Vancomycin-Resistant Enterococci: Epidemiology, Infection Prevention, and Control

• Katherine Reyes ^[2] ; Ana Cecilia Bardossy ^[3] ; Marcus Zervos ^[1]
  1. [1] Wayne State University

     Wayne State University

     City of Detroit, Estados Unidos

     
  2. [2] Infection Prevention and Control, Division of Infectious Disease, Henry Ford Hospital, Henry Ford Health System, 2799 West Grand Boulevard, CFP 302, Detroit, MI 48202, USA
  3. [3] Division of Infectious Disease, Henry Ford Health System, 2799 West Grand Boulevard, CFP 302, Detroit, MI 48202, USA

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• Localización: Infectious disease clinics of North America, ISSN 0891-5520, Vol. 30, Nº. 4, 2016 (Ejemplar dedicado a: Infection Prevention and Control in Healthcare, Part II: Epidemiology and Prevention of Infections), págs. 953-965
• Idioma: inglés
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• Resumen

  • Vancomycin-resistant enterococci (VRE) infections have acquired prominence as a leading cause of health care–associated infections. Understanding VRE epidemiology, transmission modes in health care settings, risk factors for colonization, and infection is essential to prevention and control of VRE infections. Infection control strategies are pivotal in management of VRE infections and should be based on patient characteristics, hospital needs, and available resources. Hand hygiene is basic to decrease acquisition of VRE. The effectiveness of surveillance and contact precautions is variable and controversial in endemic settings, but important during VRE outbreak investigations and control. Environmental cleaning, chlorhexidine bathing, and antimicrobial stewardship are vital in VRE prevention and control.