Skip to main content Accessibility help
×
Home

A Successful Vancomycin-Resistant Enterococci Reduction Bundle at a Singapore Hospital

  • Dale Fisher (a1) (a2), Long Pang (a3), Sharon Salmon (a4), Raymond T.P. Lin (a1) (a5), Cathrine Teo (a4), Paul Tambyah (a1) (a2), Roland Jureen (a5), Alex R. Cook (a3) and Jonathan A. Otter (a6)...

Abstract

We report a reduction in the vancomycin-resistant enterococci (VRE) rate from a peak of 1.5 cases per 1,000 admissions (95% confidence interval [CI], 1.0−2.1) in August 2012 to 0.5 per 1,000 admissions (95% CI: 0.3−1.0) by January 2015, associated with a bundle of interventions.

Infect. Control Hosp. Epidemiol. 2015;37(1):107–109

Copyright

Corresponding author

Address correspondence to Professor Dale Fisher, NUHS Tower Block, 1E Kent Ridge Road, Level 10, Singapore, Singapore 119228 (mdcfda@nus.edu.sg).

References

Hide All
1. Humphreys, H. Controlling the spread of vancomycin-resistant enterococci. Is active screening worthwhile? J Hosp Infect 2014;88:191198.
2. Cai, Y, Chan, JP, Fisher, DA, et al. Vancomycin-resistant enterococci in singaporean hospitals: 5-year results of a multi-centre surveillance programme. Ann Acad Med Singapore 2012;41:7781.
3. Passaretti, CL, Otter, JA, Reich, NG, et al. An evaluation of environmental decontamination with hydrogen peroxide vapor for reducing the risk of patient acquisition of multidrug-resistant organisms. Clin Infect Dis 2013;56:2735.
4. Hayden, MK, Bonten, MJ, Blom, DW, Lyle, EA, van de Vijver, DA, Weinstein, RA. Reduction in acquisition of vancomycin-resistant enterococcus after enforcement of routine environmental cleaning measures. Clin Infect Dis 2006;42:15521560.
5. Diekema, DJ, Edmond, MB. Look before you leap: active surveillance for multidrug-resistant organisms. Clin Infect Dis 2007;44:11011107.
6. Otter, JA, Yezli, S, French, GL. The role played by contaminated surfaces in the transmission of nosocomial pathogens. Infect Control Hosp Epidemiol 2011;32:687699.
7. Gelman, A, Shalizi, CR. Philosophy and the practice of Bayesian statistics. Br J Math Stat Psychol 2013;66:838.
8. R development core team. R: A language and environment for statistical computing. Vienna, Austria: R foundation for statistical computing. R Project Web site. http://www.R-project.Org. Published 2010. Accessed September 2015.
9. Dutka-Malen, S, Evers, S, Courvalin, P. Detection of glycopeptide resistance genotypes and identification to the species level of clinically relevant enterococci by pcr. J Clin Microbiol 1995;33:2427.
10. Top, J, Schouls, LM, Bonten, MJ, Willems, RJ. Multiple-locus variable-number tandem repeat analysis, a novel typing scheme to study the genetic relatedness and epidemiology of Enterococcus faecium isolates. J Clin Microbiol 2004;42:45034511.
11. Carling, PC, Parry, MM, Rupp, ME, Po, JL, Dick, B, Von Beheren, S. Improving cleaning of the environment surrounding patients in 36 acute care hospitals. Infect Control Hosp Epidemiol 2008;29:10351041.
12. Johnson, PD, Ballard, SA, Grabsch, EA, et al. A sustained hospital outbreak of vancomycin-resistant Enterococcus faecium bacteremia due to emergence of vanb e. Faecium sequence type 203. J Infect Dis 2010;202:12781286.

Metrics

Altmetric attention score

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