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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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