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Unintended Consequences of Pretransplant Vancomycin-Resistant Enterococcus Screening on Antimicrobial Stewardship Among Allogeneic Hematopoietic Cell Transplant Recipients

Published online by Cambridge University Press:  28 March 2018

Erica J. Stohs ,
Trenton MacAllister ,
Steven A. Pergam ,
Elizabeth M. Krantz ,
Rupali Jain ,
Ania Sweet  and
Catherine Liu
Erica J. Stohs*
Affiliation:
Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington
Trenton MacAllister
Affiliation:
Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington
Steven A. Pergam
Affiliation:
Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington
Elizabeth M. Krantz
Affiliation:
Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington
Rupali Jain
Affiliation:
Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington Department of Pharmacy, University of Washington, Seattle, Washington.
Ania Sweet
Affiliation:
Department of Pharmacy, University of Washington, Seattle, Washington.
Catherine Liu
Affiliation:
Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington
*
Address correspondence to Erica Stohs, MD MPH, 1100 Fairview Ave, North, E4-100, Seattle, WA 98109 ([email protected]).
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Abstract

We examined vancomycin-resistant enterococci (VRE)-directed antimicrobial use and VRE bacteremia in a cohort of allogeneic hematopoietic cell transplantation patients from a center where VRE screening is standard prior to transplant. In this cohort, VRE bacteremia (VREB) was infrequent. In patients without VREB, colonized patients received VRE therapy more often than noncolonized patients.

Infect Control Hosp Epidemiol 2018;39:730–733

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 6 , June 2018 , pp. 730 - 733
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTATION. Portions of this work were presented at IDWeek on October 6, 2017, in San Diego, California.

References

REFERENCES

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