Successful control of vancomycin-resitant enterococci outbreak in a hematology unit
نویسندگان
چکیده
Methods VRE was detected in clinical specimen by standard procedures from 3 different patients on a hematology unit. At that time, an infection control program was implemented. It included VRE screening in stool and rectal samples from all patients hospitalized in the epidemic ward and carriage screening to detect unknown colonized patients (at hospital admission, weekly and at discharge). Other infection control measures included: contact isolation of VRE carriers, daily cleaning and disinfection of the patient rooms and daily bathing of the VRE positive patients with antimicrobial washcloths. Cohorting of patients or staff was impossible due to full capacity of the hospital.
منابع مشابه
The effect of an antibiotic policy on the control of vancomycin-resistant enterococci outbreak and on the resistance patterns of bacteria isolated from the blood of patients in a hematology unit.
INTRODUCTION Antibiotic resistance has become one of the main medical problems worldwide. This is mainly due to an overuse and misuse of antibiotics. OBJECTIVES The aim of the study was to assess the effect of an antibiotic policy and enhanced infection control on the occurrence of epidemic strains of vancomycin-resistant enterococci (VRE) and resistance patterns of bacteria isolated from the...
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Infection control practices are not uniformly successful in limiting outbreaks of vancomycin-resistant enterococci (VRE). Despite the implementation of barrier precautions for VRE-infected patients, nearly one-half of the inpatients at our center were found to have gastrointestinal colonization by VRE. In an attempt to control the outbreak, we altered the antibiotic formulary by restricting the...
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Background Vancomycin-resistance in Enterococcus faecium (VRE) poses a major threat in health care settings. It is well known that patients in hematology and oncology departments are especially at risk of nosocomial VRE acquisition. This systematic review of the literature provides data on the main sources, transmission modes and potential risk factors for VRE acquisition as well as appropriate...
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Vancomycin-resistant enterococci (VRE) have emerged in many parts of the world, but have only been reported sporadically in Hong Kong. We report an outbreak of vancomycin-resistant Enterococcus faecium (VREfm) in a neurosurgical unit at a tertiary teaching hospital between 3 March and 3 April 2009 in Hong Kong. During the outbreak investigation, clinical samples from 193 (91.5%) of 211 patients...
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