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A Case-Control Study to Detect Modifiable Risk Factors for Colonization With Vancomycin-Resistant Enterococci

Published online by Cambridge University Press:  02 January 2015

Mark Loeb,
Suzette Salama,
Maxine Armstrong-Evans,
Gina Capretta and
Jan Olde
Mark Loeb*
Affiliation:
Department of Laboratory Medicine, Hamilton Health Sciences Corporation andMcMaster University, Hamilton, Ontario, Canada
Suzette Salama
Affiliation:
Department of Medicine, Hamilton Health Sciences Corporation andMcMaster University, Hamilton, Ontario, Canada
Maxine Armstrong-Evans
Affiliation:
Department of Laboratory Medicine, Hamilton Health Sciences Corporation andMcMaster University, Hamilton, Ontario, Canada
Gina Capretta
Affiliation:
Department of Laboratory Medicine, Hamilton Health Sciences Corporation andMcMaster University, Hamilton, Ontario, Canada
Jan Olde
Affiliation:
Department of Laboratory Medicine, Hamilton Health Sciences Corporation andMcMaster University, Hamilton, Ontario, Canada
*
Department of Laboratory Medicine, Hamilton Health Sciences Corporation (Henderson site), 711 Concession St, Hamilton, Ontario L8V 1C3, Canada
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Abstract

A case-control study was conducted to determine the modifiable risk factors associated with vancomycin-resistant Enterococcus (VRE) colonization during a hospital outbreak. Cephalosporin use was identified as the only independent risk factor (odds ratio, 13.8; 95% confidence interval, 2.5-76.3; P=.01). Nursing work-load intensity was not associated with VRE colonization in this study.

Information

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 20 , Issue 11 , November 1999, pp. 760 - 763
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999 

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References

1. Frieden, TR, Munsiff, SS, Low, DE, Willey, BM, Williams, G, Faur, Y, et al. Emergence of vancomycin-resistant enterococci in New York City. Lancet 1993;342:76–79.Google Scholar
2. Boyce, JM. Vancomycin resistant Enterococcus. Detection, epidemiology, and control measures. Infect Dis Clin North Am 1997;11:367–384.Google Scholar
3. Quale, J, Landman, D, Saurina, G, Atwood, E, DiTore, V, Patel, K. Manipulation of a hospital antimicrobial formulary to control an outbreak of vancomycin-resistant enterococci. Clin Infect Dis 1996;23:1020–1025.Google Scholar
4. Haley, RW, Bregman, DA. The role of understaffing and overcrowding in recurrent outbreaks of staphylococcal infection in a neonatal special-care unit. J Infect Dis 1982;145:875–885.Google Scholar
5. Fridkin, SK, Pear, SM, Williamson, TH, Galgiani, JN, Jarvis, W. The role of understaffing in central venous catheter-associated bloodstream infections. Infect Control Hosp Epidemiol 1996;17:150–158.Google Scholar
6. Soulier, A, Barbut, F, Olivier, JM, Petit, JC, Lienhart, A. Decreased transmission of Enterobacteriaceae with extended-spectrum ß-lactamases in an intensive care unit by nursing reorganization. J Hosp Infect 1995;31:89–97.Google Scholar
7. Meyer, D. GRASP: A Patient Information and Workload Management System. Morganton, NC: MCS 1978.Google Scholar
8. Tornieporth, NG, Roberts, RB, John, J, Hafner, A, Riley, LW. Risk factors associated with vancomycin-resistant Enterococcus faecium infection or colonization in 145 matched case patients and control patients. Clin Infect Dis 1996;23:767–772.Google Scholar
9. Morris, J Jr, Shay, DK, Hebden, JN, McCarter, R Jr, Perdue, BE, Jarvis, W, et al. Enterococci resistant to multiple antimicrobial agents, including vancomycin. Establishment of endemicity in a university medical center. Ann Intern Med 1995;123:250–259.Google Scholar
10. Edmond, MB, Ober, JF, Weinbaum, DL, Pfaller, MA, Hwang, T, Sanford, MD, et al. Vancomycin-resistant Enterococcus faecium bacteremia: risk factors for infection. Clin Infect Dis 1995;20:1126–1133.Google Scholar
11. Pittet, D, Mourouga, P, Perneger, TV. Compliance with handwashing in a teaching hospital. Infection Control Program. Ann Intern Med 1999;130:126–130.Google Scholar