just want to say thank you.
Supervisor of Building Service Workers.
It has been almost a year since we first met at the International Home Show and you introduced me to the benefits of the Odorox decontamination technology. After almost one year of trialing your product and purchasing equipment, I'm pleased to provide you with an update on our success year to date.
INDOOR POOL RESTORATION PROJECT
During the retiling of our indoor pool last spring we smelled a very nasty odour off-gassing during the excavation process and it was negatively affecting some of the common areas which our tenants use for private parties and other events. After contacting your company, you were able to make a site visit and bring us 3 machines to trial to help mitigate the odour. We placed an Oasis in the common room and used two Boss units in the adjacent hallways and elevator corridor and were able to successfully eliminate the odours in only a few hours. It was amazing and we were able to keep the Oasis in the common room during the restoration project ensuring that our clients had no ill effects from the smells during the entire construction project.
Subsequent to completing the pool project, we were able to successfully remediate odours such as smoke and other unwanted smells by placing your equipment right into the condo units as problems arose. The nice aspect of the technology is that it is safe to place while the unit is occupied yet removes odours such as smoke not only from the air, but from the carpets and walls. This saves us money without having to call in outside contractors to remediate our properties.
Obviously one of our concerns with respect to garbage rooms is both, odour and safety and like any Other property manager, there have been times when unwanted smells have seeped up through the garbage chutes negatively affecting tenants on the first few floors. We placed one of your Boss units into our main garbage area and were amazed that after one or two days that the odours were completely eliminated. The machine has now been operating for 8 months and we have had to do nothing but leave it on site running. There are virtually no electrical costs since the equipment operates on less than 2 amps. Since start-up we have eliminated the need to purchase chemicals and other odour remediation products. The added feature that your equipment also eliminates surface bacteria and air-borne viruses without touching them helps us ensure that no unwanted pathogens find their way from the garbage room to our tenants via the garbage chutes.
I was very skeptical when I first heard about your product line at the Toronto show. Truthfully it is impossible to believe that you can simply plug in a machine and not only get the smells out of the air, but as well walls and ceilings or anything else without touching it. You proved me wrong!
This condominium is a very high end building with some owners paying several million dollars for their suites. After using chemicals and other masking agents to try and protect the expected smells and odours common when dealing with garbage, it is great to finally own a product that is maintenance free, GREEN, and that can be used for many different applications.
Property Manager Brookfield Residential Management Services
Steeles Avenue East
Suite ZOO, Markham
Ontario L3R 1G9 Telephone
(416) 510-8700 Facsimile
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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.