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Cessation of Rectal Screening for Vancomycin-Resistant Enterococci: Experience from a Tertiary Care Hospital from Türkiye
Objective: Here, we compared the impact of different polices on the epidemiology of Vancomycin-resistant Enterococcus faecium bloodstream infections (VRE-BSIs) in a tertiary care hospital including two hospital buildings (oncology and adult hospitals) in the same campus. Material and Methods: All pa...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10572918/ https://www.ncbi.nlm.nih.gov/pubmed/37830678 http://dx.doi.org/10.3390/healthcare11192641 |
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author | Telli Dizman, Gülçin Metan, Gökhan Zarakolu, Pınar Tanrıverdi, Elif Seren Hazırolan, Gülşen Aytaç Ak, Hanife Kılınçarslan, Dilek Uzun, Mertcan Çelik Kavaklılar, Başak Arık, Zafer Otlu, Barış Ünal, Serhat |
author_facet | Telli Dizman, Gülçin Metan, Gökhan Zarakolu, Pınar Tanrıverdi, Elif Seren Hazırolan, Gülşen Aytaç Ak, Hanife Kılınçarslan, Dilek Uzun, Mertcan Çelik Kavaklılar, Başak Arık, Zafer Otlu, Barış Ünal, Serhat |
author_sort | Telli Dizman, Gülçin |
collection | PubMed |
description | Objective: Here, we compared the impact of different polices on the epidemiology of Vancomycin-resistant Enterococcus faecium bloodstream infections (VRE-BSIs) in a tertiary care hospital including two hospital buildings (oncology and adult hospitals) in the same campus. Material and Methods: All patients who were hospitalized in high-risk units were screened weekly for VRE colonization via rectal swab between January 2006 and January 2013. After January 2013, VRE screening was only performed in cases of suspicion of VRE outbreak and during point prevalence studies to evaluate the epidemiology of VRE colonization. Contact precautions were in place for all VRE-positive patients. The incidence density rates of hospital-acquired (HA)-VRE-BSIs were compared between two periods. Results: While the rate of VRE colonization was higher in the second period (5% vs. 9.5% (p < 0.01) for the adult hospital, and 6.4% vs. 12% (p = 0.02 for the oncology hospital), there was no increase in the incidence rate HA-VRE BSIs after the cessation of routine rectal screening in either of the hospitals. Conclusion: Screening policies should be dynamic and individualized according to the epidemiology of VRE as well as the workforce and cost. Periodical rectal screening of VRE can be discontinued if suspicion of an outbreak can be carefully monitored. |
format | Online Article Text |
id | pubmed-10572918 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-105729182023-10-14 Cessation of Rectal Screening for Vancomycin-Resistant Enterococci: Experience from a Tertiary Care Hospital from Türkiye Telli Dizman, Gülçin Metan, Gökhan Zarakolu, Pınar Tanrıverdi, Elif Seren Hazırolan, Gülşen Aytaç Ak, Hanife Kılınçarslan, Dilek Uzun, Mertcan Çelik Kavaklılar, Başak Arık, Zafer Otlu, Barış Ünal, Serhat Healthcare (Basel) Article Objective: Here, we compared the impact of different polices on the epidemiology of Vancomycin-resistant Enterococcus faecium bloodstream infections (VRE-BSIs) in a tertiary care hospital including two hospital buildings (oncology and adult hospitals) in the same campus. Material and Methods: All patients who were hospitalized in high-risk units were screened weekly for VRE colonization via rectal swab between January 2006 and January 2013. After January 2013, VRE screening was only performed in cases of suspicion of VRE outbreak and during point prevalence studies to evaluate the epidemiology of VRE colonization. Contact precautions were in place for all VRE-positive patients. The incidence density rates of hospital-acquired (HA)-VRE-BSIs were compared between two periods. Results: While the rate of VRE colonization was higher in the second period (5% vs. 9.5% (p < 0.01) for the adult hospital, and 6.4% vs. 12% (p = 0.02 for the oncology hospital), there was no increase in the incidence rate HA-VRE BSIs after the cessation of routine rectal screening in either of the hospitals. Conclusion: Screening policies should be dynamic and individualized according to the epidemiology of VRE as well as the workforce and cost. Periodical rectal screening of VRE can be discontinued if suspicion of an outbreak can be carefully monitored. MDPI 2023-09-28 /pmc/articles/PMC10572918/ /pubmed/37830678 http://dx.doi.org/10.3390/healthcare11192641 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Telli Dizman, Gülçin Metan, Gökhan Zarakolu, Pınar Tanrıverdi, Elif Seren Hazırolan, Gülşen Aytaç Ak, Hanife Kılınçarslan, Dilek Uzun, Mertcan Çelik Kavaklılar, Başak Arık, Zafer Otlu, Barış Ünal, Serhat Cessation of Rectal Screening for Vancomycin-Resistant Enterococci: Experience from a Tertiary Care Hospital from Türkiye |
title | Cessation of Rectal Screening for Vancomycin-Resistant Enterococci: Experience from a Tertiary Care Hospital from Türkiye |
title_full | Cessation of Rectal Screening for Vancomycin-Resistant Enterococci: Experience from a Tertiary Care Hospital from Türkiye |
title_fullStr | Cessation of Rectal Screening for Vancomycin-Resistant Enterococci: Experience from a Tertiary Care Hospital from Türkiye |
title_full_unstemmed | Cessation of Rectal Screening for Vancomycin-Resistant Enterococci: Experience from a Tertiary Care Hospital from Türkiye |
title_short | Cessation of Rectal Screening for Vancomycin-Resistant Enterococci: Experience from a Tertiary Care Hospital from Türkiye |
title_sort | cessation of rectal screening for vancomycin-resistant enterococci: experience from a tertiary care hospital from türkiye |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10572918/ https://www.ncbi.nlm.nih.gov/pubmed/37830678 http://dx.doi.org/10.3390/healthcare11192641 |
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