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Background. CRE were first detected in CA in 2010. Understanding the emergence of this MDRO due to inter-facility patient-sharing enables targeted interventions for containment. Methods. We identified patients testing positive for CRE between 1 January 2010 and 31 December 2013 at an academic medical center and assessed their demographic characteristics. We then linked patient data to two line-item state hospital and nursing home datasets to capture inter-facility patient sharing and define thedoi:10.1093/ofid/ofv133.1335 fatcat:ezw6lw6i6vh5rhysiydg5hryme