Overview
- A CDC analysis in Annals of Internal Medicine found carbapenem-resistant infections rose 69% from 2019 to 2023, with NDM-linked cases up about 460%.
- In 2023, 29 states reported 4,341 carbapenem-resistant infections, including 1,831 involving the NDM resistance gene.
- Researchers say the national burden is underestimated because several populous states and many hospitals lack the genetic testing needed to detect these strains.
- Clinicians have only two costly IV antibiotics for NDM infections, and CDC officials are urging broader diagnostic access, infection-control adherence and antibiotic stewardship.
- Experts say pandemic-era antibiotic use likely contributed to the surge, and unrecognized carriers could fuel spread that complicates routine infections such as UTIs.