Regional Dissemination of Vancomycin‐Resistant Enterococci Resulting from Interfacility Transfer of Colonized Patients | Zendy

William E. Trick | Zendy; Matthew J. Kuehnert | Zendy; Stephen Quirk | Zendy; Matthew J. Arduino | Zendy; Sonia M. Aguero | Zendy; Loretta A. Carson | Zendy; Bertha C. Hill | Zendy; Shailen N. Banerjee | Zendy; William R. Jarvis | Zendy

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Regional Dissemination of Vancomycin‐Resistant Enterococci Resulting from Interfacility Transfer of Colonized Patients

Author(s) -

William E. Trick,

Matthew J. Kuehnert,

Stephen Quirk,

Matthew J. Arduino,

Sonia M. Aguero,

Loretta A. Carson,

Bertha C. Hill,

Shailen N. Banerjee,

William R. Jarvis

Publication year - 1999

Publication title -

the journal of infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.69

H-Index - 252

eISSN - 1537-6613

pISSN - 0022-1899

DOI - 10.1086/314898

Subject(s) - odds ratio , vancomycin resistant enterococci , medicine , confidence interval , incidence (geometry) , colonization , acute care , enterococcus , long term care , emergency medicine , health care , vancomycin , microbiology and biotechnology , antibiotics , biology , nursing , physics , economic growth , bacteria , optics , economics , genetics , staphylococcus aureus

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.

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