Surveillance study reveals the emergence of gram-negative bacteria carrying multiple carbapenemase genes, indicating expanding antimicrobial resistance mechanisms.
C arbapenems have been standard treatments for multidrug-resistant gram-negative bacilli infections since 1985, when they were approved for clinical use in the United States (https://www.accessdata.fda. gov/drugsatfda_docs/label/2016/050587s074lbl. pdf). Carbapenem-resistant organisms (CROs) are a growing public health concern as carbapenemaseproducing CROs become more common (1). Several recent reports describe CROs carrying multiple carbapenemase genes (multi-CPOs) (2-8). We describe multi-CPOs reported to the Centers for Disease Control and Prevention (CDC; Atlanta, GA, USA) during 2012-2019.
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