title: Evaluation of compliance in control and prevention study of vancomycin resistant enterococcus outbreak.
abstract: OBJECTIVE
  Vancomycin resistant enterococci (VRE) colonization and the spread decrease with compliance and isolation guidelines. For the isolation methods to succeed, compliance with the isolation guidelines needs to be overseen. In this study, VRE outbreak among the Pediatric Ward patients, the preventative efforts to control this outbreak, and the impact of scoring tables used in controlling this outbreak on the success are explained.
  
  
  METHODS
  Rectal swab cultures were taken from patients who were admitted to the Ward between October and December 2010 due to diagnoses of VRE and urinary tract infection.
  
  
  RESULTS
  VRE were isolated in the rectal swab samples of 34 patients. VRE infection findings were clinically detected in two of the cases with VRE isolation. Two isolations of VRE were detected on cultures from patient room door handle surface and the telephone in the room for common use. Close contact isolation was achieved and barrier precautions were taken for all cases, as soon as the detections were made. A scoring system was developed to evaluate the feasibility of and the compliance with the precautions to be taken.
  
  
  CONCLUSIONS
  With the method presented in this study, the outbreak at our hospital was under control within two months.
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gaziantep University, 27310 Gaziantep, Turkey. vbosnak@hotmail.com
authors.forename: Vuslat
authors.initials: V
authors.lastname: Kecik Bosnak
authors.forename: Mustafa
authors.initials: M
authors.lastname: Namiduru
authors.forename: Ilkay
authors.initials: I
authors.lastname: Karaoglan
authors.forename: Ayse
authors.initials: A
authors.lastname: Ozlem Mete
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology; D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control; D004196:Disease Outbreaks / Q000517:prevention & control*; D016983:Enterococcus / Q000187:drug effects / Q000472:pathogenicity*; D005260:Female; D019983:Guideline Adherence; D006776:Hospitals, Pediatric; D006801:Humans; D017053:Infection Control / Q000379:methods* / Q000592:standards*; D008297:Male; D008826:Microbial Sensitivity Tests; D014552:Urinary Tract Infections / Q000382:microbiology; D014640:Vancomycin / Q000494:pharmacology; D020713:Vancomycin Resistance
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin