2015
DOI: 10.1016/j.ajic.2015.05.047
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Outbreak of vanB vancomycin-resistant Enterococcus faecium colonization in a neonatal service

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Cited by 30 publications
(30 citation statements)
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“…Thus, this strongly underscores the essential importance of adequate staff-patient ratios as constituted by the national guidelines1618. Noticeably, when compared to most reports on microbial outbreaks on NICUs that usually describe one specifically causative pathogen262728 the here described outbreak involved multiple different organisms. Furthermore, this outbreak was unusually long-lasting covering a period of almost 9 months.…”
Section: Discussionmentioning
confidence: 65%
“…Thus, this strongly underscores the essential importance of adequate staff-patient ratios as constituted by the national guidelines1618. Noticeably, when compared to most reports on microbial outbreaks on NICUs that usually describe one specifically causative pathogen262728 the here described outbreak involved multiple different organisms. Furthermore, this outbreak was unusually long-lasting covering a period of almost 9 months.…”
Section: Discussionmentioning
confidence: 65%
“…Whereas outbreaks of VanB-type VREfm have been described before (24)(25)(26), this study reports, to the best of our knowledge, the largest outbreak with this organism so far, comprising more than 500 isolates and dominated by a VanB-type ST80 VREfm. In this study, we developed an approach to combine NGS data with epidemiological data from 773 patients, allowing the elucidation of the outbreak dynamic on a single-patient basis.…”
Section: Id395 (Unk) Id571 (H) Id495 (O) Id628 (J) Id617 (Q) Id735 (Jmentioning
confidence: 66%
“…However, this approach is expensive and cumbersome, particularly when VRE endemicity is high. Because of the relatively low virulence of VRE, other facilities rely on standard precautions, predominantly alcohol-based hand rub usage, and only selectively perform active surveillance cultures in high-risk areas such as hematology departments and intensive care units (15). At Austin Health and Monash Medical Centre, two university teaching hospitals in Melbourne, Australia, patients are screened for VRE rectal colonization on admission and weekly for all inpatients in defined high-risk clinical areas.…”
Section: Introductionmentioning
confidence: 99%