Epidemiology of colonisation of patients and environment with vancomycin-resistant enterococci

Lancet
M J BontenRobert A Weinstein

Abstract

Vancomycin-resistant enterococci (VRE) have emerged as nosocomial pathogens during the past 5 years, but little is known about the epidemiology of VRE. We investigated colonisation of patients and environmental contamination with VRE in an endemic setting to assess the importance of different sources of colonisation. Between April 12, and May 29, 1995, cultures from body sites (rectum, groin, arm, oropharynx, trachea, and stomach) and from environmental surfaces (bedrails, drawsheet, blood-pressure cuff, urine containers, and enteral feed) were obtained daily from all newly admitted ventilated patients in our medical intensive-care unit (MICU). Rectal cultures were obtained from all non-ventilated patients in the MICU. Strain types of VRE were determined by pulsed-field gel electrophoresis. There were 97 admissions of 92 patients, of whom 38 required mechanical ventilation. Colonisation with VRE on admission was more common in ventilated than in non-ventilated patients (nine [24%] vs three [6%], p < 0.05). Of the nine ventilated patients colonised with VRE on admission, one acquired a new strain of VRE in the MICU. Of the 29 ventilated patients who were not colonised with VRE on admission, 12 (41%) acquired VRE in the MICU. The...Continue Reading

References

Jan 2, 1988·Lancet·A H UttleyR C George
May 1, 1987·Annals of Internal Medicine·M J ZervosD R Schaberg
May 1, 1995·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M B EdmondR P Wenzel
Oct 1, 1993·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·R V Goering
Jun 1, 1993·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·S HandwergerB Walters
Oct 1, 1995·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·G A NoskinL R Peterson
Feb 1, 1997·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·F Benaoudia, E Bingen
Apr 28, 2009·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·M LópezR del Campo

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Citations

Mar 23, 2010·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·E-B Kruse, M Dettenkofer
Dec 25, 2003·Burns : Journal of the International Society for Burn Injuries·Mirjam Kooistra-SmidHenri Verbrugh
Jul 18, 2000·The Surgical Clinics of North America·R L Reed
Nov 5, 2003·International Journal of Food Microbiology·Ingo KlareWolfgang Witte
Aug 15, 1998·International Journal of Food Microbiology·W H HolzapfelJ H Huis in't Veld
Jun 19, 2002·FEMS Microbiology Reviews·Giorgio Giraffa
May 28, 2003·The Journal of Hospital Infection·D TalonX Bertrand
Aug 16, 2003·The Journal of Hospital Infection·S HarbarthP Gastmeier
Jul 11, 2002·Diagnostic Microbiology and Infectious Disease·Nila SuntharamGary A Noskin
Mar 7, 2002·Microbes and Infection·Brett D Shepard, Michael S Gilmore
May 11, 2001·The New England Journal of Medicine·B E OstrowskyW R Jarvis
Jan 5, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J W ChienR A Salata
Dec 12, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·E M D'AgataW Schaffner
Oct 26, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M K Hayden
Jun 22, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·L A PuzniakL M Mundy
Jul 20, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·K E MondyL M Mundy
Jul 20, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·E M D'AgataY W Tang
Jan 18, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Marnie L ElizagaMary K Hayden
Nov 1, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Aimee K ZaasTrish M Perl
Jul 29, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·David P CalfeeBarry M Farr
Sep 18, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Connie S PriceLance R Peterson
Oct 9, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Evelina TacconelliErika M C D'Agata
Oct 16, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Bala Hota
Jun 29, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Emilian Armeanu, Marc J M Bonten
Feb 16, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·E M MasciniM J M Bonten
Jan 14, 2003·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·O E HeuerJ E Olsen
Nov 25, 2003·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·L S ChaversK B Waites
Aug 4, 1999·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·H de LencastreA Tomasz
May 10, 2012·Surgical Infections·Simon D EirefWilliam Riley
Jan 6, 1999·Critical Care Medicine·M J BontenR A Weinstein
Oct 11, 2005·Critical Care Medicine·Cassandra D SalgadoBarry M Farr
Jun 12, 1999·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·D J Austin, R M Anderson
May 4, 1999·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·A RønnestadP H Finne
May 23, 2002·Antimicrobial Agents and Chemotherapy·Stephan HarbarthYehuda Carmeli
Jan 27, 2004·Antimicrobial Agents and Chemotherapy·Stein Christian MohnNina Langeland
Jul 19, 2006·Clinical Microbiology Reviews·Aparajita SinghMarcus J Zervos
Oct 12, 2000·Clinical Microbiology Reviews·L M MundyM Gilmore
Oct 9, 2007·Journal of Bacteriology·Maria Florencia Del PapaMarta Perego

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