Hostname: page-component-8448b6f56d-t5pn6 Total loading time: 0 Render date: 2024-04-18T11:33:12.390Z Has data issue: false hasContentIssue false

Targeted Surveillance to Identify Children Colonized with Vancomycin-Resistant Enterococcus in the Pediatric Intensive Care Unit

Published online by Cambridge University Press:  02 January 2015

Aaron M. Milstone*
Affiliation:
Department of Pediatrics, Division of Pediatric Infectious Diseases, Baltimore, Maryland Johns Hopkins University School of Medicine, and the Department of Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland
Lisa L. Maragakis
Affiliation:
the Department of Medicine, Division of Infectious Diseases, Baltimore, Maryland Johns Hopkins University School of Medicine, and the Department of Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland
Karen C. Carroll
Affiliation:
the Department of Medicine, Division of Infectious Diseases, Baltimore, Maryland and the Department of Pathology, Division of Medical Microbiology, Baltimore, Maryland
Trish M. Perl
Affiliation:
the Department of Medicine, Division of Infectious Diseases, Baltimore, Maryland Johns Hopkins University School of Medicine, and the Department of Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland
*
Departments of Pediatric Infectious Diseases and of Hospital Epidemiology and Infection Control, John Hopkins School of Medicine, 200 North Wolfe Street, Rub-enstein 3141, Baltimore, MD 21287 (amilstol@jhmi.edu)

Extract

Performing admission surveillance cultures is a resource-intensive strategy to identify asymptomatic patients with vancomycin-resistant Enterococcus (VRE) colonization. We measured VRE prevalence among children admitted to the pediatric intensive care unit. Targeted surveillance captured 94% of VRE-colonized children and may be an effective strategy to identify VRE carriers and facilitate pediatric infection prevention strategies.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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.Carmeli, Y, Eliopoulos, G, Mozaffari, E, Samore, M. Health and economic outcomes of vancomycin-resistant enterococci. Arch Intern Med 2002;162:22232228.CrossRefGoogle ScholarPubMed
2.Hidron, AI, Edwards, JR, Patel, J, et al. NHSN annual update: antimicrobial-resistant pathogens associated with healthcare-associated infections: annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006-2007. Infect Control Hosp Epidemiol 2008;29:9961011.CrossRefGoogle Scholar
3.Goetz, AM, Rihs, JD, Wagener, MM, Müder, RR. Infection and colonization with vancomycin-resistant Enterococcus faecium in at acute care Veterans Affairs medical center: a 2-year survey. Am J Infect Control 1998;26:558562.CrossRefGoogle Scholar
4.Horan, TC, Andrus, M, Dudeck, MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008;36:309332.CrossRefGoogle ScholarPubMed
5.Cohen, AL, Calfee, D, Fridkin, SK, et al. Recommendations for metrics for multidrug-resistant organisms in healthcare settings: SHEA/HICPAC position paper. Infect Control Hosp Epidemiol 2008;29:901913.Google Scholar
6.Huang, SS, Rifas-Shiman, SL, Pottinger, JM, et al. Improving the assessment of vancomycin-resistant enterococci by routine screening. J Infect Dis 2007;195:339346.Google Scholar
7.Calfee, DP, Giannetta, ET, Durbin, LJ, Germanson, TP, Farr, BM. Control of endemic vancomycin-resistant Enterococcus among inpatients at a university hospital. Clin Infect Dis 2003;37:326332.Google Scholar
8.Gray, JW, George, RH. Experience of vancomycin-resistant enterococci in a children's hospital. J Hosp Infect 2000;45:1118.Google Scholar
9.Siegel, JD, Krisher, KK, Levine, GL, et al. Prevalence of antimicrobial resistant bacteria in pediatric prevention networks intensive care units. In: Program and abstracts of the 39th Annual Meeting of the Infectious Diseases Society of America; 2001. San Francisco, CA. Abstract 311.Google Scholar
10.Milstone, AM, Song, X, Beers, C, Berkowitz, I, Carroll, KC, Perl, TM. Unrecognized burden of methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus carriage in the pediatric intensive care unit. Infect Control Hosp Epidemiol 2008;29:11741176.Google Scholar
11.Furano, JP, McGregor, JC, Harris, AD, et al. Identifying groups at high risk for carriage of antibiotic-resistant bacteria. Arch Intern Med 2006;166:580585.Google Scholar