Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-15T06:24:25.136Z Has data issue: false hasContentIssue false
  • English
  • Français

Prevalence and Acquisition of Vancomycin-Resistant Enterococci in a Medical Intensive Care Unit

Published online by Cambridge University Press:  02 January 2015

David Gardiner ,
Sheila Murphey ,
Elizabeth Ossman  and
Donald Jungkind
David Gardiner*
Affiliation:
Thomas Jefferson University Hospital, Philadelphia, PA
Sheila Murphey
Affiliation:
Thomas Jefferson University Hospital, Philadelphia, PA
Elizabeth Ossman
Affiliation:
Thomas Jefferson University Hospital, Philadelphia, PA
Donald Jungkind
Affiliation:
Thomas Jefferson University Hospital, Philadelphia, PA
*
Aaron Diamond AIDS Research Center, 455 First Avenue, 7th Floor, Room 730, New York, NY10016
Get access Rights & Permissions [Opens in a new window]

Abstract

Patients admitted to a medical intensive care unit during 21 days had rectal and urine samples cultured for vancomycin-resistant enterococci (VRE). The prevalence rate was 55.3%. Only enteral feedings were associated with acquisition of VRE. One-quarter of VRE transmission resulted from acquisition in the study unit, 35% arrived from other units, and 15% from other hospital.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 23 , Issue 8 , August 2002 , pp. 466 - 468
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Morris, JG, Shay, DK, Hebden, JN, et al. Enterococci resistant to multiple antimicrobial agents, including vancomycin: establishment of endemicity in a university medical center. Ann Intern Med 1995;123:250–259.Google Scholar
2.Reisner, BS, Shaw, S, Huber, ME, et al. Comparison of three methods to recover vancomycin-resistant enterococci (VRE) from perianal and environmental samples collected during a hospital outbreak of VRE. Infect Control Hosp Epidemiol 2000;21:775–779.CrossRefGoogle ScholarPubMed
3.d'Azevedo, PA, Dias, CA, Goncalves, AL, Rowe, F, Teixeira, LM. Evaluation of an automated system for the identification and antimicrobial susceptibility testing of enterococci. Diagn Microbiol Infect Dis 2001;40:157–161.CrossRefGoogle ScholarPubMed
4.Wendt, C, Krause, C, Floss, H. Validity of screening procedures for glycopeptide-resistant enterococci. Eur J Clin Microbiol Infect Dis 1999; 18:422–427.Google Scholar
5.Lemck, R, Bulte, M. Occurrence of the vancomycin-resistant genes vanA, vanB, vanC1, vanC2, and vanC3 in Enterococcus strains isolated from poultry and pork. Int J Food Microbiol 2000;60:185–194.Google Scholar
6.Tenover, FC, Arbeit, RD, Goering, RV, et al. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 1995;33:2233–2239.CrossRefGoogle ScholarPubMed
7.Karanfil, LV, Murphy, M, Josephson, Aet al. A cluster of vancomycin-resistant Enterococcus faecium in an intensive care unit. Infect Control Hosp Epidemiol 1992;13:195–200.Google Scholar
8.Ostrowsky, BE, Venkataraman, L, D'Agata, EM, Gold, HS, DeGirolami, PC, Samore, MH. Vancomycin-resistant enterococci in intensive care units. Arch Intern Med 1999;159:1467–1472.Google Scholar
9.Strausbaugh, LJ, Crossley, KB, Nurse, BA, Thrupp, LD. Antimicrobial resistance in long-term-care facilities. Infect Control Hosp Epidemiol 1996;17:129–140.CrossRefGoogle ScholarPubMed
10.Bonten, M, Slaughter, S, Hayden, M, Nathan, C, van Voorhis, J, Weinstein, RA. External sources of vancomycin-resistant enterococci for intensive care units. Crit Care Med 1998;26:2001–2004.Google Scholar