Targeted surveillance to identify children colonized with vancomycin-resistant Enterococcus in the pediatric intensive care unit.
Performing admission surveillance cultures is a resource-intensive strategy to identify asymptomatic patients with vancomycin-resistant Enterococcus (VRE) colonization. We measured VRE prevalence among children admitted to the pediatric intensive care unit. Targeted surveillance captured 94% of VRE-colonized children and may be an effective strategy to identify VRE carriers and facilitate pediatric infection prevention strategies.
Milstone
Aaron M
AM
Department of Pediatrics, Division of Pediatric Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. amilsto1@jhmi.edu
Maragakis
Lisa L
LL
Carroll
Karen C
KC
Perl
Trish M
TM
D000900:Anti-Bacterial Agents / Q000494:pharmacology; D015142:Baltimore / Q000453:epidemiology; D002353:Carrier State / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology; D002648:Child; D002675:Child, Preschool; D003470:Culture Media; D016983:Enterococcus / Q000187:drug effects / Q000302:isolation & purification*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology; D006801:Humans; D007223:Infant; D017053:Infection Control; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data*; D008297:Male; D008403:Mass Screening / Q000379:methods; D010343:Patient Admission / Q000706:statistics & numerical data; D011159:Population Surveillance / Q000379:methods*; D015995:Prevalence; D020713:Vancomycin Resistance
D000900:Anti-Bacterial Agents; D003470:Culture Media