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.
HiEADDONFIELD PUBLIC SCHOOLS
1 Lincoln Ave
Haddonfield NJ 08033
The Haddonfield Public schools have purchased cleaning supplies and
materials from Bio-Shine for several years. Our contact, Mr Barry Bard, has
served our district well over this time and has provided us with an overwhelming base of knowledge to go along with the supplies that we have purchased. From
resurfacing of floors to indoor air quality, we have been pleased with the product line that Bio-shine has provided.
During the COVID-19 pandemic, we have moved forward with the purchase of Odorox Hydroxyl Generators for our nurses Suites and Athletic trainer's offices in our Schools. Barry introduced me to the Odorox Hydroxyl Generators as a tool to combat odors and to assist with Indoor air quality issues as a result of leaks and mold restoration projects. We view these machines as an essential tool in fighting the Current pandemic as well as a permanent fixture moving forward.
On behalf of the City 24 Condominium Association ('City 24'), I would like to provide the remarkable results of the Odorox? hydroxyl technology trash room applications implemented at our development.
City 24 is a 126 unit, 15 story condominium development located on Biscayne Boulevard near downtown Miami. The building maintains a retail trash room and trash chute room. The retail trash room contains 4 large trash dumpsters which is used by residents and retailers and is a receptacle for food and other wastes. Previously these trash rooms were air-conditioned at approximately 65 degrees in order to control offensive odors and City 24 was constantly trying to maintain control over the troublesome, offensive odors.
In mid-May, upon the recommendation of the Odorox? team, the air-conditioning systems were turned off in the trash rooms. The Odorox? guys installed hydroxyl generators into each trash room. The problematic air quality control problems were reversed and an immediate improvement was noted. Above and beyond the successful resolution of a very problematic air quality control problem, City 24 realized the added benefit of a significantly reduced house electric bill.
The Odorox? equipment has proven to be quite effective in City 24 with many different applications. For instance, in addition to the trash room units, City 24 maintains mobile units that are used on a localized basis for odor control problems in the building such as paint fumes. Further, the units serve as a dehumidifier thus further positively affecting our air quality and reducing the a/c operating costs.
While today everyone is facing difficult economic circumstances, the Odorox? technology has provided significant relief to our present situation and paid for itself in a matter of a couple of months.
City 24 Condo Associ
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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.