{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:42:06Z","timestamp":1789141326633,"version":"build-2803163510"},"reference-count":54,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Infections due to carbapenem-resistant Enterobacteriaceae (CRE) in intensive care units (ICUs) pose a significant threat. Colonization with CRE is a prerequisite for bacterial translocation\/infections. This work aimed to determine risk factors for CRE colonization in ICU patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>To find relevant works, PubMed, EMBASE, and references of eligible studies were systematically searched using appropriate keywords up to September 2023. Odds ratios (ORs) and 95% confidence intervals were used to compare risk factor between CRE colonized cases and CRE noncolonized controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twelve studies were included. Previous hospitalization (OR: 2.26), previous ICU stay (OR: 10.33), higher acute physiology and chronic health evaluation (APACHE) II score (mean difference [MD]: 4.38), central venous catheter (OR: 4.07), long-term gastric tube (OR: 3.01), hemodialysis catheter (OR: 3.38), urinary catheter (OR: 2.59), mechanical ventilation (OR: 3.41), endoscopy (OR: 3.37), tracheostomy (OR: 3.46), and exposure to antibiotics such as glycopeptide (OR: 10.68), aminoglycosides (OR: 6.53), tigecycline (OR: 6.87), vancomycin (OR: 5.32), carbapenems (OR: 5.23), cephalosporins (OR: 4.96), metronidazole (OR: 4.82), penicillin (OR: 4.41), and \u03b2-lactams\/\u03b2-lactamase inhibitor (OR: 4.28) are highly associated with CRE colonization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>ICU-admitted patients with prior hospitalization, ICU stay, previous antibiotic use, and invasive devices\/procedures exposures should be prioritized in the screening strategy for CRE colonization to prevent nosocomial infections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/mdr.2024.0151","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T05:33:12Z","timestamp":1743399192000},"page":"113-122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Risk Factors for Carbapenem-Resistant Enterobacteriaceae Colonization in Intensive Care Units: A Meta-Analysis"],"prefix":"10.1177","volume":"31","author":[{"given":"Mohammad Hossein","family":"Zamanian","sequence":"first","affiliation":[{"name":"Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran."},{"name":"Infectious Disease Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Negin","family":"Farhadian","sequence":"additional","affiliation":[{"name":"Nano Drug Delivery Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahar","family":"Sanaei","sequence":"additional","affiliation":[{"name":"Students Research Committee, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Farhadian","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"issue":"1","key":"e_1_3_5_2_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1179\/2295333714Y.0000000034","article-title":"Emergence and dissemination of multi-resistant Gram negative Enterobacteriaceae: Lessons to be learnt from local and national surveillance programs in Belgium","volume":"70","author":"Rodriguez-Villalobos H","year":"2015","unstructured":"Rodriguez-Villalobos H, , Glupczynski Y. Emergence and dissemination of multi-resistant Gram negative Enterobacteriaceae: Lessons to be learnt from local and national surveillance programs in Belgium. Acta Clin Belg, 2015; 70(1):1\u201310.","journal-title":"Acta Clin Belg"},{"issue":"4","key":"e_1_3_5_3_2","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1080\/21505594.2016.1222343","article-title":"The global epidemiology of carbapenemase-producing Enterobacteriaceae","volume":"8","author":"van Duin D","year":"2017","unstructured":"van Duin D, , Doi Y. The global epidemiology of carbapenemase-producing Enterobacteriaceae. Virulence, 2017; 8(4):460\u2013469.","journal-title":"Virulence"},{"key":"e_1_3_5_4_2","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/S0213-005X(14)70168-5","article-title":"Carbapenemases in Enterobacteriaceae: Types and molecular epidemiology","volume":"32","author":"Mart\u00ednez-Mart\u00ednez L","year":"2014","unstructured":"Mart\u00ednez-Mart\u00ednez