Risk factors for vancomycin-resistant enterococci infection and mortality in colonized patients on intensive care unit admission

被引:28
作者
Kim, Youn Jeong [1 ,2 ]
Kim, Sang Il [1 ,2 ]
Kim, Yang Ree [1 ,2 ]
Lee, Ji Young [2 ]
Park, Yeon Joon [3 ]
Kang, Moon Won [1 ,2 ]
机构
[1] Catholic Univ Korea, Dept Internal Med, Coll Med, Div Infect Dis, Seoul 137701, South Korea
[2] Catholic Univ Korea, Coll Med, Seoul St Marys Hosp, Infect Control Dept, Seoul 137701, South Korea
[3] Catholic Univ Korea, Coll Med, Dept Lab Med, Seoul 137701, South Korea
关键词
Vancomycin-resistant enterococci; Intensive care unit; Surveillance; BLOOD-STREAM INFECTION;
D O I
10.1016/j.ajic.2012.01.009
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study examined the incidence of and risk factors for development of vancomycin-resistant enterococci (VRE) infection and death in VRE-colonized patients in a medical intensive care unit. VRE colonization was identified in 184 patients (17.6%) in whom VRE perianal swab cultures were obtained. Of these, 28 (11.9%) developed VRE infection. Control of infectious sources is crucial to decrease development of VRE infections and optimize the survival of VRE-colonized patients. Copyright (C) 2012 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:1018 / 1019
页数:2
相关论文
共 7 条
[1]   Comparison of mortality associated with vancomycin-resistant and vancomycin-susceptible enterococcal bloodstream infections: A meta-analysis [J].
DiazGranados, CA ;
Zimmer, SM ;
Klein, M ;
Jernigan, JA .
CLINICAL INFECTIOUS DISEASES, 2005, 41 (03) :327-333
[2]   Association between resistance to vancomycin and death in cases of Enterococcus faecium bacteremia [J].
Garbutt, JM ;
Ventrapragada, M ;
Littenberg, B ;
Mundy, LM .
CLINICAL INFECTIOUS DISEASES, 2000, 30 (03) :466-472
[3]   CDC DEFINITIONS FOR NOSOCOMIAL INFECTIONS, 1988 [J].
GARNER, JS ;
JARVIS, WR ;
EMORI, TG ;
HORAN, TC ;
HUGHES, JM .
AMERICAN JOURNAL OF INFECTION CONTROL, 1988, 16 (03) :128-140
[4]   Vancomycin-resistant and vancomycin-susceptible enterococcal bacteremia: Comparison of clinical features and outcomes [J].
Lucas, GM ;
Lechtzin, N ;
Puryear, DW ;
Yau, LL ;
Flexner, CW ;
Moore, RD .
CLINICAL INFECTIOUS DISEASES, 1998, 26 (05) :1127-1133
[5]   Risk of vancomycin-resistant Enterococcus (VRE) bloodstream infection among patients colonized with VRE [J].
Olivier, Chamion N. ;
Blake, Ruth K. ;
Steed, Lisa L. ;
Salgado, Cassandra D. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2008, 29 (05) :404-409
[6]   Risk factors for development of vancomycin-resistant enterococcal bloodstream infection in patients with cancer who are colonized with vancomycin-resistant enterococci [J].
Zaas, AK ;
Song, XY ;
Tucker, P ;
Perl, TM .
CLINICAL INFECTIOUS DISEASES, 2002, 35 (10) :1139-1146
[7]   Vancomycin-resistant enterococci: Colonization, infection, detection, and treatment [J].
Zirakzadeh, A ;
Patel, R .
MAYO CLINIC PROCEEDINGS, 2006, 81 (04) :529-536