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Environmental Contamination With Vancomycin-Resistant Enterococci in an Outpatient Setting

Published online by Cambridge University Press:  02 January 2015

Theresa L. Smith
Affiliation:
Departments of Internal Medicine, Pathology and Microbiology, and Hospital Infection Control Program, University of Nebraska Medical Center, Omaha, Nebraska
Peter C. Iwen
Affiliation:
Departments of Internal Medicine, Pathology and Microbiology, and Hospital Infection Control Program, University of Nebraska Medical Center, Omaha, Nebraska
Susan B. Olson
Affiliation:
Departments of Internal Medicine, Pathology and Microbiology, and Hospital Infection Control Program, University of Nebraska Medical Center, Omaha, Nebraska
Mark E. Rupp
Affiliation:
Departments of Internal Medicine, Pathology and Microbiology, and Hospital Infection Control Program, University of Nebraska Medical Center, Omaha, Nebraska

Abstract

Eleven cancer patients colonized with vancomycin-resistant enterococci (VRE) were followed as outpatients. Environmental cultures were obtained from clinic rooms before and after patient care. Environmental contamination occurred in 29% of encounters. Superficial disinfection did not eradicate contamination, although more thorough cleaning did. We conclude that environmental VRE contamination occurs in the outpatient setting. Infection control practices, similar to those used in the inpatient setting, may be necessary for outpatient clinics

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1998

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References

1. Centers for Disease Control and Prevention. Nosocomial ente-rococci resistant to vancomycin_United States, 1989-1993. MMWR 1993;24:597599.Google Scholar
2. Livornese, LL Jr, Dias, S, Samel, C, Romanowski, B, Taylor, S, May, P, et al. Hospital-acquired infection with vancomycin-resis-tant Enterococcus faecium transmitted by electronic thermome ters. Ann Intern Med 1992;117:112116.Google Scholar
3. Dominguez, EA, Davis, JC, Langnas, AN, Winfield, B, Cavalieri, SJ, Rupp, ME. An outbreak of vancomycin-resistant Enterococcus faecium in liver transplant recipients. Liver Transplantation and Surgery 1997;3:586590.CrossRefGoogle ScholarPubMed
4. Centers for Disease Control and Prevention. Recommendations for preventing the spread of vancomycin resistance. Recommendations of the Hospital Infection Control Practices Advisory Committee. MMWR 1995;44:113.Google Scholar
5. Iwen, PC, Rader, AE, Kelly, D, Davis, JC, Rupp, ME, Dominguez, EA, Linder, J. Selective media for surveillance of vancomycin-resistant Enterococcus . Am J Clin Pathol 1994;120:550.Google Scholar
6. Iwen, PC, Kelly, DM, Linder, J, Hinrichs, SH. Revised approach for identification and detection of ampicillin and vancomycin resistance in Enterococcus species by using Micro Scan panels. J Clin Microbiol 1996;34:17791783.Google Scholar
7. Murray, BE, Singh, KV, Heath, JD, Sharma, BR, Weinstock, GM. Comparison of genomic DNAs of different enterococcal isolates using restriction endonucleases with infrequent recognition sites. J Clin Microbiol 1990;28:20592063.CrossRefGoogle ScholarPubMed