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Control of Nosocomial Acquisition of Vancomycin-Resistant Enterococcus Through Active Surveillance of Hemodialysis Patients

Published online by Cambridge University Press:  02 January 2015

R. Neal Axon
Affiliation:
Department of Medicine, Duke University Medical Center, Durham, North Carolina
John J. Engemann
Affiliation:
Department of Medicine, Duke University Medical Center, Durham, North Carolina Duke Infection Control Outreach Network (DICON), Durham, North Carolina
James Butcher
Affiliation:
Cape Fear Valley Regional Medical Center, Fayetteville, North Carolina
Kathy Lockamy
Affiliation:
Cape Fear Valley Regional Medical Center, Fayetteville, North Carolina
Keith S. Kaye*
Affiliation:
Department of Medicine, Duke University Medical Center, Durham, North Carolina Duke Infection Control Outreach Network (DICON), Durham, North Carolina Cape Fear Valley Regional Medical Center, Fayetteville, North Carolina
*
Department of Medicine, Division of Infectious Diseases and International Health, DUMC 3152, Durham, NC 27710

Abstract

Hemodialysis-dependent patients are an important VRE source. After implementation of active surveillance for VRE targeting hemodialysis patients, the hospital-wide nosocomial VRE rate increased by 41%, but decreased by 41% among non-hemodialysis patients (P = .05). To assess the effectiveness of active surveillance, patients undergoing active surveillance should be analyzed separately from other patients.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

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