Impact of the reduction of environmental and equipment contamination on vancomycin-resistant enterococcus rates

More than 1,500 perirectal swab cultures and 552 environmental and equipment cultures were collected during the study period. Enterococcus faecium was the most frequent species isolated, being responsible for 71% of the positive cultures. Fifty infections were documented, with bloodstream infections...

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Bibliographic Details
Published in:Infection 2011-12, Vol.39 (6), p.587-593
Main Authors: Perugini, M. R. E., Nomi, S. M., Lopes, G. K., Belei, R. A., van der Heijden, I. M., Mostachio, A. K. Q., Grion, C., Couto, E. B., Costa, S. F.
Format: Article
Language:English
Subjects:
Adult
Aged
Antibiotic resistance
Bacteremia - epidemiology
Bacteremia - microbiology
Bacteremia - prevention & control
Biological and medical sciences
Carrier State - epidemiology
Carrier State - microbiology
Carrier State - prevention & control
Cluster Analysis
Colonization
Correspondence
Cross Infection - epidemiology
Cross Infection - microbiology
Cross Infection - prevention & control
Education, Medical, Continuing
Electrophoresis, Gel, Pulsed-Field
Enterococcus - classification
Enterococcus - drug effects
Enterococcus - genetics
Enterococcus - isolation & purification
Environmental Microbiology
Equipment Contamination
Family Medicine
Female
General Practice
Genotype
Gram-Positive Bacterial Infections - epidemiology
Gram-Positive Bacterial Infections - microbiology
Gram-Positive Bacterial Infections - prevention & control
Guideline Adherence - statistics & numerical data
Humans
Incidence
Infection Control - methods
Infectious Diseases
Internal Medicine
Intervention
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Miscellaneous
Molecular Typing
Professional Competence - statistics & numerical data
Public health. Hygiene
Public health. Hygiene-occupational medicine
Surveys and Questionnaires
Urinary Tract Infections - epidemiology
Urinary Tract Infections - microbiology
Urinary Tract Infections - prevention & control
Vancomycin Resistance
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Description
Summary:More than 1,500 perirectal swab cultures and 552 environmental and equipment cultures were collected during the study period. Enterococcus faecium was the most frequent species isolated, being responsible for 71% of the positive cultures. Fifty infections were documented, with bloodstream infections (18, 36%) being the most frequent, followed by urinary tract infection (15, 30%). An educational intervention was given to 136 healthcare workers (HCWs), and a questionnaire regarding vancomycin-resistant enterococcus (VRE) transmission was also performed pre- and post-intervention. Overall, 858 opportunities of patient care were evaluated. The compliance with contact precautions did not improve; however, in general, the proportion of correct answers regarding VRE increased significantly when comparing pre- and post-intervention periods ( p  
ISSN:0300-8126
1439-0973
DOI:10.1007/s15010-011-0140-6