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Area of Science:

  • Infectious Diseases
  • Healthcare Epidemiology
  • Critical Care Medicine

Background:

  • Vancomycin-resistant Enterococcus (VRE) poses a significant threat in healthcare settings.
  • Universal screening for VRE upon admission is not consistently applied within the Department of Veterans Affairs (VA).
  • Understanding VRE prevalence is crucial for effective infection control.

Purpose of the Study:

  • To determine the admission prevalence of VRE in intensive care unit (ICU) patients at two VA facilities.
  • To identify potential regional variations in VRE colonization rates.
  • To inform the development of targeted infection control measures.

Main Methods:

  • Prospective study design.
  • Inclusion of patients admitted to the ICU at two distinct VA healthcare facilities.
  • Data collection on VRE status at the time of admission.

Main Results:

  • Significant differences in VRE admission prevalence were observed between the two VA facilities.
  • The study identified regional disparities in VRE colonization.
  • Admission VRE rates varied, indicating a need for site-specific assessments.

Conclusions:

  • VRE admission prevalence is not uniform across all VA facilities.
  • Regional differences necessitate customized infection control protocols.
  • Further research is required to optimize VRE screening and management strategies.