2022
DOI: 10.1111/tid.13972
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Vancomycin‐resistant Enterococcus outbreak in a pre‐ and post‐cardiothoracic transplant population: Impact of discontinuing multidrug‐resistant organism surveillance during the coronavirus disease 2019 pandemic

Abstract: Introduction Many institutions suspended surveillance and contact precautions for multidrug‐resistant organisms (MDROs) at the outset of the coronavirus disease 2019 (COVID‐19) pandemic due to a lack of resources. Once our institution reinstated surveillance in September 2020, a vancomycin‐resistant Enterococcus (VRE) faecium outbreak was detected in the cardiothoracic transplant units, a population in which we had not previously detected outbreaks. Methods An outbreak investigation was conducted using pulsed‐… Show more

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Cited by 2 publications
(2 citation statements)
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“…Secondly, the emergence and spread of antibiotic-resistant strains, particularly those resistant to vancomycin, pose a significant threat to public health. This resistance profile complicates therapeutic approaches, increases the risk of treatment failure, and underscores the urgent need for effective antimicrobial stewardship procedures [7][8][9]. Thirdly, the development and persistence of infections are significantly influenced by the relationship between Enterococcus species and the host.…”
Section: Introductionmentioning
confidence: 99%
“…Secondly, the emergence and spread of antibiotic-resistant strains, particularly those resistant to vancomycin, pose a significant threat to public health. This resistance profile complicates therapeutic approaches, increases the risk of treatment failure, and underscores the urgent need for effective antimicrobial stewardship procedures [7][8][9]. Thirdly, the development and persistence of infections are significantly influenced by the relationship between Enterococcus species and the host.…”
Section: Introductionmentioning
confidence: 99%
“…In 2020, the Centers for Disease Control and Prevention of the United States reported more cases of carbapenem-resistant Acinetobacter (increased by 78%), antifungal-resistant Candida auris (increased by 60%), and carbapenem-resistant Enterobacterales (increased by 35%) than in 2019, possibly due to more and sicker patients during the pandemic who required more frequent and longer use of catheters and ventilators, personal protective equipment and laboratory supply challenges, fewer healthcare staff, and longer lengths of stay. 3 Outbreaks of multidrug-resistant organisms, including carbapenem-resistant Acinetobacter baumannii, 4,5 C auris 6 and Enterobacterales, 7 as well as vancomycin-resistant Enterococcus, 8,9 have been reported in healthcare facilities. In a systematic review that identified 17 outbreaks during the COVID-19 pandemic caused mainly by carbapenem-resistant Acinetobacter baumannii and C auris, inadequate personal protective equipment or hand hygiene adherence, personal protective equipment shortage, and high antibiotic use were the most commonly reported modifiable factors contributing to the outbreaks.…”
mentioning
confidence: 99%