Prevalence of vancomycin-resistant entercocci at Ain Shams University Hospital

Author(s):  
ATA Rahman ◽  
SMI Zaki ◽  
AGEA Ghany ◽  
AM Aboul-Fotouh
2009 ◽  
Vol 30 (2) ◽  
pp. 130-138 ◽  
Author(s):  
Sang Hoon Han ◽  
Bum Sik Chin ◽  
Han Sung Lee ◽  
Su Jin Jeong ◽  
Hee Kyung Choi ◽  
...  

Objective.To describe the incidence of recovery of both vancomycin-resistant enterococci (VRE) and methicillin-resistantStaphylococcus aureus(MRSA) from culture of a single clinical specimen, to describe the clinical characteristics of patients from whom these specimens were recovered, and to identify the risk factors of these patients.Design.A retrospective cohort and case-control study.Setting.A tertiary care university hospital and referral center in Seoul, Korea.Methods.We identified 61 case patients for whom a single clinical specimen yielded both VRE and MRSA on culture, and 122 control patients for whom any clinical specimen yielded only VRE on culture. The control patients were selected by matching 2 :1 with the case patients for age, sex, and first date of sampling that led to isolation of VRE or both VRE and MRSA among 1,536 VRE-colonized patients from January 1, 2003, through December 31, 2006. To identify patient risk factors for the recovery of both VRE and MRSA in a single clinical specimen, we performed univariate comparisons between the 2 groups and then multivariate logistic regression analysis.Results.The incidence of recovery of both VRE and MRSA from culture of a single clinical specimen was 3.97% (for 61 of 1,536 VRE-colonized patients) over 4 years. Among these 82 single clinical specimens, the most common type was wound specimens (26.8%), followed by lower respiratory tract specimens (18.3%), urine specimens (17.1%), and catheter tips (15.9%). Of the 61 case patients, 14 (23.0%) had 2 or more single clinical specimens that yielded both VRE and MRSA on culture, and the longest interval from the first sampling that yielded both organisms to the last sampling that yielded both was 174 days. Independent patient risk factors for the presence of both VRE and MRSA in a single clinical specimen were chronic renal disease (odds ratio [OR], 7.00;P= .012), urinary catheterization (OR, 3.36;P= .026), and longer total cumulative duration of hospital stay within the previous year (OR, 1.03;P< .001).Conclusion.We confirmed that the recovery of VRE and MRSA from a single clinical specimen occurs continually. Because prolonged cell-to-cell contact can facilitate transfer ofvanA,close observation and surveillance for vancomycin-resistantS. aureus, especially among patients with risk factors for the recovery of both VRE and MRSA from a single clinical specimen, should be continued.


Pharmacophore ◽  
2021 ◽  
Vol 12 (5) ◽  
pp. 11-19
Author(s):  
Stolfa Stefania ◽  
Romanelli Federica ◽  
Ronga Luigi ◽  
Del Prete Raffaele ◽  
Mosca Adriana

2019 ◽  
Vol Volume 12 ◽  
pp. 2049-2057 ◽  
Author(s):  
Jatapat Hemapanpairoa ◽  
Dhitiwat Changpradub ◽  
Sudaluck Thunyaharn ◽  
Wichai Santimaleeworagun

2007 ◽  
Vol 67 (1) ◽  
pp. 42-48 ◽  
Author(s):  
J.-C. Lucet ◽  
L. Armand-Lefevre ◽  
J.-J. Laurichesse ◽  
A. Macrez ◽  
E. Papy ◽  
...  

2011 ◽  
Vol 41 (12) ◽  
pp. 646-651 ◽  
Author(s):  
S.A. Rebiahi ◽  
D.E. Abdelouahid ◽  
M. Rahmoun ◽  
S. Abdelali ◽  
H. Azzaoui

2007 ◽  
Vol 136 (8) ◽  
pp. 1131-1133 ◽  
Author(s):  
B. SCHULTE ◽  
A. HEININGER ◽  
I. B. AUTENRIETH ◽  
C. WOLZ

SUMMARYDuring 2004 and at the start of 2005 a university hospital in Southwest Germany was affected by an extensive outbreak of vancomycin-resistantEnterococcus faecium(VRE). Although the outbreak was contained, linezolid-resistant enterococci emerged during and after the outbreak as the usage of linezolid became more common. Linezolid resistance was no longer limited to VRE. Nosocomial spread of linezolid-resistant but vancomycin-susceptibleE. faeciumwas detected and these strains also emerged in patients without prior drug exposure. Linezolid should therefore be used with caution and the susceptibility of isolates monitored over time. Isolation precautions and screening of contacts should be considered to avoid spread of resistant isolates.


2001 ◽  
Vol 7 (3) ◽  
pp. 163-168 ◽  
Author(s):  
Kiyohito Ishikawa ◽  
Tomomi Katayama ◽  
Kiyotaka Hoshinaga ◽  
Yorio Naide ◽  
Kiyohito Ishikawa ◽  
...  

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