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Vancomycin-resistant enterococcus. Detection, epidemiology, and control measures

¹Division of Infectious Diseases, Brown University, Providence, Rhode Island, USA.

Infectious Disease Clinics of North America

|June 1, 1997

Summary

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Vancomycin-resistant Enterococci (VRE) spread rapidly. Prompt implementation of recommended infection control measures can thwart nosocomial transmission of VRE in hospitals.

Area of Science:

Infectious Diseases
Microbiology
Epidemiology

Background:

Vancomycin-resistant Enterococci (VRE) have demonstrated rapid global dissemination since their emergence in 1988.
Understanding VRE epidemiology is crucial, yet knowledge gaps persist regarding reservoirs and transmission routes.

Purpose of the Study:

To review the current understanding of VRE epidemiology.
To highlight the need for further research into VRE reservoirs and transmission dynamics.
To emphasize the importance of infection control interventions.

Main Methods:

Literature review of VRE epidemiology.
Analysis of anecdotal evidence on infection control effectiveness.

Main Results:

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VRE spread has been extensive since 1988.
Anecdotal evidence suggests infection control measures can limit nosocomial spread.

Conclusions:

Further research is essential to identify VRE reservoirs and quantify transmission modes.
Prompt and consistent application of recommended infection control practices, such as those from HICPAC, is vital for preventing VRE spread in healthcare settings.