Hostname: page-component-848d4c4894-v5vhk Total loading time: 0 Render date: 2024-06-20T22:11:20.017Z Has data issue: false hasContentIssue false
  • English
  • Français

Reality Check: Should We Try to Detect and Isolate Vancomycin-Resistant Enterococci Patients?

Published online by Cambridge University Press:  02 January 2015

Belinda Ostrowsky ,
James T. Steinberg ,
Barry Farr ,
Annette H. Sohn ,
Ronda L. Sinkowitz-Cochran  and
William R. Jarvis
Belinda Ostrowsky*
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia Epidemic Intelligence Service, Division of Applied Public Health Training, Epidemiology Program Office, Centers for Disease Control and Prevention, Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia
James T. Steinberg
Affiliation:
Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia
Barry Farr
Affiliation:
University of Virginia Health Science Center, Charlottesville, Virginia
Annette H. Sohn
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia Epidemic Intelligence Service, Division of Applied Public Health Training, Epidemiology Program Office, Centers for Disease Control and Prevention, Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia
Ronda L. Sinkowitz-Cochran
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia
William R. Jarvis
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia
*
Associate Hospital Epidemiologist/Assistant Professor Internal Medicine, Virginia Commonwealth University, Medical College of Virginia Campus, West Hospital, 1200 East Broad St, PO Box 980019, Richmond, VA 23298-0019
Get access Rights & Permissions [Opens in a new window]

Abstract

Antimicrobial resistance, including vancomycin resistance in enterococci (VRE), is a growing problem in healthcare facilities. This “Reality Check” session focused on the question of whether we should try to detect and isolate patients colonized or infected with VRE.

