title: First outbreak of colonization and infection with vancomycin-resistant Enterococcus faecium in a tertiary care hospital in Singapore.
abstract: We report the first outbreak of vancomycin-resistant Enterococcus faecium colonization and infection among inpatients in the hematology ward of an acute tertiary care public hospital in Singapore. Two cases of bacteremia and 4 cases of gastrointestinal carriage were uncovered before implementation of strict infection control measures resulted in control of the outbreak.
authors.affiliation: Department of Internal Medicine, Singapore General Hospital, Outram Road, Singapore. pchlebicki@hotmail.com
authors.forename: Maciej Piotr
authors.initials: MP
authors.lastname: Chlebicki
authors.forename: Moi Lin
authors.initials: ML
authors.lastname: Ling
authors.forename: Tse Hsien
authors.initials: TH
authors.lastname: Koh
authors.forename: Li Yang
authors.initials: LY
authors.lastname: Hsu
authors.forename: Ban Hock
authors.initials: BH
authors.lastname: Tan
authors.forename: Kue Bien
authors.initials: KB
authors.lastname: How
authors.forename: Li-Hwei
authors.initials: LH
authors.lastname: Sng
authors.forename: Grace Chee Yeng
authors.initials: GC
authors.lastname: Wang
authors.forename: Asok
authors.initials: A
authors.lastname: Kurup
authors.forename: Mei Ling
authors.initials: ML
authors.lastname: Kang
authors.forename: Jenny Guek Hong
authors.initials: JG
authors.lastname: Low
mesh_terms: D000328:Adult; D000368:Aged; D004196:Disease Outbreaks; D016521:Electrophoresis, Gel, Pulsed-Field; D016984:Enterococcus faecium / Q000302:isolation & purification / Q000472:pathogenicity*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology* / Q000382:microbiology / Q000401:mortality; D006801:Humans; D012846:Singapore / Q000453:epidemiology; D020713:Vancomycin Resistance