Infection Control Department of Hospital Brigadeiro of São Paulo, São Paulo, Brazil.
Am J Infect Control. 2010 Jun;38(5):406-9. doi: 10.1016/j.ajic.2009.08.010. Epub 2009 Dec 16.
To describe the effect of active surveillance to control vancomycin-resistant enterococci (VRE) after an outbreak, 549 surveillance rectal cultures were performed in 308 patients (35% positive). An educational intervention to prevent transmission was implemented. Infection and colonization by VR- Enterococcus faecalis decreased, but Enterococcus faecium persisted despite control measures. Infections by VR-E faecalis fell to zero in 2008. We observed difficulties in controlling colonization with measures directed mainly by surveillance cultures and differences between responses of E faecium and E faecalis.
为了描述在爆发后通过主动监测来控制耐万古霉素肠球菌（VRE）的效果，对 308 名患者的 549 份直肠监测培养物进行了检测（35%呈阳性）。实施了一项预防传播的教育干预措施。尽管采取了控制措施，但 VR-粪肠球菌的感染和定植仍然减少，而屎肠球菌则持续存在。2008 年，VR-E 粪肠球菌的感染降至零。我们观察到，通过主要基于监测培养物的措施来控制定植存在困难，以及屎肠球菌和粪肠球菌的反应存在差异。
