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Vancomycin-resistant enterococci in neonates.

A Yüce1, M Karaman, Z Gülay

  • 1Department of Clinical Bacteriology and Infectious Diseases, Faculty of Medicine, Dokuz Eylül University, Inciralti, Izmir, Turkey.

Scandinavian Journal of Infectious Diseases
|January 5, 2002
PubMed
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Vancomycin-resistant Enterococci (VRE) fecal colonization was found in 8 neonates in the NICU. Risk factors like low birth weight and antibiotic use were associated with VRE carriage in these vulnerable infants.

Area of Science:

  • Infectious Diseases
  • Neonatal Medicine
  • Microbiology

Background:

  • Vancomycin-resistant Enterococci (VRE) pose a significant threat due to fecal-oral transmission.
  • Nosocomial VRE epidemics are a growing concern, particularly in vulnerable populations like neonates.
  • Understanding VRE colonization in neonates is crucial for infection control.

Purpose of the Study:

  • To determine the incidence of fecal VRE colonization in neonates within a hospital setting.
  • To identify factors associated with VRE carriage in neonatal intensive care unit (NICU) patients.

Main Methods:

  • Rectal swab specimens were collected from 110 neonates in the NICU and 42 healthy neonates on the obstetrics ward.
  • VRE presence and antimicrobial susceptibility (vancomycin, teicoplanin) were determined using Minimum Inhibitory Concentrations (MICs).

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Main Results:

  • VRE was detected in 8 neonates (7.3%) in the NICU, with MICs indicating resistance to vancomycin and teicoplanin.
  • No VRE colonization was found in the healthy neonates on the obstetrics ward (p < 0.05).
  • All VRE-positive neonates had known risk factors, including low birth weight and prolonged antibiotic therapy.

Conclusions:

  • Neonates in the NICU exhibit a notable incidence of VRE fecal colonization.
  • Low birth weight and extended antibiotic treatment are significant risk factors for VRE carriage in neonates.
  • Implementing targeted infection control strategies is essential to prevent VRE transmission in NICU settings.