L, , Gonz\u00e1lez-L\u00f3pez JJ. Carbapenemases in Enterobacteriaceae: Types and molecular epidemiology. Enferm Infecc Microbiol Clin, 2014; 32 (Suppl 4):4\u20139.","journal-title":"Enferm Infecc Microbiol Clin"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00001-07"},{"issue":"5","key":"e_1_3_5_6_2","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1111\/j.1469-0691.2012.03821.x","article-title":"Rapid evolution and spread of carbapenemases among Enterobacteriaceae in Europe","volume":"18","author":"Cant\u00f3n R","year":"2012","unstructured":"Cant\u00f3n R, , Ak\u00f3va M, , Carmeli Y, et al.; European Network on Carbapenemases. Rapid evolution and spread of carbapenemases among Enterobacteriaceae in Europe. Clin Microbiol Infect, 2012; 18(5):413\u2013431.","journal-title":"Clin Microbiol Infect"},{"key":"e_1_3_5_7_2","volume-title":"Carbapenem-Resistant Enterobacteriaceae: What We Know and What We Need to Know","author":"van Duin D","year":"2017","unstructured":"van Duin D. Carbapenem-Resistant Enterobacteriaceae: What We Know and What We Need to Know. Taylor & Francis; 2017."},{"issue":"1","key":"e_1_3_5_8_2","doi-asserted-by":"crossref","DOI":"10.1016\/j.cmi.2016.09.003","article-title":"Potential economic burden of carbapenem-resistant Enterobacteriaceae (CRE) in the United States","volume":"23","author":"Bartsch S","year":"2017","unstructured":"Bartsch S, , McKinnell J, , Mueller L, et al. Potential economic burden of carbapenem-resistant Enterobacteriaceae (CRE) in the United States. Clinical Microbiology and Infection, 2017; 23(1):48.e9\u201348.e16.","journal-title":"Clinical Microbiology and Infection"},{"issue":"10","key":"e_1_3_5_9_2","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1086\/605922","article-title":"Attributable mortality rate for carbapenem-resistant Klebsiella pneumoniae bacteremia","volume":"30","author":"Borer A","year":"2009","unstructured":"Borer A, , Saidel-Odes L, , Riesenberg K, et al. Attributable mortality rate for carbapenem-resistant Klebsiella pneumoniae bacteremia. Infect Control Hosp Epidemiol, 2009; 30(10):972\u2013976.","journal-title":"Infect Control Hosp Epidemiol"},{"key":"e_1_3_5_10_2","volume-title":"Treatment Options for Carbapenem-Resistant Enterobacteriaceae Infections","author":"Morrill HJ","year":"2015","unstructured":"Morrill HJ, , Pogue JM, , Kaye KS, et al. Treatment Options for Carbapenem-Resistant Enterobacteriaceae Infections. Oxford University Press: 2015."},{"issue":"2","key":"e_1_3_5_11_2","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.diagmicrobio.2013.06.007","article-title":"KPC-producing Klebsiella pneumoniae enteric colonization acquired during intensive care unit stay: The significance of risk factors for its development and its impact on mortality","volume":"77","author":"Papadimitriou-Olivgeris M","year":"2013","unstructured":"Papadimitriou-Olivgeris M, , Marangos M, , Fligou F, et al. KPC-producing Klebsiella pneumoniae enteric colonization acquired during intensive care unit stay: The significance of risk factors for its development and its impact on mortality. Diagn Microbiol Infect Dis, 2013; 77(2):169\u2013173.","journal-title":"Diagn Microbiol Infect Dis"},{"issue":"5","key":"e_1_3_5_12_2","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.ajic.2015.12.005","article-title":"Risk of infection following colonization with carbapenem-resistant Enterobactericeae: A systematic review","volume":"44","author":"Tischendorf J","year":"2016","unstructured":"Tischendorf J, , de Avila RA, , Safdar N. Risk of infection following colonization with carbapenem-resistant Enterobactericeae: A systematic review. Am J Infect Control, 2016; 44(5):539\u2013543.","journal-title":"Am J Infect Control"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2016.05.018"},{"issue":"10","key":"e_1_3_5_14_2","doi-asserted-by":"crossref","first-page":"e0186195","DOI":"10.1371\/journal.pone.0186195","article-title":"Carbapenem-resistant Enterobacteriaceae colonization (CRE) and subsequent risk of infection and 90-day mortality in critically ill patients, an observational study","volume":"12","author":"McConville TH","year":"2017","unstructured":"McConville TH, , Sullivan SB, , Gomez-Simmonds A, et al. Carbapenem-resistant Enterobacteriaceae