Guidelines for the control of glycopeptide-resistant enterococci in hospitals

被引：34

作者：

Cookson, BD

Macrae, MB

Barrett, SP

Brown, DFJ

Chadwick, C

French, GL

Hateley, P

Hosein, IK

Wade, JJ

机构：

[1] Hlth Protect Agcy, Specialist & Reference Microbiol Div, Lab Healthcare Associated Infect, London, England

[2] UCL, NHS Trust, Dept Clin Microbiol, London, England

[3] Charing Cross Hosp, Dept Med Microbiol, London, England

[4] Addenbrookes Hosp, Clin Microbiol & Publ Hlth Lab, Cambridge, England

[5] Christie Hosp NHS Trust, Manchester M20 4BX, Lancs, England

[6] St Thomas Hosp, Kings & St Thomas Sch Med, Dept Infect, London, England

[7] St Bartholomews Hosp, Pathol & Patient Serv, London, England

[8] Cardiff & Vale NHS Trust, Dept Infect Prevent & Control, Cardiff, Wales

[9] Kings Coll Hosp London, Hlth Protect Agcy London, London, England

来源：

JOURNAL OF HOSPITAL INFECTION | 2006年 / 62卷 / 01期

关键词：

glycopeptide-resistant enterococci; GRE; hospital infection; infection control; guidelines;

D O I：

10.1016/j.jhin.2005.02.016

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The increase since the mid 1980s in glycopepetide resistant enterococci (GRE) raised concerns about the limited options for antimicrobial therapy, the implications for ever-increasing numbers of immunocompromised hospitalised patients, and fuelled fears, now realised, for the transfer of gtycopeptide resistance to more pathogenic bacteria, such as Staphylococcus aureus. These issues underlined the need for guidelines for the emergence and control of GRE in the hospital setting. This Hospital Infection Society (HIS) and Infection Control Nurses Association (ICNA) working party report reviews the literature relating to GRE prevention and control. It provides guidance on microbiological. investigation, treatment and management, including antimicrobial prescribing and infection control. measures. Evidence identified to support recommendations has been categorized. A risk assessment approach is recommended and areas for research and development identified. (c) 2005 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：6 / 21

页数：16

共 135 条

[1] Effect of abolishment of the use of antimicrobial agents for growth promotion on occurrence of antimicrobial resistance in fecal enterococci from food animals in Denmark [J].