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Undetected Vancomycin-Resistant Enterococcus in Surgical Intensive Care Unit Patients

  • Richard A. Zuckerman (a1), Lynn Steele (a1), Richard A. Venezia (a1) and Ellis H. Tobin (a1)

Abstract

The rates of vancomycin-resistant Enterococcus (VRE) in a high-risk population were investigated prospectively using an active surveillance method. The costs of conducting active surveillance were calculated. Among the 10 patients found to have VRE, routine cultures identified 3 (30%); thus, 70% of the VRE-colonized patients would have gone undetected in the absence of active surveillance. The total cost for 5 weeks of active surveillance was $2,234. Although active surveillance identified a high rate of VRE-colonized patients who otherwise may not have been identified, it remains to be determined if the additional costs are justified and result in reduced transmission.

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Corresponding author

Division of Infectious Diseases, Albany Medical College, 47 New Scotland Ave, Albany, NY 12208

References

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