Prevalence and factors associated with rectal vancomycin-resistant enterococci colonization in two intensive care units in São Paulo, Brazil.
Vancomycin-resistant enterococci (VRE) are important pathogens causing nosocomial infections, and there is reason for concern about their resistance and great ability to spread in hospital environments, especially intensive-care units (ICU). To determine the prevalence of rectal colonization by VRE, and the risk factors associated with their presence, rectal surveillance swabs were taken from patients under treatment in two intensive-care units (one medical and another both medical and surgical) at São Paulo Hospital, over a two-year period. Thirty-three percent of the 147 patients evaluated had VRE. The only significant variable in the logistic regression was the length of stay in the ICU.
Furtado
Guilherme Henrique Campos
GH
Division of Infectious Diseases, Hospital Epidemiology Committee, Federal University of São Paulo, São Paulo, SP, Brazil. ghfurtado@uol.com.br
Martins
Sinaida Teixeira
ST
Coutinho
Ana Paula
AP
Wey
Sérgio Barsanti
SB
Medeiros
Eduardo Alexandrino Servolo
EA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D016983:Enterococcus / Q000187:drug effects*; D005243:Feces / Q000382:microbiology; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012007:Rectum / Q000382:microbiology*; D012307:Risk Factors; D020713:Vancomycin Resistance