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Outbreak of Colonization and Infection With Vancomycin-Resistant Enterococcus faecium in a French University Hospital

Published online by Cambridge University Press:  21 June 2016

Olivier Lesens*
Affiliation:
Service des Maladies Infectieuses et Tropicales, Hôtel-Dieu, France
L. Mihaila
Affiliation:
Service de Réanimation Médicale, Hôpital Gabriel-Montpied, France
F. Robin
Affiliation:
Service de Bactériologie, CHU de Clermont-Ferrand, France
O. Baud
Affiliation:
Service d'Hygiène Hospitalière, Faculté de Médecine de Clermont-Ferrrand, France
J. P. Romaszko
Affiliation:
Service de Bactériologie, CHU de Clermont-Ferrand, France
O Tourniac
Affiliation:
Service d'Hématologie Clinique, Hôtel-Dieu, France
J. M. Constantin
Affiliation:
Service de Réanimation Médico–chirurgicale, Hôtel-Dieu, France
R. Bonnet
Affiliation:
Service de Bactériologie, CHU de Clermont-Ferrand, France
A. Bouvet
Affiliation:
Clermont-Ferrand, and the Centre National de Référence des Streptocoques, Service de Microbiologie, Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Université Paris V, Paris, France
J. Beytout
Affiliation:
Service des Maladies Infectieuses et Tropicales, Hôtel-Dieu, France
O. Traore
Affiliation:
Clermont-Ferrand, and the Centre National de Référence des Streptocoques, Service de Microbiologie, Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Université Paris V, Paris, France
H. Laurichesse
Affiliation:
Service des Maladies Infectieuses et Tropicales, Hôtel-Dieu, France
*
Service des Maladies Infectieuses et Tropicales, Hôtel-Dieu, CHU, 63000 Clermont-Ferrand, France, (olesens@chu-clermontferrand.fr)

Abstract

An outbreak of infection with vancomycin-resistant Enterococcus faecium occurred at Hôtel-Dieu Hospital (Clermont-Ferrand, France). A case-control study was performed in the infectious diseases and hematology units of the hospital. Urinary catheter use (odds ratio [OR], 12 [95% confidence interval {CI}, 1.5-90]; P<.02), prior exposure to a third-generation cephalosporin (OR, 22 [95% CI, 3-152]; P = .002), and prior exposure to antianaerobials (OR, 11 [95% CI, 1.5-88]; P<.02) were independently predictive of vancomycin-resistant Enterococcus faecium carriage.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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