Artículos de revistas
Outbreak of vancomycin-resistant enterococci in a tertiary hospital: The lack of effect of measures directed mainly by surveillance cultures and differences in response between Enterococcus faecium and Enterococcus faecalis
Fecha
2010Registro en:
AMERICAN JOURNAL OF INFECTION CONTROL, v.38, n.5, p.406-409, 2010
0196-6553
10.1016/j.ajic.2009.08.010
Autor
PEREIRA, Graziella H.
MULLER, Patricia R.
ZANELLA, Rosemeire C.
LIMA, Marisa de Jesus Castro
TORCHIO, Dionisio Setaro
LEVIN, Anna S.
Institución
Resumen
To describe the effect of active surveillance to control vancomycin-resistant enterococci (VRE) after an outbreak, 549 surveillance rectal cultures were performed in 308 patients (35% positive). An educational intervention to prevent transmission was implemented. Infection and colonization by VR-Enterococcus faecalis decreased, but Enterococcus faecium persisted despite control measures. Infections by VR-E faecalis fell to zero in 2008. We observed difficulties in controlling colonization with measures directed mainly by surveillance cultures and differences between responses of E faecium and E faecalis.