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From September 2021 to September 2022, 21 patients with NDM-CRE identified from urine and without healthcare exposure were reported to the Centers for Disease Control and Prevention. Isolates were genetically similar to healthcare-associated strains.<\/jats:p>","DOI":"10.1017\/ice.2025.28","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T04:21:02Z","timestamp":1742790062000},"page":"544-547","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Community-associated New Delhi metallo-beta-lactamase-producing carbapenem-resistant Enterobacterales: multiple states, from September 2021 through September 2022"],"prefix":"10.1017","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0350-2578","authenticated-orcid":false,"given":"Sophie","family":"Jones","sequence":"first","affiliation":[{"name":"CDC"},{"name":"CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4810-7002","authenticated-orcid":false,"given":"Richard","family":"Stanton","sequence":"additional","affiliation":[{"name":"CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3512-9176","authenticated-orcid":false,"given":"Marisa","family":"D\u2019Angeli","sequence":"additional","affiliation":[{"name":"Washington State Department of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Brezak","sequence":"additional","affiliation":[{"name":"Washington State Department of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Sinkevitch","sequence":"additional","affiliation":[{"name":"Pennsylvania Department of Health"},{"name":"Council of State and Territorial Epidemiologists"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Sredl","sequence":"additional","affiliation":[{"name":"North Carolina Department of Health and Human Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9975-5398","authenticated-orcid":false,"given":"Shermalyn","family":"Greene","sequence":"additional","affiliation":[{"name":"North Carolina Department of Health and Human Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelley","family":"Garner","sequence":"additional","affiliation":[{"name":"Arkansas Department of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trenton","family":"Gulley","sequence":"additional","affiliation":[{"name":"Arkansas Department of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1536-964X","authenticated-orcid":false,"given":"Celina","family":"Santiago","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7111-4687","authenticated-orcid":false,"given":"Wei","family":"Wang","sequence":"additional","affiliation":[{"name":"CDC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6872-1216","authenticated-orcid":false,"given":"Samuel","family":"Cincotta","sequence":"additional","affiliation":[{"name":"CDC"},{"name":"US Public Health Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1090-7621","authenticated-orcid":false,"given":"Maroya","family":"Spalding Walters","sequence":"additional","affiliation":[{"name":"CDC"},{"name":"US Public Health Service"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"S0899823X25000285_ref5","doi-asserted-by":"publisher","DOI":"10.1101\/gr.251678.119"},{"key":"S0899823X25000285_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2022.04.003"},{"key":"S0899823X25000285_ref7","doi-asserted-by":"publisher","DOI":"10.4103\/jgid.jgid_86_17"},{"key":"S0899823X25000285_ref9","doi-asserted-by":"publisher","DOI":"10.3389\/fvets.2023.1158588"},{"key":"S0899823X25000285_ref10","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofad046"},{"key":"S0899823X25000285_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2958.2006.05172.x"},{"key":"S0899823X25000285_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-020-00733-6"},{"key":"S0899823X25000285_ref1","unstructured":"1. 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To the extent this work is subject to copyright outside the United States, the US Government retains a paid-up, non exclusive irrevocable, worldwide licence to reproduce, prepare derivative works, distribute copies to the public and display publicly the Contribution, and to permit others to do so. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}