加拿大耐万古霉素肠球菌的新出现的流行病学：1994年至1998年CNISP被动报告网络的结果。

The emerging epidemiology of VRE in Canada: results of the CNISP Passive Reporting Network, 1994 to 1998.

作者信息

Conly J M, Ofner-Agostini M, Paton S, Johnston L, Mulvey M, Kureishi A, Nicolle L, Matlow A

机构信息

University Health Network, Toronto, Ontario.

出版信息

Can J Infect Dis. 2001 Nov;12(6):364-70. doi: 10.1155/2001/424608.

DOI:10.1155/2001/424608

PMID:18159364

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2094843/

Abstract

OBJECTIVE

To provide a rapid and efficient means of collecting descriptive epidemiological data on occurrences of vancomycin-resistant enterococcus (VRE) in Canada.

DESIGN AND METHODS

Passive reporting of data on individual or cluster occurrences of VRE using a one-page surveillance form.

SETTING

The surveillance form was periodically distributed to all Canadian Hospital Epidemiology Committee members, Community and Hospital Infection Control Association members, L'Association des professionnels pour la prevention des infections members and provincial laboratories, representing 650 health care facilities across Canada.

PATIENTS

Patients colonized or infected with VRE within Canadian health care facilities.

RESULTS

Until the end of 1998, 263 reports of VRE were received from 113 health care facilities in 10 provinces, comprising a total of 1315 cases of VRE, with 1246 cases colonized (94.7%), 61 infected (4.6%)and eight of unknown status. (0.6%). VRE occurrences were reported in 56% of acute care teaching facilities and 38% of acute care community facilities. All facilities of more than 800 beds reported VRE occurences compared with only 10% of facilities with less than 200 beds (r2=0.86). Medical and surgical wards accounted for 51.4% of the reported VRE occurences. Sixty-five (24.7%) reports indicated an index case was from a foreign country, with 85.2% from the United States and 14.8% from other countries. Some type of screening was conducted in 50% of the sites.

CONCLUSIONS

A VRE passive reporting network provided a rapid and efficient means of providing data on the evolving epidemiology of VRE in Canada.

摘要

目的

提供一种快速有效的方法来收集加拿大耐万古霉素肠球菌（VRE）感染情况的描述性流行病学数据。

设计与方法

使用一页式监测表格对VRE的个体或聚集性感染情况进行被动报告。

地点

监测表格定期分发给加拿大医院流行病学委员会成员、社区与医院感染控制协会成员、预防感染专业人员协会成员以及省级实验室，这些机构代表了加拿大全国650家医疗机构。

患者

加拿大医疗机构内定植或感染VRE的患者。

结果

截至1998年底，从10个省份的113家医疗机构收到了263份VRE报告，共计1315例VRE病例，其中1246例为定植（94.7%），61例为感染（4.6%），8例情况不明（0.6%）。56%的急性护理教学机构和38%的急性护理社区机构报告了VRE感染情况。所有床位超过800张的机构都报告了VRE感染情况，而床位少于200张的机构只有10%报告了该情况（r2 = 0.86）。内科和外科病房报告的VRE感染情况占51.4%。65份（24.7%）报告表明首例病例来自国外，其中85.2%来自美国，14.8%来自其他国家。50%的机构进行了某种类型的筛查。