Vancomycin-resistant enterococci in long-term care facilities.
Knowledge of the prevalence rates and associated risk markers of vancomycin-resistant enterococci (VRE) colonization among long-term care facility (LTCF) residents could be used to improve screening policies among newly admitted hospital inpatients. In a cross-sectional survey among 1,215 residents of LTCFs in Jerusalem, the VRE carriage rate was 9.6%. Previous hospitalization and antibiotic treatment were associated with elevated VRE colonization rate. In contrast, moderate and severe levels of dependency and prolonged stay in an LTCF were associated with a decrease in the VRE colonization rate.
Benenson
Shmuel
S
Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. benenson@hadassah.org.il
Cohen
Matan J
MJ
Block
Colin
C
Stern
Sagit
S
Weiss
Yuval
Y
Moses
Allon E
AE
D000369:Aged, 80 and over; D002353:Carrier State / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control; D003430:Cross-Sectional Studies; D004197:Disease Reservoirs / Q000382:microbiology; D016983:Enterococcus / Q000187:drug effects* / Q000302:isolation & purification; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control; D006707:Homes for the Aged; D006760:Hospitalization; D006801:Humans; D007557:Israel / Q000453:epidemiology; D007902:Length of Stay; D008134:Long-Term Care; D008297:Male; D015999:Multivariate Analysis; D009735:Nursing Homes; D015995:Prevalence; D012307:Risk Factors; D013997:Time Factors; D020713:Vancomycin Resistance