Removing CRE-Klebsiella Pneumoniae from Healthcare Buildings, Nursing Homes, Hospitals, Long Term Care Centers, Rehab Centers Using Hydroxyl Generators/Processors from Odorox Air
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 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.
Benefits of Odorox Technology, Testimonials from our Customers
Below is a brief testimonial outlining my experience with Hydroxyl Environmental's MDU (Mobile Disinfectant Unit). My mother suffered a diabetic stroke in Feb, 2005. Her blood sugars have been a constant battle since that date. She survives on a feeding tube. Our family provides home care for my mother at my sisters. In the evenings her blood sugars would jump to 25-28 and first thing in the morning they would test around 12-18 (5-6 is normal range). She also had an issue with an air pump that keeps her mattress inflated to help prevent bed sores.
In the summer of 2007 her air pump failed and we had to wait nearly a week for a replacement. During that time mom suffered a bed sore on her spine. In short order the sore grew to approximately 16 inches in length and was open nearly 1.5" at the widest point. It took our wound nurse incredibly countless hours to try and close this wound that in most cases ends in a fatality. This sore persisted for nearly six months before we were successful in closing it with the use of a vacuum. In the early part of this year we experienced another bed sore. Actually two, one on each heel as a result of an air mattress pump failure again.
This time a friend of mine spoke about the MDU that had helped others with medical issues. We had nothing to lose so we installed it in my mother's bedroom. Almost immediately our mothers breathing began to improve and within days my sister and niece reported my mother's blood sugars had returned to levels under 10, a spectacular improvement comparative to her results these past three years.
After only two weeks there were significant signs her bed sores on her heels were healing weeks ahead of her previous bout. I don't know what the significance of the MDU unit is other than to tell you it has performed way beyond our wildest expectations. I will and do recommend this technology to anyone seeking improved health regarding breathing, bed sores, or blood sugars if they are an issue. I wish I was more scientific about our results but the proof is clearly in the Hydroxyl MDU unit........
Test one today, the results will last a lifetime!
Hydroxyls Remove Multiple Odors
It was with great skepticism when I first inquired about your Hydroxyl Generators since I've heard of so many products claiming to eliminate odors. A friend with a DKI business in North Carolina originally sparked my interest in the product. I had knowledge of it but was always hesitant because of the 'too good to be true' adage. His recommendation of the product prompted me to make the call.
We received the Boss and Boss XL3 in time to try it on its first job which happened to be sewer. A noticeable difference was evident by our staff and by the owners of the structure. After a thorough cleaning and sanitizing the Boss XL3 eliminated any residual odors.
Next the generators were put on a kitchen fire job with similar results. As we were working there with the machine running we noticed a drastic reduction in odor. After all was cleaned the generator ran for one more day and the odor was nonexistent.
A protein fire followed, then a suicide cleanup, a skunk spray in a home and finally 2 more sewer jobs. I am thrilled to report excellent results in each and every one of those jobs. Our latest client described the sewer odor in her home as 'a million times better' after the introduction of the Hydroxyl generator.
This is definitely going to eliminate the need for some of the other so called deodorizing machines. I am next looking forward to trying the MDU unit in the Health Care Industry. We are very excited about these products and their uses.
Jeff Skrilow, CR, WLS
Damage Control, Inc.
Damage Control, Inc
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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.