Active surveillance for carbapenem-resistant Enterobacteriaceae, vancomycin-resistant enterococci and toxigenic Clostridium difficile among patients transferred from long-term care facilities in Korea

被引：10
|
作者：
Hwang, J-H [1 ]
Park, J. S. [2 ]
Lee, E. [3 ]
Bae, J. Y. [3 ]
Song, K-H [1 ,3 ]
Choe, P. G. [3 ]
Park, W. B. [3 ]
Bang, J. H. [3 ]
Kim, E. S. [1 ,3 ]
Park, S. W. [3 ]
Kim, N. J. [3 ]
Oh, M. [3 ]
Kim, H. B. [1 ,3 ]
机构：
[1] Seoul Natl Univ, Bundang Hosp, Dept Internal Med, 82 Gumi Ro 173 Beon Gil, Seongnam Si 13620, Gyeonggi Do, South Korea
[2] Seoul Natl Univ, Bundang Hosp, Dept Lab Med, Seongnam Si, Gyeonggi Do, South Korea
[3] Seoul Natl Univ, Coll Med, Dept Internal Med, Seoul, South Korea
来源：
JOURNAL OF HOSPITAL INFECTION | 2018年 / 99卷 / 04期
关键词：
Carbapenem-resistant; Enterobacteriaceae; Carbapenemase-producing; Vancomycin-resistant enterococci; Toxigenic Clostridium difficile; Active surveillance;
D O I：
10.1016/j.jhin.2018.02.017
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
A 10-month active surveillance study was conducted to assess carriage of carbapenemase-producing Enterobacteriaceae (CPE), vancomycin-resistant enterococci (VRE) and toxigenic Clostridium difficile colonization among patients transferred to hospital from longterm care facilities (LTCFs). Four (1.4%) patients with carbapenem-resistant Enterobacteriaceae (none of which were CPE), 59 (21%) patients with VRE and 20 (7.1%) patients colonized with toxigenic C. difficile were identified from 282 rectal specimens. There was no outbreak of VRE infection during the study period. The low prevalence of CPE carriage suggests that screening all admissions from LTCFs for CPE would not be cost-effective, and that screening and use of contact precautions for VRE should be reconsidered. (C) 2018 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：487 / 491
页数：5
相关论文
共 50 条
  • [1] Vancomycin-Resistant Enterococci in Long-Term Care Facilities
    Benenson, Shmuel
    Cohen, Matan J.
    Block, Colin
    Stern, Sagit
    Weiss, Yuval
    Moses, Allon E.
    INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2009, 30 (08): : 786 - 789
  • [2] Patients in long-term care facilities: A reservoir for vancomycin-resistant enterococci
    Elizaga, ML
    Weinstein, RA
    Hayden, MK
    CLINICAL INFECTIOUS DISEASES, 2002, 34 (04) : 441 - 446
  • [3] Vancomycin-resistant enterococci in long-term-care facilities
    Crossley, K
    INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 1998, 19 (07): : 521 - 525
  • [4] Active Surveillance for Carbapenem-Resistant Enterobacteriaceae Using Stool Specimens Submitted for Testing for Clostridium difficile
    Banach, David B.
    Francois, Jeannette
    Blash, Stephanie
    Patel, Gopi
    Jenkins, Stephen G.
    LaBombardi, Vincent
    Kreiswirth, Barry N.
    Srinivasan, Arjun
    Calfee, David P.
    INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2014, 35 (01): : 82 - 84
  • [5] Asymptomatic rectal colonization with carbapenem-resistant Enterobacteriaceae and Clostridium difficile among residents of a long-term care facility in New York City
    Prasad, Nishant
    Labaze, Georges
    Kopacz, Joanna
    Chwa, Sophie
    Platis, Dimitris
    Pan, Cynthia X.
    Russo, Daniel
    LaBombardi, Vincent J.
    Osorio, Giuliana
    Pollack, Simcha
    Kreiswirth, Barry N.
    Chen, Liang
    Urban, Carl
    Segal-Maurer, Sorana
    AMERICAN JOURNAL OF INFECTION CONTROL, 2016, 44 (05) : 525 - 532
  • [6] The prevalence of colonization with vancomycin-resistant enterococci (VRE) among hospitalized residents of long-term care facilities (LTCF).
    Elizaga, ML
    Beezhold, D
    Hayden, MK
    Rice, T
    Nathan, C
    Buccelli, C
    Ciesielski, C
    Weinstein, RA
    CLINICAL INFECTIOUS DISEASES, 1996, 23 (04) : 352 - 352
  • [7] Preventing the spread of vancomycin-resistant enterococci in a long-term care facility
    Silverblatt, FJ
    Tibert, C
    Mikolich, D
    Blazek-D'Arezzo, J
    Alves, J
    Tack, M
    Agatiello, P
    JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (10) : 1211 - 1215
  • [8] Risk Factors for Colonization due to Carbapenem-Resistant Enterobacteriaceae among Patients Exposed to Long-Term Acute Care and Acute Care Facilities
    Bhargava, Ashish
    Hayakawa, Kayoko
    Silverman, Ethan
    Haider, Samran
    Alluri, Krishna Chaitanya
    Datla, Satya
    Diviti, Sreelatha
    Kuchipudi, Vamsi
    Muppavarapu, Kalyan Srinivas
    Lephart, Paul R.
    Marchaim, Dror
    Kaye, Keith S.
    INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2014, 35 (04): : 398 - 405
  • [9] Lack of transmission of vancomycin-resistant Enterococci (VRE) in long term care facilities (LTCF).
    Greenaway, C
    Miller, MA
    INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 1998, 19 (09): : 692 - 692
  • [10] Yield of vancomycin-resistant enterococci and multidrug-resistant Enterobacteriaceae from stools submitted for clostridium difficile testing compared to results from a focused surveillance program
    Hacek, DM
    Bednarz, P
    Noskin, GA
    Zembover, T
    Peterson, LR
    JOURNAL OF CLINICAL MICROBIOLOGY, 2001, 39 (03) : 1152 - 1154
12345