Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-29T16:57:03.106Z Has data issue: false hasContentIssue false
  • English
  • Français

Absence of Rectal Colonization With Vancomycin-Resistant Enterococci Among High-Risk Pediatric Patients

Published online by Cambridge University Press:  02 January 2015

Adnan Trabulsi ,
Anne-Marie Glover ,
Shirley F. Reising  and
Celia D. C. Christie
Get access Rights & Permissions [Opens in a new window]

Abstract

We prospectively surveyed for rectal colonization with vancomycin-resistant Enterococcus among 93 high-risk pediatric patients who were hospitalized at least 5 (median, 20) days. Fifty-two patients (56%) had enterococcal colonization; none had active infection with Enterococcus. All enterococci were vancomycin-susceptible (minimum inhibitory concentration ≤4 μg/mL). Associated exposures included recent antibiotics (50, 96%), surgical procedures (26, 58%), and immunosuppression (15, 29%).

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 19 , Issue 2 , February 1998 , pp. 109 - 111
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Gaynes, R, Edwards, J, the National Nosocomial Infection Surveillance (NNIS) System. Nosocomial vancomycin resistant enterococci (VRE) in the United States, 1989-1995: the first 1,000 isolates. Infect Control Hosp Epidemiol 1996;17(suppl):P18. Abstract 13.Google Scholar
2. Centers for Disease Control and Prevention. Nosocomial ente-rococci resistant to vancomycin—United States, 1989-1993. MMWR 1993;42:597–599.Google Scholar
3. Christie, C, Hammond, J, Reising, S, Patterson, J. Clinical and molecular epidemiology of enterococcal bacteremia in a pediatric teaching hospital. J Pediatr 1994;125:392–399.Google Scholar
4. Trabulsi, A, Reising, S, Patterson, J, Christie, C. Pediatric enterococcal infections: clinical, microbiological and molecular epidemiology characterized by DNA pulsed-field gel electrophoresis. Interscience Conference on Antimicrobial Agents and Chemotherapy; San Francisco, CA; 1995. Abstract J 141.Google Scholar
5. National Committee for Clinical Laboratory Standards. Performance Standards for Antimicrobial Susceptibility Testing; Sixth Informational Supplement. 1995;15(14): M100-S6, M7–A3.Google Scholar
6. Centers for Disease Control and Prevention. Recommendations for preventing the spread of vancomycin resistance. Recommendations of the Hospital Infection Control Practices Advisory Committee (HICPAC). MMWR 1995;44(RR-12):1–13.Google Scholar
7. Schmimpff, SC, Young, VM, Greene, WH, Moody, MR, Wiernik, PM, Vermeulen, GB. Origin of infection in nonlymphocytic leukaemia: significance of hospital acquisition of potential pathogens Ann Intern Med 1972;77:707.Google Scholar
8. Fainstain, V, Rodriguez, Y, Turck, M, et al. Patterns of oropha-ryngeal and fecal flora in patients with leukaemia. J Infect Dis 1981;144:10.Google Scholar
9. Mayhall, CG, Lamb, VA, Bitar, CM, et al. Nosocomial infection in a neonatal unit: identification of risk factors. Infect Control 1980;1:239–246.Google Scholar
10. Endiz, H, van Belkum, A, van der Braak, N, et al. Prevalence of vancomyin-resistant enterococci (RE) in hospital and community-based patients in The Netherlands. American Society for Microbiology. Abstracts of the 36th Interscience Conference on Antimicrobial Agents and Chemotherapy, 1996. Abstract C-17.Google Scholar
11. Bais, RK, Freundlich, LF, Currie, BP. Outpatient prevalence of vancomycin-resistant enterococcal (VRE) enteric colonization in the catchment area of a hospital hyperendemic for VRE. The Sixth Annual Meeting of the Society for Healthcare Epidemiology of America. Infect Control Hosp Epidemiol 1996;17(suppl):P20. Abstract 29.Google Scholar
12. Rubin, LG, Tucci, V, Cercenado, E, Eliopoulos, G, Isenberg, HD, et al. Vancomycin-resistant Enterococcus faecium in hospitalized children. Infect Control Hosp Epidemiol 1992;13:700–705.Google Scholar
13. Green, M, Barbadora, K, Michaels, M. Recovery of vancomycin-resistant gram positive cocci from pediatric liver transplant recipients. J Clin Microbiol 1991;29:2503–2506.CrossRefGoogle ScholarPubMed
14. Guiot, HFL, Peetermans, WE, Sebens, FW. Isolation of van-comycin-resistant enterococci in haematologic patients. Eur J Clin Microbiol Infect Dis 1991;10:32–34.Google Scholar