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[Infections caused by multiresistant enterococci in Norway]

S Harthug1, N Langeland, A Digranes

  • 1Avdeling for sykehushygiene, Haukeland Sykehus, Bergen.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|December 9, 1998
PubMed
Summary

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Multidrug-resistant enterococci pose a significant threat in healthcare settings. Norway maintains a low prevalence through diligent infection control and antibiotic stewardship, highlighting the importance of these measures.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Public Health

Context:

  • Antimicrobial resistance (AMR) is a growing global health concern, particularly with multidrug-resistant pathogens like enterococci.
  • Nosocomial infections caused by vancomycin-resistant enterococci (VRE) contribute significantly to morbidity and mortality worldwide.
  • VRE strains often exhibit resistance to key antibiotics, including ampicillin, aminoglycosides, and vancomycin.

Purpose:

  • To present the current situation of vancomycin-resistant enterococci (VRE) in Norwegian hospitals.
  • To assess the prevalence of VRE infections and carriers in a national healthcare context.
  • To underscore the importance of infection control and antibiotic policies in managing VRE.

Summary:

  • Internationally, multidrug-resistant enterococci have increased healthcare-associated infections and mortality.

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  • The spread of these resistant strains is linked to antibiotic use and inadequate infection control.
  • In Norwegian hospitals, only six VRE infections and three carriers have been identified to date, indicating a favorable situation.
  • Surveillance confirms VRE is uncommon in non-infected patients within these facilities.

    • Impact:

    • Maintaining a low prevalence of VRE in Norwegian hospitals is crucial for patient safety.
    • Effective infection control practices are essential to prevent the emergence and spread of VRE.
    • Judicious antibiotic policies are vital for preserving the efficacy of existing treatments and combating AMR.