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[Control measures for a VRE outbreak in a haemodialysis unit]
N Diguio1, P Chanet, A Hautemanière
1Service d'Hygiène Hospitalière, Hôpital Brabois Adultes, CHU de Nancy, Rue du Morvan, 54 511, Vandoeuvre-les-Nancy cedex, France. n.diguio@chu-nancy.fr
Nephrologie & Therapeutique
|July 15, 2009
Summary
An outbreak of Vancomycin Resistant Enterococci (VRE) affected 19 patients in a hospital
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Context:
- Haemodialysis units are high-risk environments for multidrug-resistant organism transmission.
- A significant outbreak of Vancomycin Resistant Enterococci (VRE) colonization occurred between October 2004 and September 2008.
- Nineteen patients in the haemodialysis unit were identified as VRE carriers.
Purpose:
- To describe the implementation and effectiveness of infection control measures against a VRE outbreak in a haemodialysis unit.
- To analyze the impact of VRE control strategies on patient management and unit operations.
Summary:
- Multi-faceted infection control strategies were implemented, including patient isolation, geographic clustering, cohorted care with dedicated staff, enhanced hand hygiene, active screening, and improved environmental cleaning.
- Epidemic curve monitoring demonstrated the effectiveness of these interventions in controlling VRE transmission.
- The study highlights the challenges and consequences of implementing stringent infection control measures.
Impact:
- Successfully controlled the VRE outbreak through a combination of enhanced infection control protocols.
- Demonstrated the importance of strict adherence to hygiene and isolation procedures in haemodialysis settings.
- Identified negative impacts on patient routines and unit workflow, necessitating further optimization of care delivery.
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