title: Outbreak of colonization and infection with vancomycin-resistant Enterococcus faecium in a French university hospital.
abstract: An outbreak of infection with vancomycin-resistant Enterococcus faecium occurred at Hotel-Dieu Hospital (Clermont-Ferrand, France). A case-control study was performed in the infectious diseases and hematology units of the hospital. Urinary catheter use (odds ratio [OR], 12 [95% confidence interval {CI}, 1.5-90]; P<.02), prior exposure to a third-generation cephalosporin (OR, 22 [95% CI, 3-152]; P=.002), and prior exposure to antianaerobials (OR, 11 [95% CI, 1.5-88]; P<.02) were independently predictive of vancomycin-resistant Enterococcus faecium carriage.
authors.affiliation: Service des Maladies Infectieuses et Tropicales, Clermont-Ferrand, France. olesens@chu-clermontferrand.fr
authors.forename: Olivier
authors.initials: O
authors.lastname: Lesens
authors.forename: L
authors.initials: L
authors.lastname: Mihaila
authors.forename: F
authors.initials: F
authors.lastname: Robin
authors.forename: O
authors.initials: O
authors.lastname: Baud
authors.forename: J P
authors.initials: JP
authors.lastname: Romaszko
authors.forename: O
authors.initials: O
authors.lastname: Tourniac
authors.forename: J M
authors.initials: JM
authors.lastname: Constantin
authors.forename: B
authors.initials: B
authors.lastname: Souweine
authors.forename: R
authors.initials: R
authors.lastname: Bonnet
authors.forename: A
authors.initials: A
authors.lastname: Bouvet
authors.forename: J
authors.initials: J
authors.lastname: Beytout
authors.forename: O
authors.initials: O
authors.lastname: Traore
authors.forename: H
authors.initials: H
authors.lastname: Laurichesse
mesh_terms: D004196:Disease Outbreaks; D016521:Electrophoresis, Gel, Pulsed-Field; D016984:Enterococcus faecium / Q000302:isolation & purification / Q000472:pathogenicity*; D005260:Female; D005602:France / Q000453:epidemiology; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology*; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D020713:Vancomycin Resistance