Risk of environmental and healthcare worker contamination with vancomycin-resistant enterococci during outpatient procedures and hemodialysis

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
E A GrabschM Lindsay Grayson

Abstract

To assess the risk of environmental and healthcare worker (HCW) contamination with vancomycin-resistant enterococci (VRE) during outpatient procedures performed on fecally continent patients currently colonized with VRE (cVRE) or previously colonized with VRE (pVRE). Observational study. Outpatient consultation and radiology rooms and the hemodialysis unit in a university teaching hospital. Fecally continent cVRE and pVRE patients. Both cVRE and pVRE patients attended standardized mock outpatient consultations and routine hemodialysis sessions in an area that had been thoroughly cleaned and microbiologically confirmed to be free of VRE contamination. After each session, the patient, environment, and participating HCW were tested for VRE contamination. Fourteen cVRE patients participated in 49 mock outpatient consultation sessions and radiology sessions or 26 actual hemodialysis sessions, and 7 pVRE patients participated in 28 outpatient consultation sessions. Sessions with cVRE patients had higher rates of contamination of the environment (chair cultures were positive for VRE in 36% of outpatient consultation sessions, 58% of hemodialysis sessions; couch cultures were positive in 48% of outpatient consultation sessions, 42% of ...Continue Reading

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Citations

Feb 3, 2009·La Radiologia medica·C BibbolinoV Puro
Jan 1, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M Lindsay GraysonChristopher Birch
Jan 14, 2012·Current Opinion in Nephrology and Hypertension·Graham M Snyder, Erika M C D'Agata
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