Epidemiology and Risk Factors
Enterococcus is a commonly isolated microorganism in transplant patients, especially after liver and kidney transplantation (1). The incidence of vancomycin-resistant enterococci (VRE) has increased both in the nontransplant (2-4) and transplant settings (5-7). VRE colonization was 4% and 55% (6,8-10) and of infection between 4% and 11% (1,7). The majority of VRE infections occur within the first month following transplantation, although late infections have also been described.
Most common infections caused by VRE in solid organ transplantation (SOT) recipients are bloodstream infections (mainly intravascular catheter related), intraabdominal/biliary tract and wound infections (11-13); however, mediastinits, endocarditis and other infections have also been noted (14-16). VRE infections in transplant recipientsare often severe and have been associated with persistent and recurrent bacteremia, prolonged lengths of stay (7,11,17) and higher risk of death (18)(19)(20)(21). Van B, Van C, Van D, Van E, Van G and Van L). Six of these types (Van A, Van B, Van D, Van E, Van G and Van L)
Risk factors