CRE (carbapenem-resistant Enterobacteriaceae) infections come from bacteria that are normally found in a healthy person’s digestive tract. When a person is receiving serious medical care (for example, involving urinary catheters, intravenous catheters, or surgery) these bacteria can end up where they don’t belong—for example in the bladder or blood. Because these bacteria have become resistant to antibiotics, these infections are very difficult to treat.

Recent outbreaks of CRE linked to contaminated duodenoscopes have been reported in U.S. healthcare facilities. The following resources may assist healthcare facilities in preventing infections associated with duodenoscopes.

The following links are APIC resources on Clostridium difficile prevention for healthcare professionals.

Implementation guides and tools

Education & training

APIC offers a comprehensive collection of clinical education and professional development programs. The following resources are educational opportunities related to Clostridium difficile. Visit the Education & Certification page for more educational opportunities.

Prevention Strategist articles

The following links include articles on Clostridium difficile from APIC’s Prevention Strategist magazine.

AJIC articles

Search the American Journal of Infection Control website for more articles on Clostridium difficile. To access these articles, you need to first login to the APIC website.

External resources

The following links are APIC and external resources on CRE for consumers.


External resources