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This is carbapenem resistent enterbacter (enterobacteraciae). There is a related bug CRAB (carbapenem resistant acenitobacteracea). The latter is a pneumonia that is damn near impossible to treat, when I see this in the ICU I know it is a long haul with a probably fatal outcome

Now for the science -- I have recently learned that not all on the freerepublic care for the science, but rather the emotion. This is a resistant BACTERIA. This is what happens when we overuse antibiotics. A specie eventually emerges that defeats the antibiotic we use. This generally is tha fault of physicians overperscribing, and worse yet, the culture demanding antibiotics for things that do not require antimicrobial therapy.

This is not some butt humping disease like proffered up above, this is a problem based on overuse. This tends to be endemic in long term care facilities and long term vent units.

At the end of the day, the story on this bacteria is create a better mousetrap and you will breed a smarter mouse eventually. This also represents probably the biggest health threat to the human specie. The bugs always win in the end...

-——I have recently learned that not all on the freerepublic care for the science-——

A more correct statement is that rather than not caring, a better characteristic is not having. one can’t care if he does not have

This generally is tha fault of physicians overperscribing, and worse yet, the culture demanding antibiotics for things that do not require antimicrobial therapy.

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Agreed. For once I’d like to show an undercover video of one of my patients as I tell them I won’t be prescribing an antibiotic for their 10th “sinus infection” of the year ....you will see the immediate dirty looks, pout, and/or outright footstamping FITS people throw because you aren’t prescribing them an antibiotic. They are TOLD they need a Z-pack by their cousin, their aunt, their grandma, or their best friend and dam it, YOU’D better give it to them or they’re going to find another place to get it.

IMO, the gubmit needs to get on it and do a massive educational campaign and get people on board. No fever? You probably do NOT have an infection! You’ve been coughing for 2 weeks? Whatever. That’s not long enough for anyone to be concerned.

Go home, make some chicken soup and suck it up, or pretty soon we won’t be able to treat anything that matters.