Shay D K, Goldmann D A, Jarvis W R
National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Pediatr Clin North Am. 1995 Jun;42(3):703-16. doi: 10.1016/s0031-3955(16)38986-6.
Strategies to reduce the spread of hospital-acquired microorganisms resistant to multiple antimicrobial agents are discussed. Because hospitals have experienced a rapid increase in the incidence of infection and colonization with vancomycin-resistant enterococci (VRE) in the past 5 years, the Hospital Infection Control Practices Advisory Committee of the Centers for Disease Control and Prevention has issued recommendations for preventing the spread of vancomycin resistance. Controlling VRE dissemination in pediatric patients requires prompt detection of VRE by microbiology laboratories, education of staff and families about VRE, use of infection control measures to prevent person-to-person VRE transmission, and prudent vancomycin use.
讨论了减少医院获得性多重抗菌药物耐药微生物传播的策略。在过去5年中，医院耐万古霉素肠球菌（VRE）感染和定植的发生率迅速上升，因此疾病控制和预防中心的医院感染控制实践咨询委员会发布了预防万古霉素耐药性传播的建议。控制儿科患者中VRE的传播需要微生物实验室及时检测VRE，对工作人员和家属进行VRE相关教育，采取感染控制措施以防止VRE在人与人之间传播，以及谨慎使用万古霉素。
