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An Outbreak of Vancomycin-Resistant Enterococci in a Hematology–Oncology Unit: Control by Patient Cohorting and Terminal Cleaning of the Environment

Published online by Cambridge University Press:  02 January 2015

Mary Lu Sample ,
Denise Gravel ,
Cathy Oxley ,
Baldwin Toye ,
Gary Garber  and
Karam Ramotar
Mary Lu Sample*
Affiliation:
The Ottawa Hospital and the University of Ottawa, Ottawa, Ontario, Canada
Denise Gravel
Affiliation:
The Ottawa Hospital and the University of Ottawa, Ottawa, Ontario, Canada
Cathy Oxley
Affiliation:
The Ottawa Hospital and the University of Ottawa, Ottawa, Ontario, Canada
Baldwin Toye
Affiliation:
The Ottawa Hospital and the University of Ottawa, Ottawa, Ontario, Canada
Gary Garber
Affiliation:
The Ottawa Hospital and the University of Ottawa, Ottawa, Ontario, Canada
Karam Ramotar
Affiliation:
The Ottawa Hospital and the University of Ottawa, Ottawa, Ontario, Canada
*
Infection Control, The Ottawa Hospital, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada
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Abstract

We describe the impact of enhanced infection control interventions on controlling the spread of vancomycin-resistant enterococci (VRE) in our hematology–oncology unit. Between April and September 1998, 13 patients on this unit were identified as having VRE. In addition to contact precautions, other measures that were needed to control the outbreak included closure of the unit to new admissions, creation of a cohort of VRE-positive patients and staff, and thorough cleaning of patients' rooms with 0.5% sodium hypochlorite.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 23 , Issue 8 , August 2002 , pp. 468 - 470
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

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References

1.Edmond, MB, Ober, JF, Dawson, JD, Weinbaum, DL, Wenzel, RP. Vancomycin-resistant enterococcal bacteremia: natural history and attributable mortality. Clin Infect Dis 1996;23:1234–1239.CrossRefGoogle ScholarPubMed
2.Cetinkaya, Y, Falk, P, Mayhall, CG. Vancomycin-resistant enterococci. Clin Microbiol Rev 2000;13:686–707.CrossRefGoogle ScholarPubMed
3.Hospital Infection Control Practices Advisory Committee. Recommendations for preventing the spread of vancomycin resistance. Infect Control Hosp Epidemiol 1995;16:105–113.Google Scholar
4.Lai, KK, Kelley, AL, Melvin, ZS, Beliveau, PP, Fontecchio, SA. Failure to eradicate vancomycin-resistant enterococci in a university hospital and the cost of barrier precautions. Infect Control Hosp Epidemiol 1998; 19:647–652.CrossRefGoogle Scholar
5.Livornese, LL, Dias, S, Samel, C, et al. Hospital-acquired infection with vancomycin-resistant Enterococcus faecium transmitted by electronic thermometers. Ann Intern Med 1992;117:112–116.CrossRefGoogle ScholarPubMed
6.Lior, L, Litt, M, Hockin, J, et al. Vancomycin-resistant enterococci on a renal ward in an Ontario hospital. Canada Communicable Disease Report 1996;22:125–128.Google Scholar
7.Weber, DJ, Rutala, WA. Role of environmental contamination in the transmission of vancomycin-resistant enterococci. Infect Control Hosp Epidemiol 1997;18:306–309.Google Scholar
8.Toye, B, Shymanski, J, Bobrowska, M, Woods, W, Ramotar, K. Clinical and epidemiological significance of enterococci intrinsically resistant to vancomycin (possessing the vanC genotype).J Clin Microbiol 1997;35:3166–3170.Google Scholar
9.Noskin, GA, Bednarz, P, Suriano, T, Reiner, S, Peterson, LR. Persistent contamination of fabric covered furniture by vancomycin-resistant enterococci: implications for upholstery selection in hospitals. Am J Infect Control 2000;28:311–313.CrossRefGoogle ScholarPubMed
10.Anderson, EL, Carr, JH, Bond, WW, Favero, MS. Susceptibility of vancomycin-resistant enterococci to environmental disinfectants. Infect Control Hosp Epidemiol 1997;18:195–199.CrossRefGoogle ScholarPubMed
11.Montecalvo, MA, Jarvis, WR, Uman, J, et al. Infection-control measures reduce transmission of vancomycin-resistant enterococci in an endemic setting. Ann Intern Med 1999;131:269–272.Google Scholar
12.Jochimsen, EM, Fish, L, Manning, K, et al. Control of vancomycin-resistant enterococci at a community hospital: efficacy of patient and staff cohorting. Infect Control Hosp Epidemiol 1999;20:106–109.Google Scholar
13.Hanna, H, Umphrey, J, Tarrand, J, Mendoza, M, Raad, I. Management of an outbreak of vancomycin-resistant enterococci in the medical intensive care unit of a cancer center. Infect Control Hosp Epidemiol 2001;22:217–219.Google Scholar