Skip to main content Accessibility help

Prevalence and Acquisition of Vancomycin-Resistant Enterococci in a Medical Intensive Care Unit

  • David Gardiner (a1), Sheila Murphey (a1), Elizabeth Ossman (a1) and Donald Jungkind (a1)

Patients admitted to a medical intensive care unit during 21 days had rectal and urine samples cultured for vancomycin-resistant enterococci (VRE). The prevalence rate was 55.3%. Only enteral feedings were associated with acquisition of VRE. One-quarter of VRE transmission resulted from acquisition in the study unit, 35% arrived from other units, and 15% from other hospital.

Corresponding author
Aaron Diamond AIDS Research Center, 455 First Avenue, 7th Floor, Room 730, New York, NY10016
Hide All
1.Morris, JG, Shay, DK, Hebden, JN, et al. Enterococci resistant to multiple antimicrobial agents, including vancomycin: establishment of endemicity in a university medical center. Ann Intern Med 1995;123:250259.
2.Reisner, BS, Shaw, S, Huber, ME, et al. Comparison of three methods to recover vancomycin-resistant enterococci (VRE) from perianal and environmental samples collected during a hospital outbreak of VRE. Infect Control Hosp Epidemiol 2000;21:775779.
3.d'Azevedo, PA, Dias, CA, Goncalves, AL, Rowe, F, Teixeira, LM. Evaluation of an automated system for the identification and antimicrobial susceptibility testing of enterococci. Diagn Microbiol Infect Dis 2001;40:157161.
4.Wendt, C, Krause, C, Floss, H. Validity of screening procedures for glycopeptide-resistant enterococci. Eur J Clin Microbiol Infect Dis 1999; 18:422427.
5.Lemck, R, Bulte, M. Occurrence of the vancomycin-resistant genes vanA, vanB, vanC1, vanC2, and vanC3 in Enterococcus strains isolated from poultry and pork. Int J Food Microbiol 2000;60:185194.
6.Tenover, FC, Arbeit, RD, Goering, RV, et al. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 1995;33:22332239.
7.Karanfil, LV, Murphy, M, Josephson, Aet al. A cluster of vancomycin-resistant Enterococcus faecium in an intensive care unit. Infect Control Hosp Epidemiol 1992;13:195200.
8.Ostrowsky, BE, Venkataraman, L, D'Agata, EM, Gold, HS, DeGirolami, PC, Samore, MH. Vancomycin-resistant enterococci in intensive care units. Arch Intern Med 1999;159:14671472.
9.Strausbaugh, LJ, Crossley, KB, Nurse, BA, Thrupp, LD. Antimicrobial resistance in long-term-care facilities. Infect Control Hosp Epidemiol 1996;17:129140.
10.Bonten, M, Slaughter, S, Hayden, M, Nathan, C, van Voorhis, J, Weinstein, RA. External sources of vancomycin-resistant enterococci for intensive care units. Crit Care Med 1998;26:20012004.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *


Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed