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NDM-CRE is a serious risk for patients and is associated with high rates of morbidity and mortality: NDM-producing CRE (NDM-CRE) are resistant to most available antibiotics, and NDM-CRE infections are associated with high rates of morbidity and mortality. The exact reasons for the surge are still being studied, but contributing factors may include: Gaps in infection control: Consistent infection control practices - such as hand hygiene, wearing gloves and gown during patient care, and proper cleaning and disinfection - help to prevent bacteria like NDM-CRE from spreading in healthcare settings. Strengthen prevention: Follow infection prevention and control best practices to protect patients and keep bacteria from spreading in healthcare settings, including wearing a gown and gloves for patient care according to the guidelines for your setting (i.e., Contact Precautions in acute care, Enhanced Barrier Precautions in long-term care). Whether diseases start at home or abroad, are curable or preventable, chronic or acute, or from human activity or deliberate attack, CDC's world-leading experts protect lives and livelihoods, national security and the U.S. economy by providing timely, commonsense information, and rapidly identifying and responding to diseases, including outbreaks and illnesses.