Journal
AMERICAN JOURNAL OF INFECTION CONTROL
Volume 38, Issue 5, Pages 406-409Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.ajic.2009.08.010
Keywords
Vancomycin-resistant enterococci; surveillance cultures; infection control
Funding
- Hospital Brigadeiro
- Instituto Adolfo Lutz
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To describe the effect of active surveillance to control vancomycin-resistant enterococci (VRE) after an outbreak, 549 surveillance rectal cultures were performed in 308 patients (35% positive). An educational intervention to prevent transmission was implemented. Infection and colonization by VR-Enterococcus faecalis decreased, but Enterococcus faecium persisted despite control measures. Infections by VR-E faecalis fell to zero in 2008. We observed difficulties in controlling colonization with measures directed mainly by surveillance cultures and differences between responses of E faecium and E faecalis.
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