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Published on: October 25, 2013
The Role of Infection Prevention in Preventing the Spread of Vancomycin-Resistant Enterococci in Healthcare Settings
Anita Shallal1, Kyle Crooker2, Marcus Zervos1
1Department of Medicine, Wayne State University School of Medicine, Detroit, MI, USA; Division of Infectious Diseases, Department of Medicine, Henry Ford Hospital, Detroit, MI, USA; Department of Medicine, Michigan State College of Human Medicine, Lansing, MI, USA.
Abstract:
We describe the role of infection prevention in Vancomycin-Resistant Enterococci (VRE) in the health care setting. Despite low levels of virulence, VRE is a global challenge due to an increasing trend in resistance, including novel agents. Basic infection control practices to interrupt transmission, such as hand hygiene, environmental cleaning, and antimicrobial stewardship, are crucial in preventing the spread of VRE. Reducing patient-specific risk factors, such as the presence of indwelling devices, is also crucial. The use of active surveillance screening and contact precautions is not shown to reduce VRE transmission in endemic settings.
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