Cross-transmission of vancomycin-resistant Enterococcus in patients undergoing dialysis and kidney transplant

Cross-transmission of vancomycin-resistant Enterococcus in patients undergoing dialysis and kidney transplant

Author Fram, Dayana Souza Autor UNIFESP Google Scholar
Castrucci, Fernanda Marques Autor UNIFESP Google Scholar
Taminato, Monica Autor UNIFESP Google Scholar
Godoy-Martinez, Patricio Autor UNIFESP Google Scholar
Freitas, Maria Cecília de Santos Autor UNIFESP Google Scholar
Belasco, Angélica Gonçalves Silva Autor UNIFESP Google Scholar
Sesso, Ricardo de Castro Cintra Autor UNIFESP Google Scholar
Pacheco-Silva, Alvaro Autor UNIFESP Google Scholar
Pignatari, Antonio Carlos Campos Autor UNIFESP Google Scholar
Barbosa, Dulce Aparecida Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Universidad Austral de Chile Institute of Microbiology
Abstract The objective of this study was to investigate the occurrence of vancomycin-resistant Enterococcus (VRE) cross-transmission between two patient groups (long-term dialysis and kidney transplant patients). Molecular typing, by automated ribotyping with the RiboPrinter Microbial Characterization System (Qualicon, USA), was used to analyze VRE isolates from 31 fecal samples of 320 dialysis patients and 38 fecal samples of 280 kidney transplant patients. Clonal spread of E. faecalis and E. casseliflavus was observed intragroup, but not between the two groups of patients. In turn, transmission of E. gallinarum and E. faecium between the groups was suggested by the finding of vancomycin-resistant isolates belonging to the same ribogroup in both dialysis and transplant patients. The fact that these patients were colonized by VRE from the same ribogroup in the same health care facility provides evidence for cross-transmission and supports the adoption of stringent infection control measures to prevent dissemination of these bacteria.
Keywords Vancomycin-resistant Enterococcus
Transmission
Dialysis
Kidney transplant
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Date 2010-01-01
Published in Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 43, n. 1, p. 115-119, 2010.
ISSN 0100-879X (Sherpa/Romeo, impact factor)
Publisher Associação Brasileira de Divulgação Científica
Extent 115-119
Origin http://dx.doi.org/10.1590/S0100-879X2009007500023
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000273581800016
SciELO ID S0100-879X2010000100016 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/5496

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