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A Pseudo-Outbreak of Vancomycin-Resistant Enterococcus faecium

Published online by Cambridge University Press:  02 January 2015

Renato Satovschi Grinbaum*
Affiliation:
Hospital Infection Program, Hospital do Servidor Público Estadual de Sāo Paulo (HSPE), Sāo Paulo, Brazil
Thaís Guimarães
Affiliation:
Hospital Infection Program, Hospital do Servidor Público Estadual de Sāo Paulo (HSPE), Sāo Paulo, Brazil
Elisa Kusano
Affiliation:
Microbiology Laboratory, Hospital do Servidor Público Estadual de Sāo Paulo (HSPE), Sāo Paulo, Brazil
Nair Hosino
Affiliation:
Microbiology Laboratory, Hospital do Servidor Público Estadual de Sāo Paulo (HSPE), Sāo Paulo, Brazil
Helio Sader
Affiliation:
Special Clinical Microbiology Laboratory (LEMC), Infectious Diseases Division, Federal University of Sāo Paulo, Sāo Paulo, Brazil
Rosangela Ferraz Cereda
Affiliation:
Special Clinical Microbiology Laboratory (LEMC), Infectious Diseases Division, Federal University of Sāo Paulo, Sāo Paulo, Brazil
*
Rua Pedro de Toledo 1800 15. Andar, 04039-000 Sāo Paulo, SP – Brazil

Abstract

Five VRE isolates were reported from sterile samples. No infections were diagnosed among the patients, who were on different wards. PFGE showed that all five isolates were clonal. All samples were manipulated by the same worker, but the source could not be found. Contamination was probably related to manipulation of a source specimen in the laboratory.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2003

