Recurrent vancomycin-resistant Enterococcus bacteremia: prevalence, predisposing factors, and strain relatedness.
We studied the prevalence of recurrent vancomycin-resistant Enterococcus (VRE) bacteremia, predisposing factors, and strain relatedness during a 3 year period at our institution. Of 36 inpatients who had episodes of bacteremia, 3 (8.3%) had recurrent episodes. Predisposing factors were mucositis and neutropenia (1 patient) and chronic renal failure requiring hemodialysis (2). Recurrent episodes separated by < or = 3 months were caused by identical or related strains, and those at greater intervals by distinct strains. Recurrent VRE bacteremia is uncommon.
Baran
J
J
St. John Hospital and Medical Center, Detroit, MI 48236, USA. joseph.baran@stjohn.org
Riederer
K M
KM
Ramanathan
J
J
Khatib
R
R
D000328:Adult; D000368:Aged; D016470:Bacteremia / Q000453:epidemiology / Q000382:microbiology*; D016984:Enterococcus faecium / Q000145:classification / Q000187:drug effects / Q000235:genetics* / Q000302:isolation & purification; D005260:Female; D005838:Genotype; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology / Q000382:microbiology*; D006801:Humans; D008297:Male; D008824:Michigan / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D012008:Recurrence; D020713:Vancomycin Resistance