“…Factors that can trigger bacterial translocation from the gut are host immune deficiencies and immunosuppression, disturbances in the normal ecological balance of gut, mucosal barrier permeability, obstructive jaundice, or stress. 2 With an increase in the number of people being exposed to antibiotics, the intestinal microflora faces constant pressure of antibiotic selection, which has resulted in the emergence of multidrug-resistant strains including carbapenemresistant strains. This may pose a severe problem as intestinal Enterobacteriaceae are most commonly implicated in human infections and antibiotic options in infections caused by carbapenem-resistant Enterobacteriaceae (CRE) may be limited to colistin, tigecycline, and polymyxin B.…”