Vancomycin-resistant Enterococcusin Pediatric Oncology Patients

Autor: Singh, Jasjit, Esparza, Samuel, Patterson, Melanie, Vogel, Kate, Patel, Bijal, Gornick, Wendi
Zdroj: Journal of Pediatric Hematology / Oncology; April 2013, Vol. 35 Issue: 3 p227-231, 5p
Abstrakt: In February 2007, we experienced an abrupt 8-fold increase in vancomycin-resistant Enterococcus(VRE)-positive pediatric hematologyoncology patients in isolation per day, peaking at 12 patients in isolation per day in June 2007. We enforced and expanded infection prevention practices and initiated a rigorous 6-month clearance process. After noting an eventual decrease, we modified clearance to a 3-month process, maintaining <1 patientday in isolation by June 2009, subjectively improving family and staff satisfaction after this 2-year process. VRE infection was relatively uncommon (7.8), although continued VRE colonization portended an overall poorer prognosis.
Databáze: Supplemental Index