ArticleInfection control and hospital epidemiology2009
Outbreak of vancomycin-resistant enterococcus colonization among pediatric oncology patients.
Article in Infection control and hospital epidemiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Transmission Surveillance for Antimicrobial-Resistant Organisms in the Health System.Microbiology spectrum · 2018Review
- Outbreaks caused by vancomycin-resistantHeliyon · 2017Article
- Where is the difference between an epidemic and a high endemic level with respect to nosocomial infection control measures? An analysis based on the example of vancomycin-resistant Enterococcus faecium in hematology and oncology departments.GMS hygiene and infection control · 2017Review
- Gastrointestinal and liver infections in children undergoing antineoplastic chemotherapy in the years 2000.World journal of gastroenterology · 2016Review
- Control of the spread of vancomycin-resistant enterococci in hospitals: epidemiology and clinical relevance.Deutsches Arzteblatt international · 2013Review
- Malnutrition and obesity in pediatric oncology patients: causes, consequences, and interventions.Pediatric blood & cancer · 2012Review
- Successful control of vancomycin-resistant Enterococcus faecium outbreak in a neurosurgical unit at non-endemic region.Emerging health threats journal · 2009Article
- Factors affecting vancomycin-resistantTzu chi medical journalArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo detect the burden of vancomycin-resistant Enterococcus (VRE) colonization among pediatric oncology patients and to determine risk factors for VRE acquisition.
designRetrospective case-control study.
settingThe Children's Hospital of Philadelphia. PATIENTS: Pediatric oncology patients hospitalized from June 2006 through December 2007.
methodsPrevalence surveys revealed an increased VRE burden among pediatric oncology patients. For the case-control study, the 16 case patients were pediatric oncology patients who had 1 stool sample negative for VRE at screening before having a stool sample positive for VRE at screening; the 62 control patients had 2 consecutive screenings in which stool samples were negative for VRE. Case and control patients were matched on the duration of the interval between screens. Analyses were performed to determine the association between multiple exposures and VRE acquisition.
resultsThe prevalence survey revealed that 5 (9.6%) of 52 patients had unsuspected VRE colonization at the time of hospitalization. Multivariate analysis identified a lack of empirical contact precautions (odds ratio [OR], 17.16 [95% confidence interval {CI}, 1.49-198.21]; P= .02) and the presence of a gastrointestinal device (OR, 4.03 [95% CI, 1.04-15.56]; P= .04) as significant risk factors for acquisition of VRE. Observations in the interventional radiology department revealed that staff could not access the portions of the electronic medical record in which isolation precautions were documented. Simple interventions that granted access and that trained interventional radiology staff to review the need for precautions, coupled with enhanced infection control practices, interrupted ongoing transmission and reduced the proportion of VRE screens that were positive to 15 (1.2%) of 1,270.
conclusionsInadequate communication with regard to infection control precautions can increase the risk of transmission of epidemiologically important organisms, particularly when patients receive care at multiple clinic locations. Adherence to infection control practices across the spectrum of care may limit the spread of resistant organisms.
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