title: Vancomycin-resistant Enterococcus co-colonization rates with methicillin-resistant Staphylococcus aureus and Clostridium difficile in critically ill veterans.
abstract: A prospective study was conducted to identify risk factors for vancomycin-resistant Enterococcus, including co-colonization with methicillin-resistant Staphylococcus aureus and Clostridium difficile infection in patients admitted to the intensive care unit in 2 Veterans Affairs facilities. Methicillin-resistant Staphylococcus aureus and Clostridium difficile infection co-colonization were significant risk factors for vancomycin-resistant Enterococcus colonization. Further studies are needed to identify measures for preventing co-colonization of these major organisms in veterans.
authors.affiliation: William S. Middleton Memorial Veterans Affairs Hospital, Madison, WI. Electronic address: Linda.mckinley2@va.gov.
authors.forename: Linda
authors.initials: L
authors.lastname: McKinley
authors.affiliation: William S. Middleton Memorial Veterans Affairs Hospital, Madison, WI; Loma Linda University, Loma Linda, CA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Becerra
authors.affiliation: Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA; Villanova University College of Nursing, Philadelphia, PA.
authors.forename: Helene
authors.initials: H
authors.lastname: Moriarty
authors.affiliation: John Carroll University, University Heights, OH.
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Short
authors.affiliation: Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI.
authors.forename: Mary
authors.initials: M
authors.lastname: Hagle
authors.affiliation: Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI.
authors.forename: Abigail
authors.initials: A
authors.lastname: Reymann
authors.affiliation: William S. Middleton Memorial Veterans Affairs Hospital, Madison, WI; University of Wisconsin, Madison, WI.
authors.forename: Susan
authors.initials: S
authors.lastname: Valentine
authors.affiliation: University of Wisconsin, Madison, WI.
authors.forename: Megan
authors.initials: M
authors.lastname: Duster
authors.affiliation: University of Wisconsin, Madison, WI.
authors.forename: Simone
authors.initials: S
authors.lastname: Warrack
authors.affiliation: William S. Middleton Memorial Veterans Affairs Hospital, Madison, WI; University of Wisconsin, Madison, WI.
authors.forename: Nasia
authors.initials: N
authors.lastname: Safdar
mesh_terms: D002353:Carrier State / Q000453:epidemiology* / Q000382:microbiology; D016360:Clostridioides difficile / Q000302:isolation & purification*; D003015:Clostridium Infections / Q000453:epidemiology* / Q000382:microbiology; D060085:Coinfection / Q000453:epidemiology* / Q000382:microbiology; D016638:Critical Illness; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology* / Q000382:microbiology; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D011446:Prospective Studies; D012307:Risk Factors; D065507:Vancomycin-Resistant Enterococci / Q000302:isolation & purification*; D014728:Veterans
keywords: Intensive care unit; Isolation; Screening