Carbapenem-resistant Enterobacteriaceae Infection Epidemiology
Carbapenem-resistant Enterobacteriaceae (CRE) Infection Insights and Trends
- According to DelveInsight’s analysis, the total incident cases of CRE were ~23,000 in the 7MM (the United States, the EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan) in 2025.
- CRE infection is more prevalent in Asian countries such as Japan due to high healthcare-associated transmission rates, extensive use of broad-spectrum antibiotics, an aging population with frequent hospitalization, and the increasing spread of carbapenemase-producing Gram-negative pathogens within healthcare settings.
- Population growth, rising healthcare-associated infections, extensive use of broad-spectrum antibiotics, increasing antimicrobial resistance, and the growing incidence of immunocompromised and critically ill patients are expected to sustain the global burden of CRE infections over the next decade. Strengthening antimicrobial stewardship programs, improving infection prevention and surveillance, enabling rapid diagnostics, and expanding access to effective novel antibiotics will remain key determinants of future trends.
Carbapenem-Resistant Enterobacteriaceae (CRE) Infection Epidemiology Forecast
- 2025 Incident Cases of CRE infection: ~23,000
- 2036 Projected Incident Cases of CRE infection: XXXX
- CRE infection Growth Rate (2026–2036): ~XX% CAGR
DelveInsight's ‘Carbapenem-resistant Enterobacteriaceae (CRE) Infection Epidemiology Forecast – 2036’ report delivers an in-depth understanding of the CRE Infection, historical and forecasted epidemiology in the United States, EU4 (Germany, Spain, Italy, and France), and the United Kingdom, and Japan.
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Study Period
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2022–2036
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Historical Year
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2022–2025
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Forecast Period
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2026–2036
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Base Year
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2026
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Geographies Covered
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North America: The US;
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Europe: Germany, France, Italy, Spain, and the UK;
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Asia-Pacific: Japan
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CRE Infection Epidemiology CAGR
(Forecast period)
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~ XX% (2026-2036)
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CRE Infection Epidemiology Segmentation Analysis
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Patient Burden Assessment
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Total Incident Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection
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Type-Specific Incident Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection
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Age-specific Incident cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection
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Total treated Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection
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Carbapenem-Resistant Enterobacteriaceae (CRE) Infection Understanding and Diagnosis Algorithm
CRE Overview
Carbapenem-Resistant Enterobacteriaceae Infection is a serious and often life-threatening bacterial infection caused by Enterobacteriaceae resistant to carbapenem antibiotics, primarily affecting hospitalized and immunocompromised patients. These infections commonly involve the bloodstream, lungs, urinary tract, and wounds, and are driven by factors such as antibiotic overuse, prolonged healthcare exposure, invasive medical procedures, and transmission within healthcare settings.
CRE Diagnosis
Carbapenem-Resistant Enterobacteriaceae Infection is diagnosed through clinical assessment, microbiological culture, and antimicrobial susceptibility testing to identify carbapenem-resistant organisms. Common specimens include blood, urine, respiratory secretions, and wound samples. Molecular diagnostic methods, such as PCR, may be used to detect carbapenemase genes, including KPC, NDM, OXA-48, VIM, and IMP. Additional laboratory and imaging studies are often performed to determine the source, extent, and severity of infection.
Further details are provided in the report.
Carbapenem-Resistant Enterobacteriaceae Infection (CRE) Epidemiology
Key Findings from CRE Epidemiological Analysis and Forecast
- According to DelveInsight’s estimates, the total incident cases of CRE infection in the 7MM were approximately 23,000 in 2025.
- The US, in 2025, accounted for around 14,000 incident cases of CRE infection, which will increase by the year 2036.
- Among the EU4, Italy accounted for the highest number of incident cases of CRE infection, followed by France, whereas Germany accounted for the lowest number of cases in 2025.
- In 2025, there were approximately 350 cases of CRE infections in Japan, which will increase by 2036.
- Males represent approximately 60% of all reported CRE Infection cases.

Scope of the Report
- The report covers a segment of an executive summary, a descriptive overview of CRE Infection, explaining its causes, signs and symptoms, and pathogenesis.
- Comprehensive insight has been provided into the epidemiology segments and forecasts, the future growth potential of the diagnosis rate, and disease progression.
