PMID: 9161382May 1, 1997Paper

Controlling the spread of vancomycin-resistant enterococci with a rehabilitation cohort unit

Archives of Physical Medicine and Rehabilitation
M E DuerdenR L Braddom

Abstract

Enterococci are common to the human gastrointestinal tract. Recently there has been an emergence of vancomycin-resistant enterococci (VRE); infection requires strict contact isolation. Patients with VRE infections are at higher risk for morbidity and mortality. As a result of the high prevalence of VRE, it was recommended that a cohort unit be established to control its spread within our metropolitan community hospital. We report the development of a rehabilitation VRE cohort unit. We present case studies of five patients who developed nosocomial colonization and one with an infection with VRE; all were treated on the rehabilitation cohort unit. Protocols for VRE isolation and procedures for decontamination in the cohort unit were developed. If a cohort unit is necessary, it is feasible to conduct a rehabilitation program in a cohort unit with strict adherence to contact isolation.

Citations

Feb 25, 1998·Archives of Physical Medicine and Rehabilitation·S Lloyd, T S Lundstrom
Feb 16, 2002·Journal of Clinical Nursing·Ann MitchellLisa Gilroy
Mar 10, 2001·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·J M MylotteS Goodnough
Oct 3, 2002·Clinical Orthopaedics and Related Research·Paul D HoltomMichael J Patzakis

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