Type
From the 4th Decennial International Conference
Information
Infection Control & Hospital Epidemiology , Volume 22 , Issue 2 , February 2001 , pp. 116 - 119
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. National Nosocomial Infection Surveillance (NNIS) System report, data summary from January 1990-May 1999, issued June 1999. Am J Infect Control 1999;27:520–532.Google Scholar
2. Centers for Disease Control and Prevention. Recommendations for preventing the spread of vancomycin resistance. Recommendations of the Hospital Infection Control Practices Advisory Committee (HICPAC). MMWR 1995;44(RR-12):1–13.Google Scholar
3. Martone, W. Spread of vancomycin-resistant enterococci: why did it happen in the United States? Infect Control Hosp Epidemiol 1998;19:539–545.Google Scholar
4. Montecalvo, MA, de Lencastre, H, Carraher, M, Gedris, C, Chung, M, VanHorn, K, et al. Natural history of colonization with vancomycin-resistant Enterococcus faecium . Infect Control Hosp Epidemiol 1995;16:680–685.CrossRefGoogle ScholarPubMed
5. Boyce, JM, Opal, SM, Chow, JW, Zervos, MJ, Potter-Bynoe, G, Sherman, CB, et al. Outbreak of multi-drug resistant Enterococcus faecium with transferable vanB class vancomycin resistance. J Clin Microbiol 1994;32:1148–1153.Google Scholar
6. Lai, KK, Kelley, AL, Melvin, ZS, Belliveau, PP, Fontecchio, SA. Failure to eradicate vancomycin-resistant enterococci in a university hospital and the cost of barrier precautions. Infect Control Hosp Epidemiol 1998;19:647–652.CrossRefGoogle Scholar
7. Smith, TL, Pearson, ML, Wilcox, KR, Cruz, C, Lancaster, MV, Robinson-Dunn, B, et al. Emergence of vancomycin resistance in Staphylococcus aureus. Glycopeptide-Intermediate Staphylococcus aureus Working Group. N Engl J Med 1999;440:493–501.CrossRefGoogle Scholar
8. Slaughter, S, Hayden, MK, Nathan, C, Hu, TC, Rice, T, Van Voorhis, J, et al. A comparison of the effect of universal gloves and gowns with that of glove use alone on acquisition of vancomycin-resistant enterococci in a medical intensive care unit. Ann Intern Med 1996;125:448–456.CrossRefGoogle Scholar
9. Voss, A, Widmer, AF. No time for handwashing!? Handwashing versus alcoholic rub: can we afford 100% compliance? Infect Control Hosp Epidemiol 1997;18:205–208.CrossRefGoogle ScholarPubMed
10. Thompson, RL, Cabezudo, I, Wenzel, RP. Epidemiology of nosocomial infections caused by methicillin-resistant Staphylococcus aureus . Ann Intern Med 1982;97:309–317.Google Scholar
11. Jernigan, JA, Titus, MG, Groschel, DH, Getchell-White, S, Farr, BM. Effectiveness of contact isolation during a hospital outbreak of methicillin-resistant Staphylococcus aureus . Am J Epidemiol 1996;143:496–504.CrossRefGoogle ScholarPubMed
12. Edmond, MB, Ober, JF, Dawson, JD, Weinbaum, DL, Wenzel, RP. Vancomycin-resistant enterococcal bacteremia: natural history and attributable mortality. Clin Infect Dis 1996;6:1234–1239.Google Scholar
13. Morris, JG Jr Shay, DK, Hebden, JN, McCarter, RJ Jr Perdue, BE, Jarvis, W, et al. Enterococci resistant to multiple antimicrobial agents, including vancomycin. Establishment of endemicity in a university medical center. Ann Intern Med 1995;123:250–259.Google Scholar
14. de Lancastre, H, Brown, AE, Chung, M, Armstrong, D, Tomasz, A. Role of transposon Tn5482 in the epidemiology of vancomycin-resistant Enterococcus faecium in the pediatric oncology unit of a New York Hospital. Microb Drug Resist 1999;5:113–129.CrossRefGoogle Scholar
15. Nobel, WC, Virani, Z, Cree, RG. Co-transfer of vancomycin and other resistance genes from Enterococcus faecalis NCTC 12201 to Staphylococcus aureus . FEMS Microbiol Lett 1992;72:195–198.CrossRefGoogle Scholar
16. Calfee, DP, Giannetta, E, Durbin, LJ, Farr, BM. Control of vancomycin-resistant Enterococcus colonization among inpatients at a tertiary care facility. Fourth Decennial International Conference on Nosocomial and Healthcare-Associated Infections; March 2000; Atlanta, GA. Abstract P-T2-69.Google Scholar
17. Sagenkahn, E, Jones, M, Hess, S, Chavin, K, Silverberg, M, Steinhauser, M, et al. Can infection control and antibiotic restriction or manipulation reduce vancomycin-resistant Enterococcus rates among solid organ transplant patients? Infectious Disease Society of America; 1998; Denver CO. Abstract 597 (Fr).Google Scholar
18. Montecalvo, MA, Jarvis, WR, Uman, J, Shay, DK, Petrullo, C, Rodney, K, et al. Infection-control measures reduce transmission of vancomycin-resistant enterococci in an endemic setting. Ann Intern Med 1999;131:269–272.Google Scholar
19. Muto, C, Cage, E, Durbin, L, Simonton, B, Farr, B. Cost effectiveness of perirectal surveillance cultures for controlling vancomycin-resistant Enterococcus. Ninth Annual Scientific Meeting of the Society for Healthcare Epidemiology of America; April 1999; San Francisco, CA. Abstract 74.Google Scholar
20. Monnet, DL. Antimicrobial resistance in Europe. Global Consensus Conference on Infection Control Issues Related to Antimicrobial Resistance; March 19-21, 1999; Toronto, Ontario, Canada. Washington, DC: Association for Professionals in Infection Control and Epidemiology; 2000. http://www.icna.co.uk/Files%20for%20download/proceedings.pdf.Google Scholar
21. Trick, WE, Kuehnert, MJ, Quirk, SB, Arduino, MJ, Aguero, SM, Carson, LA, et al. Regional dissemination of vancomycin-resistant enterococci resulting from interfacility transfer of colonized patients. J Infect Dis 1999;180:391–396.CrossRefGoogle ScholarPubMed
22. Sohn, A, Ostrowsky, B, Holt, S, Quirk, S, Carson, L, Hill, B, et al. Control of vancomycin-resistant Enterococcus in the Siouxland District Health Department working together as a healthcare facility community. Fourth Decennial International Conference on Nosocomial and Healthcare-Associated Infections; March 2000; Atlanta, GA. Abstract S-Th-04.Google Scholar
23. Jochimsen, EM, Fish, L, Manning, K, Young, S, Singer, DA, Baker, R, et al. Control of vancomycin-resistant enterococci at a community hospital: efficacy of patient and staff cohorting. Infect Control Hosp Epidemiol 1999;20:106–109.CrossRefGoogle Scholar