title: [Case report: a nosocomial infection caused by vancomycin resistant enterococcus].
abstract: Vancomycin resistant enterococcus (VRE) was recovered from the urine culture of a 61 years old female patient, who was being treated for sepsis, on the 15th day of hospitalization in Ondokuz Mayis University Hospital Infectious Disease Unit. The underlying diseases of this patient were chronic renal failure and diabetes mellitus. The patient died due to septic shock on the day of VRE isolation. Since this case was the first VRE infection in our hospital, a point prevalence study was planned. For this purpose, rectal swab samples collected from 10 patients from the same unit and 27 personnel who worked in the same unit, were screened for the presence of VRE. Nasal swabs and finger tip samples were also taken from the staff to determine if the transmission has occured in this way. As a result, a second VRE strain was isolated from another patient with chronic renal failure who was under treatment due to multiple pulmonary abscesses. Immediate isolation of this patient prevented a possible epidemic in this specific unit. In this report, the importance of VRE screening and isolation of the patients after the recovery of VRE has been emphasized.
authors.affiliation: Ondokuz Mayis Universitesi Tip Fakültesi, Klinik Mikrobiyoloji ve Enfeksiyon Hastaliklari Anabilim Dali, Samsun.
authors.forename: Nuriye
authors.initials: N
authors.lastname: Taşdelen Fişgin
authors.forename: Ozge
authors.initials: O
authors.lastname: Darka
authors.forename: Mustafa
authors.initials: M
authors.lastname: Sünbül
authors.forename: Ahmet Yilmaz
authors.initials: AY
authors.lastname: Coban
authors.forename: Hanife
authors.initials: H
authors.lastname: Sarikaya
authors.forename: Belgin
authors.initials: B
authors.lastname: Altun
authors.forename: Belma
authors.initials: B
authors.lastname: Durupinar
authors.forename: Hakan
authors.initials: H
authors.lastname: Leblebicioğlu
mesh_terms: D001437:Bacteriuria / Q000382:microbiology; D003428:Cross Infection / Q000175:diagnosis / Q000382:microbiology* / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004196:Disease Outbreaks / Q000517:prevention & control; D016984:Enterococcus faecium / Q000187:drug effects / Q000302:isolation & purification*; D017809:Fatal Outcome; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000382:microbiology* / Q000517:prevention & control; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D008875:Middle Aged; D010356:Patient Isolation; D012772:Shock, Septic / Q000382:microbiology*; D020713:Vancomycin Resistance