Identification of temporal clusters and risk factors of bacteremia by nosocomial vancomycin-resistant enterococci

Identification of temporal clusters and risk factors of bacteremia by nosocomial vancomycin-resistant enterococci

Author Silva, Natal Santos da Google Scholar
Muniz, Vitor Dantas Google Scholar
Estofolete, Cassia Fernanda Google Scholar
Campos Furtado, Guilherme Henrique Autor UNIFESP Google Scholar
Rubio, Fernando Gongora Google Scholar
Institution Med Coll Sao Jose do Rio Preto
Union Coll Great Lakes
Hosp Base
Universidade Federal de São Paulo (UNIFESP)
Abstract Background: This study aimed to evaluate a different methodology for addressing the evolution of nosocomial bacteremia by vancomycin-resistant enterococci (VRE) in a hospital setting.Methods: in this retrospective cohort study, data were collected from the date of first registration up to December 2008 from the electronic medical records of patients with VRE bacteremia in a school hospital.Results: Thirty cases of VRE bacteremia and 274 cases of vancomycin-susceptible enterococci (VSE) bacteremia were identified. the average age of the patients was 56 years. the rates of Enterococcus faecium and Enterococcus faecalis in the hospital's intensive care unit (ICU) and wards showed no statistically significant differences. the risk of acquiring VRE bacteremia was at least 3-fold higher in the ICU than in the wards. the risk of death was 2.73-fold higher in patients with VRE bacteremia compared with those with VSE bacteremia. Only one temporal cluster statistically significant of VRE bacteremia was found in the study period.Conclusions: the identification of temporal clusters can be an important tool to optimize health actions and thereby reduce the burden of operating costs. Copyright (C) 2014 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
Keywords Cohort study
Sepsis
Antibiotic
Resistance profile
Language English
Date 2014-04-01
Published in American Journal of Infection Control. New York: Mosby-Elsevier, v. 42, n. 4, p. 389-392, 2014.
ISSN 0196-6553 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 389-392
Origin http://dx.doi.org/10.1016/j.ajic.2013.11.010
Access rights Closed access
Type Article
Web of Science ID WOS:000333525100012
URI http://repositorio.unifesp.br/handle/11600/37606

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