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References

1.Murray, BE. Vancomycin-resistant enterococci. Am J Med 1997;102:284293.CrossRefGoogle ScholarPubMed
2.Wade, JJ, Uttley, AH. Resistant enterococci: mechanisms, laboratory detection and control in hospitals. J Clin Pathol 1996;49:700703.CrossRefGoogle ScholarPubMed
3.Bonten, MJ, Hayden, MK, Nathan, C, et al.Epidemiology of colonisation of patients and environment with vancomycin-resistant enterococci. Lancet 1996;348:16151619.Google Scholar
4.McDonald, LC, Kuehnert, MJ, Tenover, FC, Jarvis, WR. Vancomycin-resistant enterococci outside the health-care setting: prevalence, sources, and public health implications. Emerg Infect Dis 1997;3:311317.CrossRefGoogle ScholarPubMed
5.de Vera, ME, Simmons, RL. Antibiotic-resistant enterococci and the changing face of surgical infections. Arch Surg 1996;131:338342.Google Scholar
6.Sahm, DF, Free, L, Smith, C, Eveland, M, Mundy, LM. Rapid characterization schemes for surveillance isolates of vancomycin-resistant enterococci. J Clin Microbiol 1997;35:20262030.Google Scholar
7.Pfaller, MA, Wendt, C, Hollis, RJ, et al.Comparative evaluation of an automated ribotyping system versus pulsed-field gel electrophoresis for epidemiological typing of clinical isolates of Escherichia coli and Pseudomonas aeruginosa from patients with recurrent gram-negative bacteremia. Diagn Microbiol Infect Dis 1996;25:18.CrossRefGoogle ScholarPubMed
8.Schiappacasse, RH, Ritter, S, Schleis, C, Backman, C, Pierzchala, J. Contaminated collection media as a cause of pseudoinfection. Infect Control Hosp Epidemiol 1994;15:760762.Google Scholar
9.Morris, T, Brecher, SM, Fitzsimmons, D, Durbin, A, Arbeit, RD, Maslow, JN. A pseudoepidemic due to laboratory contamination deciphered by molecular analysis. Infect Control Hosp Epidemiol 1995;16:8287.Google Scholar
10.Hsueh, PR, Teng, LJ, Yang, PC, Pan, HL, Ho, SW, Lüh, KT. Nosocomial pseudoepidemic caused by Bacillus cereus traced to contaminated ethyl alcohol from a liquor factory. J Clin Microbiol 1999;37:22802284.Google Scholar
11.Hopfer, RL, Katz, RL, Fainstein, V. Pseudooutbreak of cryptococcal meningitis. J Clin Microbiol 1982;15:11411143.CrossRefGoogle ScholarPubMed
12.Laurel, VL, Meier, PA, Asterga, A, Dolan, D, Brockett, R, Rinaldi, MG. Pseudoepidemic of Aspergillus niger infections traced to specimen contamination in the microbiology laboratory. J Clin Microbiol 1999;37:16121616.Google Scholar
13.Granowitz, EV, Keenholtz, SL. A pseudoepidemic of Alcaligenes xylosoxi-dans attributable to contaminated saline. Am J Infect Control 1998;26:146148.CrossRefGoogle ScholarPubMed
14.Finkelstein, R, Kassis, E, Lapidot-Farkash, A, et al.Mechanism of cross-contamination of blood culture bottles in a pseudoepidemic of Enterobacter cloacae bacteremia. Clin Infect Dis 1998;27:1335.Google Scholar
15.Campagnaro, RL, Teichtahl, H, Dwyer, B. A pseudoepidemic of Mycobacterium chelonae: contamination of a bronchoscope and auto-cleaner. Aust NZJ Med 1994;24:693695.Google Scholar
16.Grigis, A, Farina, C, Symoens, F, Nolard, N, Goglio, A. Nosocomial pseudo-outbreak of Fusarium verticilloides associated with sterile plastic containers. Infect Control Hosp Epidemiol 2000;21:5052.CrossRefGoogle Scholar
17.Stine, TM, Harris, AA, Levin, S, Rivera, N, Kaplan, RL. A pseudoepidemic due to atypical mycobacteria in a hospital water supply. JAMA 1987;258:809811.CrossRefGoogle Scholar
18.Wang, HC, Liaw, YS, Yang, PC, Kuo, SH, Luh, KT. A pseudoepidemic of Mycobacterium chelonae infection caused by contamination of a fibreoptic bronchoscope suction channel. Eur Respir J 1995;8:12591262.Google Scholar
19.Yagupsky, P, Dagan, R, Chipman, M, Goldschmied-Reouven, AZmora, E, Karplus, M. Pseudooutbreak of Candida guilliermondii fungemia in a neonatal intensive care unit. Pediatr Infect Dis J 1991;10:928932.Google Scholar
20.Faden, H, Britt, M, Epstein, B. Sinus contamination with Pseudomonas paucimobilis: a pseudoepidemic due to contaminated irrigation fluid. Infect Control 1981;2:233235.Google Scholar
21.Aber, RC, Appelbaum, PC. Pseudoepidemic of endocarditis in patients undergoing open heart surgery. Infect Control 1980;1:9799.Google Scholar
22.Mitchell, DH, Hicks, LJ, Chiew, R, Montanaro, JC, Chen, SC. Pseudoepidemic of Legionella pneumophila serogroup 6 associated with contaminated bronchoscopes. J Hosp Infect 1997;37:1923.Google Scholar
23.Gubler, JG, Salfinger, M, von Graevenitz, APseudoepidemic of nontu-berculous mycobacteria due to a contaminated bronchoscope cleaning machine: report of an outbreak and review of the literature. Chest 1992;101:12451249.CrossRefGoogle ScholarPubMed
24.Mehta, JB, Kefri, M, Soike, DR. Pseudoepidemic of nontuberculous mycobacteria in a community hospital. Infect Control Hosp Epidemiol 1995;16:633634.Google Scholar
25.Morrell, RM Jr, Wasilauskas, BL. Tracking laboratory contamination by using a Bacillus cereus pseudoepidemic as an example. J Clin Microbiol 1992;30:14691473.Google Scholar