Nebraska updated its regulations on reportable diseases January 1, 2017. Now they include the organisms listed below. Disease reports allows DHHS to track patterns of susceptibility. That way, DHHS can detect any resistance patterns of concern. DHHS will also be able to identify and control outbreaks.
The HAI Program receives reports of emerging resistant organisms. These organisms include
Bacteria can become resistant to certain classes of antibiotics. One of those classes is carbapenem class. Examples of antibiotics in that class:
These bacteria are a group of emerging pathogens; they are a reason for worry. CDC notes that Carbapenem Resistant Enterobacteriaceae (CRE) are a major cause of invasive infections. Often there is a link between CRE bacteria and high mortality rates, up to 50%.
You can find CRE bacteria in most of the U.S. CRE bacteria are mainly associated with exposure to the healthcare system. In addition, CRE can spread in the community.
Nebraska Title 173 Chapter 1 requires labs and healthcare providers to report immediately carbapenem resistant Enterobacteriaceae (suspected or confirmed). They must report it within 24 hours by email, fax or phone and by ELR if available.
The DHHS HAI Program, along with the Nebraska Public Health Laboratory (NPHL), tracks and researches CREs in Nebraska.