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Near-patient environmental contamination of an intensive care unit with Vancomycin-resistant Enterococci (VRE) and Extended-Spectrum Beta-Lactamase–Producing Enterobacteriaceae (ESBL-E) before and after the introduction of chlorhexidine bathing for patients

  • Hélène McDermott (a1), Mairead Skally (a2), James O’Rourke (a3), Hilary Humphreys (a1) (a2) and Deirdre Fitzgerald-Hughes (a1)...

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Corresponding author

Author for correspondence: Dr Deirdre Fitzgerald-Hughes, Department of Clinical Microbiology, RCSI Education and Research Centre, Smurfit Building, Beaumont Hospital, Dublin 9, Ireland. E-mail: dfitzgeraldhughes@rcsi.ie

References

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1. Mitchell, BG, Dancer, SJ, Anderson, M, Dehn, E. Risk of organism acquisition from prior room occupants: a systematic review and meta-analysis. J Hosp Infect 2015;91:211217.
2. Climo, MW, Sepkowitz, KA, Zuccotti, G, et al. The effect of daily bathing with chlorhexidine on the acquisition of methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, and healthcare-associated bloodstream infections: results of a quasi-experimental multicenter trial. Crit Care Med 2009;37:18581865.
3. Dancer, SJ. The role of environmental cleaning in the control of hospital-acquired infection. J Hosp Infect 2009;73:378385.
4. McDermott, H, Skally, M, O’Rourke, J, Humphreys, H, Fitzgerald-Hughes, D. Vancomycin-resistant Enterococci (VRE) in the intensive care unit in a nonoutbreak setting: identification of potential reservoirs and epidemiological associations between patient and environmental VRE. Infect Control Hosp Epidemiol 2018;39:4045.
5. Borg, MA, Waisfisz, B, Frank, U. Quantitative assessment of organizational culture within hospitals and its relevance to infection prevention and control strategies. J Hosp Infect 2015;90:7577.
6. Humphreys, H. Controlling the spread of vancomycin-resistant Enterococci. Is active screening worthwhile? J Hosp Infect 2014;88:191198.
7. The Irish meterological service. MetEireann website. http://www.met.ie/climate. Accessed May 30, 2018.
8. Antimicrobial resistance surveillance in Europe 2015. Annual report of the European Antimicrobial Resistance Surveillance Network (EARS-Net). European Centre for Disease Prevention and Control website. https://ecdc.europa.eu/en/publications-data/antimicrobial-resistance-surveillance-europe-2015. Published 2016. Accessed May 30, 2018.

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