Report Insights
Carbapenem-Resistant Enterobacteriaceae (CRE) Infection Patient Population Forecast
Report Key Strengths
- Epidemiology‑based (epi‑based) Bottom‑up Forecasting
- 11-year Forecast
- Patient Burden Trends (by geography)
FAQs
- What are the disease risks, burdens, and unmet needs of CRE Infection? What will be the growth opportunities across the 7MM concerning the patient population with CRE?
- What is the historical and forecasted CRE Infection patient pool in the US, EU4 (Germany, France, Italy, and Spain), the UK, and Japan?
Reasons to Buy
- Insights on patient burden/disease prevalence, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
- To understand key opinion leaders’ perspectives on the diagnostic challenges to overcome barriers in the future.
- Detailed insights into various factors hampering disease diagnosis and other existing diagnostic challenges.
1 Key Insights
2 Report Introduction
3 Executive Summary of CRE Infection
4 Epidemiology Forecast Methodology of CRE Infection
5 CRE Infection Epidemiology Overview at a Glance
5.1 Patient Share (%) Distribution by Country in 2025 in the 7MM
5.2 Patient Share (%) Distribution by Country in 2036 in the 7MM
6 Disease Background and Overview of CRE Infection
6.1 Introduction
6.2 Enterobacteriaceae
6.3 Classification of Carbapenem-resistant Enterobacteriaceae Infection
6.4 Risk and Spread of CRE Infection
6.5 Mechanism of Drug Resistance
6.6 Symptoms
6.7 Diagnosis
6.8 Guidelines
7 Epidemiology and Patient Population of CRE Infection
7.1 Key Findings
7.2 Assumptions and Rationale
7.3 Total Incident Cases of CRE Infection in the 7MM
7.4 The United States
7.4.1 Total Incident Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in the US
7.4.2 Type-specific Incident Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in the US
7.4.3 Age-specific Incident cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in the US
7.4.4 Total Treated Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in the US
7.5 EU4 and the UK
7.5.1 Total Incident Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in EU4 and the UK
7.5.2 Type-specific Incident Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in EU4 and the UK
7.5.3 Age-specific Incident cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in EU4 and the UK
7.5.4 Total Treated Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in EU4 and the UK
7.6 Japan
7.6.1 Total Incident Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in Japan
7.6.2 Type-specific Incident Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in Japan
7.6.3 Age-specific Incident cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in Japan
7.6.4 Total treated Cases of Carbapenem-resistant Enterobacteriaceae (CRE) Infection in Japan
8 Appendix
8.1 Bibliography
8.2 Report Methodology
9 DelveInsight Capabilities
10 Disclaimer
11 About DelveInsight
List of Tables:
List of Tables
Table 1: Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in 7MM (2021-2034)
Table 2: Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in 7MM (2021-2034)
Table 3: Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in the United States (2021-2034)
Table 4: Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in the United States (2021-2034)
Table 5: Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in Germany (2021-2034)
Table 6: Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in Germany (2021-2034)
Table 7: Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in France (2021-2034)
Table 8: Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in France (2021-2034)
Table 9: Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in Italy (2021-2034)
Table 10: Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in Italy (2021-2034)
Table 11: Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in Spain (2021-2034)
Table 12: Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in Spain (2021-2034)
Table 13: Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in the United Kingdom (2021-2034)
Table 14: Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in the United Kingdom (2021-2034)
Table 15: Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in Japan (2021-2034)
Table 16: Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in Japan (2021-2034)
List of Figures:
List of Figures
Figure 1 Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in 7MM (2021-2034)
Figure 2 Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in 7MM (2021-2034)
Figure 3 Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in the United States (2021-2034)
Figure 4 Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in the United States (2021-2034)
Figure 5 Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in Germany (2021-2034)
Figure 6 Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in Germany (2021-2034)
Figure 7 Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in France (2021-2034)
Figure 8 Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in France (2021-2034)
Figure 9 Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in Italy (2021-2034)
Figure 10 Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in Italy (2021-2034)
Figure 11 Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in Spain (2021-2034)
Figure 12 Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in Spain (2021-2034)
Figure 13 Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in the United Kingdom (2021-2034)
Figure 14 Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in the United Kingdom (2021-2034)
Figure 15 Carbapenem-resistant Enterobacteriaceae Infection Epidemiology in Japan (2021-2034)
Figure 16 Carbapenem-resistant Enterobacteriaceae Infection Diagnosed and Treatable Cases in Japan (2021-2034)
*The table of contents is not exhaustive; will be provided in the final report