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Risk of Postdischarge Infection with Vancomycin-Resistant Enterococcus after Initial Infection or Colonization

Published online by Cambridge University Press:  02 January 2015

Rupak Datta  and
Susan S. Huang
Rupak Datta*
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, California
Susan S. Huang
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, California Channing Laboratory, Brigham and Women's Hospital, Boston, Massachusetts
*
University of California Irvine School of Medicine, Health Policy Research Institute, 100 Theory, Suite 110, Irvine, CA 92697, ([email protected])
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Abstract

Postdischarge risks of vancomycin-resistant Enterococcus (VRE) infection among carriers are unknown. We conducted a retrospective cohort study of 199 patients newly detected as VRE carriers. Fifteen patients (8%) developed 27 VRE infections in the 18 months after detection. Among 10 postdischarge infections, 2 involved bacteremia and 3 resulted in readmission.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 12 , December 2010 , pp. 1290 - 1293
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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References

1.DeFrances, CJ, Lucas, CA, Buie, VC, Golosinskiy, A. National Health Statistics Report, No. 5: 2006 National Hospital Discharge Survey. Centers for Disease Control and Prevention website, http://www.cdc.gov/nchs/data/nhsr/nhsr005.pdf. Published July 30, 2008. Accessed October 19, 2010.Google Scholar
2.Patel, R. Clinical impact of vancomycin-resistant enterococci. J Antimicrob Chemother 2003;51(suppl 3):iii13–iii21.Google Scholar
3.Zaas, AK, Song, X, Tucker, P, Perl, TM. Risk factors for development of vancomycin-resistant enteroccocal bloodstream infection in patients with cancer who are colonized with vancomycin-resistant enterococci. Clin Infect Dis 2002;35:1139–1146.CrossRefGoogle Scholar
4.Edmond, MB, Ober, IF, Weinbaum, DL, Pfaller, MA, Hwang, T, Sanford, MD, Wenzel, RP. Vancomycin-resistant Enterococcus faeium bacteremia: risk factors for infection. Clin Infect Dis 1995;20:1126–1133.Google Scholar
5.Kuehnert, MJ, Jernigan, JA, Pullen, AL, Rimland, D, Jarvis, WR. Association between mucositis severity and vancomycin-resistant enterococcal bloodstream infection in hospitalized cancer patients. Infect Control Hosp Epidemiol 1999;20:660–663.CrossRefGoogle ScholarPubMed
6.Byers, KE, Anglim, AM, Anneski, CJ, Farr, BM. Duration of colonization with vancomycin-resistant Enterococcus. Infect Control Hosp Epidemiol 2002;23:207–211.CrossRefGoogle ScholarPubMed
7.Montecalvo, MA, de Lencastre, H, Carraher, M, et al.Natural history of colonization with vancomycin-resistant Enterococcus faecium. Infect Control Hosp Epidemiol 1995;16:680–685.Google Scholar
8.Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Susceptibility Testing—Seventeenth Informational Supplement. Wayne, PA: CLSI; 2007. CLSI document M100-S17.Google Scholar
9.Horan, TC, Gaynes, RP. Surveillance of nosocomial infections. In: Mayhall, CG, ed. Hospital Epidemiology and Infection Control. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2004:1659–1702.Google Scholar
10.Hayden, MK. Insights into the epidemiology and control of infection with vancomycin-resistant enterococci. Clin Infect Dis 2000;31:1058–1065.Google Scholar