Highlights

•    This paper identifies different global environmental reservoirs carrying CRE.
•    First study focusing on carbapenem-resistant genes in all environmental reservoirs.
•    Carbapenemase-producing genes were identified in water, animals, food, and soil.
•    There have been two reported human infections from environmentally sourced CRE.
•    Quantitative dynamics of CRE transmission and exposure is needed for management.

Abstract

Environmental reservoirs of antibiotic resistance (AR) are a growing concern that are gathering more attention as potential sources for human infection. Carbapenem-resistant Enterobacteriaceae (CRE) are extremely dangerous, as carbapenems are often drugs of last resort that are used to treat multi-drug resistant infections.

 

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