colonization (CRE) and subsequent risk of infection and 90-day mortality in critically ill patients, an observational study. PLoS One, 2017; 12(10):e0186195.","journal-title":"PLoS One"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw741"},{"issue":"1","key":"e_1_3_5_16_2","doi-asserted-by":"crossref","first-page":"e0262554","DOI":"10.1371\/journal.pone.0262554","article-title":"The importance of active surveillance of carbapenem-resistant Enterobacterales (CRE) in colonization rates in critically ill patients","volume":"17","author":"Gomides MDA","year":"2022","unstructured":"Gomides MDA, , Fontes A, , Silveira AOSM, et al. The importance of active surveillance of carbapenem-resistant Enterobacterales (CRE) in colonization rates in critically ill patients. PLoS One, 2022; 17(1):e0262554.","journal-title":"PLoS One"},{"issue":"8","key":"e_1_3_5_17_2","doi-asserted-by":"crossref","first-page":"1811","DOI":"10.1007\/s10096-011-1506-5","article-title":"Epidemiology of carbapenem resistant Klebsiella pneumoniae colonization in an intensive care unit","volume":"31","author":"Debby B","year":"2012","unstructured":"Debby B, , Ganor O, , Yasmin M, et al. Epidemiology of carbapenem resistant Klebsiella pneumoniae colonization in an intensive care unit. Eur J Clin Microbiol Infect Dis, 2012; 31(8)(:1811\u20131817.","journal-title":"Eur J Clin Microbiol Infect Dis"},{"issue":"12","key":"e_1_3_5_18_2","doi-asserted-by":"crossref","DOI":"10.1128\/AAC.01440-17","article-title":"Multicenter study of the risk factors for colonization or infection with carbapenem-resistant Enterobacteriaceae in children","volume":"61","author":"Chiotos K","year":"2017","unstructured":"Chiotos K, , Tamma PD, , Flett KB, et al. Multicenter study of the risk factors for colonization or infection with carbapenem-resistant Enterobacteriaceae in children. Antimicrob Agents Chemother, 2017; 61(12); doi: 10.1128\/aac.01440-17","journal-title":"Antimicrob Agents Chemother"},{"issue":"8","key":"e_1_3_5_19_2","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1016\/j.medmal.2019.12.011","article-title":"Infections due to carbapenemase-producing bacteria, clinical burden, and impact of screening strategies on outcome","volume":"50","author":"Abramowicz L","year":"2020","unstructured":"Abramowicz L, , Gerard M, , Martiny D, et al. Infections due to carbapenemase-producing bacteria, clinical burden, and impact of screening strategies on outcome. Med Mal Infect, 2020; 50(8):658\u2013664.","journal-title":"Med Mal Infect"},{"issue":"10","key":"e_1_3_5_20_2","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.3855\/jidc.8231","article-title":"Risk factors for hospital infections caused by carbapanem-resistant Acinetobacter baumannii","volume":"10","author":"Djordjevic Z","year":"2016","unstructured":"Djordjevic Z, , Folic M, , Folic N, et al. Risk factors for hospital infections caused by carbapanem-resistant Acinetobacter baumannii. J Infect Dev Ctries, 2016; 10(10):1073\u20131080.","journal-title":"J Infect Dev Ctries"},{"issue":"01","key":"e_1_3_5_21_2","doi-asserted-by":"crossref","first-page":"10","DOI":"10.4236\/aid.2013.31002","article-title":"Patient demographics and characteristics of infection with carbapenem-resistant Acinetobacter baumannii in a teaching hospital from the United States","volume":"3","author":"Vaze ND","year":"2013","unstructured":"Vaze ND, , Emery CL, , Hamilton RJ, et al. Patient demographics and characteristics of infection with carbapenem-resistant Acinetobacter baumannii in a teaching hospital from the United States. Advances in Infectious Diseases, 2013; 3(01):10.","journal-title":"Advances in Infectious Diseases"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1089\/mdr.2017.0061"},{"issue":"1","key":"e_1_3_5_23_2","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s00134-008-1237-y","article-title":"Surveillance of microbial resistance in European Intensive Care Units: A first report from the Care-ICU programme for improved infection control","volume":"35","author":"Hanberger H","year":"2009","unstructured":"Hanberger H, , Arman D, , Gill H, et al. Surveillance of microbial resistance in European Intensive Care Units: A first report from the Care-ICU programme for improved infection