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Vancomycin-Resistant Enterococci in Long-Term Care Facilities

Published online by Cambridge University Press:  02 January 2015

Shmuel Benenson ,
Matan J. Cohen ,
Colin Block ,
Sagit Stern ,
Yuval Weiss ,
Allon E. Moses  and
JIRMI Group
Shmuel Benenson*
Affiliation:
Department of Clinical Microbiology and Infectious Diseases, Jerusalem, Israel
Matan J. Cohen
Affiliation:
Center for Quality and Safety, Jerusalem, Israel
Colin Block
Affiliation:
Department of Clinical Microbiology and Infectious Diseases, Jerusalem, Israel
Sagit Stern
Affiliation:
Hadassah-Hebrew University, Jerusalem, Israel
Yuval Weiss
Affiliation:
Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Allon E. Moses
Affiliation:
Department of Clinical Microbiology and Infectious Diseases, Jerusalem, Israel
*
Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, POB 12000, Jerusalem 91120, Israel( [email protected])
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Abstract

Knowledge of the prevalence rates and associated risk markers of vancomycin-resistant enterococci (VRE) colonization among long-term care facility (LTCF) residents could be used to improve screening policies among newly admitted hospital inpatients. In a cross-sectional survey among 1,215 residents of LTCFs in Jerusalem, the VRE carriage rate was 9.6%. Previous hospitalization and antibiotic treatment were associated with elevated VRE colonization rate. In contrast, moderate and severe levels of dependency and prolonged stay, in an LTCF were associated with a decrease in the VRE colonization rate.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 8 , August 2009 , pp. 786 - 789
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.Elizaga, ML, Weinstein, RA, Hayden, MK. Patients in long-term care facilities: a reservoir for vancomycin-resistant enterococci. Clin Infect Dis 2002;34:441–446.Google Scholar
2.Mahoney, FI, Barthel, DW. Functional evaluation: the Barthel index. Md State Med J 1965;14:61–65.Google ScholarPubMed
3.Isenberg, HD, ed. Clinical microbiology procedures handbook. 2nd ed. Washington, DC: ASM Press; 2004.Google Scholar
4.Dan, M, Poch, F, Leibson, L, Smetana, S, Priel, I. Rectal colonization with vancomycin-resistant enterococci among high-risk patients in an Israeli hospital. J Hosp Infect 1999;43:231–238.Google Scholar
5.Cohen, MJ, Anshelevich, O, Raveh, D, Broide, E, Rudensky, B, Yinnon, AM. Acquisition of multidrug-resistant organisms among hospital patients hospitalized in beds adjacent to critically ill patients. Infect Control Hosp Epidemiol 2006;27:675–681.Google Scholar
6.Foster, KR, Grundmann, H. Do we need to put society first? the potential for tragedy in antimicrobial resistance. PLoS Med 2006;3:e29.CrossRefGoogle ScholarPubMed
7.Harbarth, S, Cosgrove, S, Carmeli, Y. Effects of antibiotics on nosocomial epidemiology of vancomycin-resistant enterococci. Antimicrob Agents Chemother 2002;46:1619–1628.Google Scholar
8.Brennen, C, Wagener, MM, Müder, RR. Vancomycin-resistant Enterococcus faecium in a long-term care facility. J Am Geriatr Soc 1998;46:157–160.Google Scholar
9.Silverblatt, FJ, Tibert, C, Mikolich, D, et al.Preventing the spread of vancomycin-resistant enterococci in a long-term care facility. J Am Geriatr Soc 2000;48:1211–1215.Google Scholar
10.Mascini, EM, Bonten, MJ. Vancomycin-resistant enterococci: consequences for therapy and infection control. Clin Microbiol Infect 2005; 11(Suppl 4): 43–56.CrossRefGoogle ScholarPubMed