| Title: |
Regional Dissemination of Vancomycin-Resistant Enterococci Resulting from Interfacility Transfer of Colonized Patients |
| Authors: |
Trick, William E.; Kuehnert, Matthew J.; Quirk, Stephen B.; Arduino, Matthew J.; Aguero, Sonia M.; Carson, Loretta A.; Hill, Bertha C.; Banerjee, Shailen N.; Jarvis, William R. |
| Publisher Information: |
Oxford University Press |
| Publication Year: |
1999 |
| Collection: |
HighWire Press (Stanford University) |
| Subject Terms: |
Major Articles |
| Description: |
During early 1997, the Siouxland District Health Department (SDHD; Sioux City, IA) reported an increased incidence of vancomycin-resistant enterococcal (VRE) isolates at area health care facilities. To determine the prevalence and risk factors for colonization with VRE strains at 32 health care facilities in the SDHD region, a prevalence survey and case-control study were performed. Of 2266 patients and residents, 1934 (85%) participated, and 40 (2.1%) were positive for (gastrointestinal) VRE colonization. The prevalence of VRE isolates was significantly higher in acute care facilities (ACFs) than in long-term care facilities (LTCFs) (10/152 [6.6%] vs. 30/1782 [1.7%]; odds ratio [OR], 4.1; 95% confidence interval [CI], 1.8–9.0). LTCF case patients were significantly more likely than controls to have been inpatients at any ACF (19/30 vs. 12/66; OR, 8.0; 95% CI, 2.7–23.8). Of 40 VRE isolates, 34 (85%) were a related strain. The predominant strain was present in all 12 LTCFs that had at least 1 case patient in each facility. Soon after the introduction of VRE isolates into this region, dissemination to multiple LTCFs resulted from resident transfer from ACFs to LTCFs. |
| Document Type: |
text |
| File Description: |
text/html |
| Language: |
English |
| Relation: |
http://jid.oxfordjournals.org/cgi/content/short/180/2/391; http://dx.doi.org/10.1086/314898 |
| DOI: |
10.1086/314898 |
| Availability: |
http://jid.oxfordjournals.org/cgi/content/short/180/2/391; https://doi.org/10.1086/314898 |
| Rights: |
Copyright (C) 1999, Infectious Diseases Society of America |
| Accession Number: |
edsbas.2DF88788 |
| Database: |
BASE |