control. Intensive Care Med, 2009; 35(1):91\u2013100.","journal-title":"Intensive Care Med"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.01538-07"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)13644-6"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1754"},{"issue":"3","key":"e_1_3_5_27_2","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.idc.2017.05.010","article-title":"Preventing transmission of multidrug-resistant pathogens in the intensive care unit","volume":"31","author":"Strich JR","year":"2017","unstructured":"Strich JR, , Palmore TN. Preventing transmission of multidrug-resistant pathogens in the intensive care unit. Infect Dis Clin North Am, 2017; 31(3):535\u2013550.","journal-title":"Infect Dis Clin North Am"},{"issue":"2","key":"e_1_3_5_28_2","doi-asserted-by":"crossref","first-page":"163","DOI":"10.4161\/viru.22641","article-title":"Is patient isolation the single most important measure to prevent the spread of multidrug-resistant pathogens","volume":"4","author":"Landelle C","year":"2013","unstructured":"Landelle C, , Pagani L, , Harbarth S. Is patient isolation the single most important measure to prevent the spread of multidrug-resistant pathogens? Virulence, 2013; 4(2):163\u2013171.","journal-title":"Virulence"},{"issue":"10","key":"e_1_3_5_29_2","doi-asserted-by":"crossref","first-page":"S65","DOI":"10.1016\/j.ajic.2007.10.007","article-title":"2007 guideline for isolation precautions: Preventing transmission of infectious agents in health care settings","volume":"35","author":"Siegel JD","year":"2007","unstructured":"Siegel JD, , Rhinehart E, , Jackson M, et al.; Health Care Infection Control Practices Advisory Committee. 2007 guideline for isolation precautions: Preventing transmission of infectious agents in health care settings. American Journal of Infection Control, 2007; 35[10 (Suppl 2)]:S65\u2013S164.","journal-title":"American Journal of Infection Control"},{"issue":"15","key":"e_1_3_5_30_2","first-page":"1571","article-title":"Universal glove and gown use and acquisition of antibiotic-resistant bacteria in the ICU: A randomized trial","volume":"310","author":"Harris AD","year":"2013","unstructured":"Harris AD, , Pineles L, , Belton B, et al.; Benefits of Universal Glove and Gown (BUGG) Investigators. Universal glove and gown use and acquisition of antibiotic-resistant bacteria in the ICU: A randomized trial. JAMA, 2013; 310(15):1571\u20131580.","journal-title":"JAMA"},{"issue":"18","key":"e_1_3_5_31_2","doi-asserted-by":"crossref","first-page":"e140","DOI":"10.3346\/jkms.2019.34.e140","article-title":"Prevalence and risk factors of carbapenem-resistant Enterobacteriaceae acquisition in an emergency intensive care unit in a tertiary hospital in Korea: A case-control study","volume":"34","author":"Kang JS","year":"2019","unstructured":"Kang JS, , Yi J, , Ko MK, et al. Prevalence and risk factors of carbapenem-resistant Enterobacteriaceae acquisition in an emergency intensive care unit in a tertiary hospital in Korea: A case-control study. J Korean Med Sci, 2019; 34(18):e140.","journal-title":"J Korean Med Sci"},{"issue":"4","key":"e_1_3_5_32_2","doi-asserted-by":"crossref","first-page":"100310","DOI":"10.1016\/j.infpip.2023.100310","article-title":"Risk factors of carbapenemase-producing Enterobacterales acquisition among adult intensive care unit patients at a Kentucky Academic Medical Center","volume":"5","author":"Wilson JE","year":"2023","unstructured":"Wilson JE, , Sanderson W, , Westgate PM, et al. Risk factors of carbapenemase-producing Enterobacterales acquisition among adult intensive care unit patients at a Kentucky Academic Medical Center. Infect Prev Pract, 2023; 5(4):100310.","journal-title":"Infect Prev Pract"},{"issue":"6","key":"e_1_3_5_33_2","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.eimc.2016.02.017","article-title":"Risk factors for colonization by carbapenemase-producing enterobacteria at admission to a Surgical ICU: A retrospective study","volume":"35","author":"Maseda E","year":"2017","unstructured":"Maseda E, , Salgado P, , Anillo V, et al. Risk factors for colonization by carbapenemase-producing enterobacteria at admission to a Surgical ICU: A retrospective study. Enferm Infecc Microbiol Clin, 2017; 