Management of an outbreak of vancomycin-resistant enterococci in the medical intensive care unit of a cancer center

被引:28
作者
Hanna, H [1 ]
Umphrey, J [1 ]
Tarrand, J [1 ]
Mendoza, M [1 ]
Raad, I [1 ]
机构
[1] Univ Texas, MD Anderson Canc Ctr, Dept Internal Med Specialties, Sect Infect Control, Houston, TX 77030 USA
关键词
D O I
10.1086/501892
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
Between November 1996 and February 1997, 17 episodes of vancomycin-resistant enterococci (VRE) infection or colonization (9 infections, 8 colonizations), all with the same or a similar genomic DNA pattern, were identified in the medical intensive care unit (MICU) of a tertiary-care cancer hospital. The cases were genotypically traced to a patient who was admitted to the hospital in September 1996 and who, by December 1996, had four different admissions to the MICU. Multifaceted infection control measures, including decontamination of the environment and of nondisposable equipment, halted the nosocomial transmission of VRE in the MICU.
引用
收藏
页码:217 / 219
页数:3
相关论文
共 13 条
[1]
[Anonymous], 1995, INFECT CONT HOSP EP, V16, P105
[2]
Vancomycin-resistant enterococci in intensive-care hospital settings: Transmission dynamics, persistence, and the impact of infection control programs [J].
Austin, DJ ;
Bonten, MJM ;
Weinstein, RA ;
Slaughter, S ;
Anderson, RM .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1999, 96 (12) :6908-6913
[3]
Centers for Disease Control and Prevention (CDC), 1993, MMWR Morb Mortal Wkly Rep, V42, P597
[4]
Facklam Richard R., 1995, P308
[5]
Moellering RC, 1998, CLIN INFECT DIS, V26, P1196, DOI 10.1086/520283
[6]
Infection-control measures reduce transmission of vancomycin-resistant enterococci in an endemic setting [J].
Montecalvo, MA ;
Jarvis, WR ;
Uman, J ;
Shay, DK ;
Petrullo, C ;
Rodney, K ;
Gedris, C ;
Horowitz, HW ;
Wormser, GP .
ANNALS OF INTERNAL MEDICINE, 1999, 131 (04) :269-272
[7]
COMPARISON OF GENOMIC DNAS OF DIFFERENT ENTEROCOCCAL ISOLATES USING RESTRICTION ENDONUCLEASES WITH INFREQUENT RECOGNITION SITES [J].
MURRAY, BE ;
SINGH, KV ;
HEATH, JD ;
SHARMA, BR ;
WEINSTOCK, GM .
JOURNAL OF CLINICAL MICROBIOLOGY, 1990, 28 (09) :2059-2063
[8]
Drug therapy: Vancomycin-resistant enterococcal infections. [J].
Murray, BE .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (10) :710-721
[9]
Vancomycin-resistant enterococci in intensive care units - High frequency of stool carriage during a non-outbreak period [J].
Ostrowsky, BE ;
Venkataraman, L ;
D'Agata, EMC ;
Gold, HS ;
DeGirolami, PC ;
Samore, MH .
ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (13) :1467-1472
[10]
Vancomycin-resistant-enterococci - Colonization of 24 patients on a pediatric oncology unit [J].
Schuster, F ;
Graubner, UB ;
Schmid, I ;
Weiss, M ;
Belohradsky, BH .
KLINISCHE PADIATRIE, 1998, 210 (04) :261-263