https://scholars.lib.ntu.edu.tw/handle/123456789/536025
標題: | Control of vancomycin-resistant enterococci in a hospital: A five-year experience in a Taiwanese teaching hospital | 作者: | JANN-TAY WANG YEE-CHUN CHEN SHAN-CHWEN CHANG Chen M.-L. Pan H.-J. Chang Y.-Y. Sun C.-C. Wang L.-H. Wang S.-H. Lin H.-C. Chien S.-F. Tseng M.-S. |
公開日期: | 2004 | 卷: | 58 | 期: | 2 | 起(迄)頁: | 97-103 | 來源出版物: | Journal of Hospital Infection | 摘要: | In order to prevent transmission of hospital-acquired vancomycin-resistant enterococci (VRE), the infection control team (ICT) of the National Taiwan University Hospital (NTUH) introduced practical guidelines from January 1997 to June 2000. All patients at NTUH found to be infected or colonized with VRE were placed in strict contact and cohort isolation. Surveillance cultures were obtained from other patients in close proximity in order to determine any spread of VRE. If identified, these patients were also placed in contact and cohort isolation, and their isolates were subjected to antimicrobial susceptibility testing and molecular typing by pulsed-field gel electrophoresis. During this period, 20 patients were found to have VRE. Based on typing results, there were three occasions where the same VRE strain had spread between index patients and roommates or patients staying in neighbouring rooms. No further spread occurred after applying strict contact isolation for these patients. The hospital-acquired VRE infection rate was around 0.03 to 0.09 per 1000 discharges during the intervention period. After July 2000, however, members of the ICT did not actively monitor or implement any interventions to control VRE. The rate then increased to 0.20 per 1000 discharges in 2001. This study suggests that interventions for the control of VRE, based on the guidelines from the Hospital Infection Control Practice Advisory Committee, are effective for control of VRE spread. Failure to adhere to these guidelines may result in an increase in hospital-acquired VRE. ? 2004 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-4844225912&doi=10.1016%2fj.jhin.2004.06.005&partnerID=40&md5=b321eef5db55aefe7667fe07955157c5 https://scholars.lib.ntu.edu.tw/handle/123456789/536025 |
ISSN: | 0195-6701 | DOI: | 10.1016/j.jhin.2004.06.005 | SDG/關鍵字: | vancomycin; adolescent; adult; aged; antibiotic resistance; antibiotic sensitivity; article; bacterial colonization; bacterial strain; bacterium culture; child; cohort analysis; controlled study; Enterococcus; health care organization; health survey; hospital discharge; hospital infection; human; infant; infection control; isolation procedure; major clinical study; molecular typing; nonhuman; patient monitoring; practice guideline; pulsed field gel electrophoresis; Taiwan; teaching hospital; university hospital; Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Cross Infection; Electrophoresis, Gel, Pulsed-Field; Enterococcus; Female; Gram-Negative Bacterial Infections; Guideline Adherence; Hospitals, Teaching; Humans; Infant; Infection Control; Male; Middle Aged; Taiwan; Vancomycin Resistance |
顯示於: | 醫學系 |
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