35(6):333\u2013337.","journal-title":"Enferm Infecc Microbiol Clin"},{"issue":"1","key":"e_1_3_5_34_2","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1186\/s12866-016-0763-y","article-title":"Risk factors for fecal carriage of carbapenemase producing Enterobacteriaceae among intensive care unit patients from a tertiary care center in India","volume":"16","author":"Mittal G","year":"2016","unstructured":"Mittal G, , Gaind R, , Kumar D, et al. Risk factors for fecal carriage of carbapenemase producing Enterobacteriaceae among intensive care unit patients from a tertiary care center in India. BMC Microbiol, 2016; 16(1)(:138\u2013110.","journal-title":"BMC Microbiol"},{"issue":"12","key":"e_1_3_5_35_2","doi-asserted-by":"crossref","first-page":"2976","DOI":"10.1093\/jac\/dks316","article-title":"Risk factors for KPC-producing Klebsiella pneumoniae enteric colonization upon ICU admission","volume":"67","author":"Papadimitriou-Olivgeris M","year":"2012","unstructured":"Papadimitriou-Olivgeris M, , Marangos M, , Fligou F, et al. Risk factors for KPC-producing Klebsiella pneumoniae enteric colonization upon ICU admission. J Antimicrob Chemother, 2012; 67(12):2976\u20132981.","journal-title":"J Antimicrob Chemother"},{"issue":"6","key":"e_1_3_5_36_2","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.3201\/eid2606.190965","article-title":"Increased risk for carbapenem-resistant Enterobacteriaceae colonization in intensive care units after hospitalization in emergency department","volume":"26","author":"Salom\u00e3o MC","year":"2020","unstructured":"Salom\u00e3o MC, , Freire MP, , Boszczowski I, et al. Increased risk for carbapenem-resistant Enterobacteriaceae colonization in intensive care units after hospitalization in emergency department. Emerg Infect Dis, 2020; 26(6):1156\u20131163.","journal-title":"Emerg Infect Dis"},{"key":"e_1_3_5_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2021.02.005"},{"issue":"11","key":"e_1_3_5_38_2","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1016\/j.ajic.2018.05.001","article-title":"Development of a risk prediction model of carbapenem-resistant Enterobacteriaceae colonization among patients in intensive care units","volume":"46","author":"Song JY","year":"2018","unstructured":"Song JY, , Jeong IS. Development of a risk prediction model of carbapenem-resistant Enterobacteriaceae colonization among patients in intensive care units. Am J Infect Control, 2018; 46(11):1240\u20131244.","journal-title":"Am J Infect Control"},{"key":"e_1_3_5_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2019.07.001"},{"issue":"4","key":"e_1_3_5_40_2","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jhin.2009.07.022","article-title":"Carriage rate of carbapenem-resistant Klebsiella pneumoniae in hospitalised patients during a national outbreak","volume":"74","author":"Wiener-Well Y","year":"2010","unstructured":"Wiener-Well Y, , Rudensky B, , Yinnon A, et al. Carriage rate of carbapenem-resistant Klebsiella pneumoniae in hospitalised patients during a national outbreak. J Hosp Infect, 2010; 74(4):344\u2013349.","journal-title":"J Hosp Infect"},{"key":"e_1_3_5_41_2","doi-asserted-by":"crossref","first-page":"894341","DOI":"10.3389\/fmicb.2022.894341","article-title":"Prevalence and risk factors of carbapenem-resistant Enterobacterales positivity by active screening in intensive care units in the Henan Province of China: A multi-center cross-sectional study","volume":"13","author":"Guo B","year":"2022","unstructured":"Guo B, , Guo Z, , Zhang H, et al. Prevalence and risk factors of carbapenem-resistant Enterobacterales positivity by active screening in intensive care units in the Henan Province of China: A multi-center cross-sectional study. Front Microbiol, 2022; 13:894341.","journal-title":"Front Microbiol"},{"key":"e_1_3_5_42_2","doi-asserted-by":"crossref","first-page":"162","DOI":"10.3389\/fcimb.2019.00162","article-title":"Active surveillance of carbapenemase-producing organisms (CPO) colonization with Xpert Carba-R assay plus positive patient isolation proves to be effective in CPO containment","volume":"9","author":"Zhou M","year":"2019","unstructured":"Zhou M, , Kudinha T, , Du B, et al. Active surveillance of carbapenemase-producing organisms (CPO) colonization with Xpert Carba-R assay plus positive patient isolation proves to be effective in CPO containment. Front Cell Infect Microbiol, 2019; 9:162.","journal-title":"Front Cell Infect Microbiol"},{"issue":"5","key":"e_1_3_5_43_2","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1111\/j.1469-0691.2012.03888.x","article-title":"Asymptomatic rectal carriage of blaKPC producing carbapenem-resistant Enterobacteriaceae: Who is prone to become clinically infected","volume":"19","author":"Schechner V","year":"2013","unstructured":"Schechner V, , Kotlovsky T, , Kazma M, et al. Asymptomatic rectal carriage of blaKPC producing carbapenem-resistant Enterobacteriaceae: Who is prone to become clinically infected? Clin Microbiol Infect, 2013; 19(5):451\u2013456.","journal-title":"Clin Microbiol Infect"},{"issue":"1","key":"e_1_3_5_44_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13756-017-0200-5","article-title":"High burden of Carbapenem-resistant Enterobacteriaceae (CRE) fecal carriage at a teaching hospital: Cost-effectiveness of screening in low-resource setting","volume":"6","author":"Zaidah AR","year":"2017","unstructured":"Zaidah AR, , Mohammad NI, , Suraiya S, et al. High burden of Carbapenem-resistant Enterobacteriaceae (CRE) fecal carriage at a teaching hospital: Cost-effectiveness of screening in low-resource setting. Antimicrob Resist Infect Control, 2017; 6(1):1\u20136.","journal-title":"Antimicrob Resist Infect Control"},{"issue":"1","key":"e_1_3_5_45_2","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.jhin.2016.06.010","article-title":"Carbapenem-resistant Enterobacteriaceae on a cardiac surgery intensive care unit: Successful measures for infection control","volume":"94","author":"Abboud C","year":"2016","unstructured":"Abboud C, , De Souza E, , Zandonadi E, et al. Carbapenem-resistant Enterobacteriaceae on a cardiac surgery intensive care unit: Successful measures for infection control. J Hosp Infect, 2016; 94(1):60\u201364.","journal-title":"J Hosp Infect"},{"issue":"6","key":"e_1_3_5_46_2","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1017\/ice.2017.62","article-title":"Modifiable risk factors for the spread of Klebsiella pneumoniae carbapenemase-producing Enterobacteriaceae among long-term acute-care hospital patients","volume":"38","author":"Okamoto K","year":"2017","unstructured":"Okamoto K, , Lin MY, , Haverkate M, et al. Modifiable risk factors for the spread of Klebsiella pneumoniae carbapenemase-producing Enterobacteriaceae among long-term acute-care hospital patients. Infect Control Hosp Epidemiol, 2017; 38(6):670\u2013677.","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"5","key":"e_1_3_5_47_2","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.ajic.2011.05.022","article-title":"Risk factors for developing clinical infection with carbapenem-resistant Klebsiella pneumoniae in hospital patients initially only colonized with carbapenem-resistant K pneumoniae","volume":"40","author":"Borer A","year":"2012","unstructured":"Borer A, , Saidel-Odes L, , Eskira S, et al. Risk factors for developing clinical infection with carbapenem-resistant Klebsiella pneumoniae in hospital patients initially only colonized with carbapenem-resistant K pneumoniae. Am J Infect Control, 2012; 40(5):421\u2013425.","journal-title":"Am J Infect Control"},{"issue":"5","key":"e_1_3_5_48_2","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1086\/651670","article-title":"Outbreak of carbapenem-resistant Klebsiella pneumoniae in Puerto Rico associated with a novel carbapenemase variant","volume":"31","author":"Gregory CJ","year":"2010","unstructured":"Gregory CJ, , Llata E, , Stine N, et al. Outbreak of carbapenem-resistant Klebsiella pneumoniae in Puerto Rico associated with a novel carbapenemase variant. Infect Control Hosp Epidemiol, 2010; 31(5):476\u2013484.","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"4","key":"e_1_3_5_49_2","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.diagmicrobio.2008.08.014","article-title":"Risk factors for the acquisition of carbapenem-resistant Escherichia coli among hospitalized patients","volume":"62","author":"Jeon M-H","year":"2008","unstructured":"Jeon M-H, , Choi S-H, , Kwak YG, et al. Risk factors for