Moulin Estelle, Deggim-Messmer Vanessa, Erard Véronique, Christin Laurent, Petignat Christiane, Blanc Dominique S, Senn Laurence
Service de médecine préventive hospitalière, CHUV, 1011 Lausanne.
Laboratoire de microbiologie, Hôpital Fribourgeois-Hôpital cantonal, 1700 Fribourg.
Rev Med Suisse. 2018 Apr 11;14(602):791-794.
Limiting the emergence and spread of multi-resistant bacteria is a global concern and the management of colonized patient represents a real challenge, especially in the hospital setting, where risks of acquisition and transmission are increased. Switzerland is not protected from undesirable trends : for instance, recent outbreaks of vancomycin-resistant enterococci (VRE) have been reported in several hospitals in western Switzerland. Since 2011, more than 250 patients have been tested positive during these outbreak episodes and the molecular analysis of the documented strains shows an unexpected diversity, including both sporadic and epidemic strains. This emerging threat requires strict monitoring, prevention and infection control strategies in our healthcare facilities.
限制多重耐药菌的出现和传播是一个全球关注的问题,对定植患者的管理是一项真正的挑战,尤其是在医院环境中,感染和传播的风险会增加。瑞士也未能幸免这些不良趋势:例如,瑞士西部的几家医院最近报告了耐万古霉素肠球菌(VRE)的暴发。自2011年以来,在这些暴发事件中有超过250名患者检测呈阳性,对记录菌株的分子分析显示出意想不到的多样性,包括散发病例和流行菌株。这种新出现的威胁要求我们的医疗机构采取严格的监测、预防和感染控制策略。