the acquisition of carbapenem-resistant Escherichia coli among hospitalized patients. Diagn Microbiol Infect Dis, 2008; 62(4):402\u2013406.","journal-title":"Diagn Microbiol Infect Dis"},{"issue":"12","key":"e_1_3_5_50_2","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1086\/523868","article-title":"Comparison of hospitalwide surveillance and targeted intensive care unit surveillance of healthcare-associated infections","volume":"28","author":"Weber DJ","year":"2007","unstructured":"Weber DJ, , Sickbert-Bennett EE, , Brown V, et al. Comparison of hospitalwide surveillance and targeted intensive care unit surveillance of healthcare-associated infections. Infect Control Hosp Epidemiol, 2007; 28(12):1361\u20131366.","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"5","key":"e_1_3_5_51_2","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1093\/jac\/dkm356","article-title":"Risk factors of carbapenem-resistant Klebsiella pneumoniae infections: A matched case\u2013control study","volume":"60","author":"Falagas ME","year":"2007","unstructured":"Falagas ME, , Rafailidis PI, , Kofteridis D, et al. Risk factors of carbapenem-resistant Klebsiella pneumoniae infections: A matched case\u2013control study. J Antimicrob Chemother, 2007; 60(5):1124\u20131130.","journal-title":"J Antimicrob Chemother"},{"issue":"7","key":"e_1_3_5_52_2","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1086\/598244","article-title":"Carbapenem resistance among Klebsiella pneumoniae isolates risk factors, molecular characteristics, and susceptibility patterns","volume":"30","author":"Hussein K","year":"2009","unstructured":"Hussein K, , Sprecher H, , Mashiach T, et al. Carbapenem resistance among Klebsiella pneumoniae isolates risk factors, molecular characteristics, and susceptibility patterns. Infect Control Hosp Epidemiol, 2009; 30(7):666\u2013671.","journal-title":"Infect Control Hosp Epidemiol"},{"key":"e_1_3_5_53_2","volume-title":"A Deeper Dive: Implications of Identifying More of the Carbapenem-Resistant Enterobacteriaceae Iceberg","author":"Dutcher L","year":"2020","unstructured":"Dutcher L, , Lautenbach E. A Deeper Dive: Implications of Identifying More of the Carbapenem-Resistant Enterobacteriaceae Iceberg. Oxford University Press US; 2020."},{"issue":"2","key":"e_1_3_5_54_2","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.jhin.2019.04.012","article-title":"Screening for carbapenemase-producing Enterobacteriaceae in previous carriers readmitted to hospital: Evaluation of a change in screening policy","volume":"103","author":"Tucker A","year":"2019","unstructured":"Tucker A, , George R, , Welfare W, et al. Screening for carbapenemase-producing Enterobacteriaceae in previous carriers readmitted to hospital: Evaluation of a change in screening policy. J Hosp Infect, 2019; 103(2):156\u2013159.","journal-title":"J Hosp Infect"},{"issue":"1","key":"e_1_3_5_55_2","first-page":"1","article-title":"Epidemiology and risk factors of rectal colonization of carbapenemase-producing Enterobacteriaceae among high-risk patients from ICU and HSCT wards in a university hospital","volume":"9","author":"Yan L","year":"2020","unstructured":"Yan L, , Sun J, , Xu X, et al. Epidemiology and risk factors of rectal colonization of carbapenemase-producing Enterobacteriaceae among high-risk patients from ICU and HSCT wards in a university hospital. Antimicrob Resist Infect Control, 2020; 9(1)(:1\u20138.","journal-title":"Antimicrob Resist Infect Control"}],"container-title":["Microbial Drug Resistance"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/mdr.2024.0151","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/mdr.2024.0151","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/mdr.2024.0151","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:41:50Z","timestamp":1777668110000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1089\/mdr.2024.0151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":54,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1089\/mdr.2024.0151"],"URL":"https:\/\/doi.org\/10.1089\/mdr.2024.0151","relation":{},"ISSN":["1076-6294","1931-8448"],"issn-type":[{"value":"1076-6294","type":"print"},{"value":"1931-8448","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]}}}