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Risk of vancomycin-resistant enterococci bloodstream infection among patients colonized with vancomycin-resistant enterococci
Kara, Ahu; Devrim, İlker; Bayram, Nuri; Katipoğlu, Nagehan; Kıran, Ezgi; Oruç, Yeliz; Demiray, Nevbahar; Apab, Hurşit; Gülfidan, Gamze.
  • Kara, Ahu; Dr. Behçet Uz Children's Hospital. Department of Pediatric Infectious Disease. İzmir. TR
  • Devrim, İlker; Dr. Behçet Uz Children's Hospital. Department of Pediatric Infectious Disease. İzmir. TR
  • Bayram, Nuri; Dr. Behçet Uz Children's Hospital. Department of Pediatric Infectious Disease. İzmir. TR
  • Katipoğlu, Nagehan; Dr. Behçet Uz Children's Hospital. Department of Pediatric Infectious Disease. İzmir. TR
  • Kıran, Ezgi; Dr. Behçet Uz Children's Hospital. Department of Pediatric Infectious Disease. İzmir. TR
  • Oruç, Yeliz; Dr. Behçet Uz Children's Hospital. Department of Pediatric Infectious Disease. İzmir. TR
  • Demiray, Nevbahar; Dr. Behçet Uz Children's Hospital. Department of Pediatric Infectious Disease. İzmir. TR
  • Apab, Hurşit; Dr. Behçet Uz Children's Hospital. Department of Pediatric Infectious Disease. İzmir. TR
  • Gülfidan, Gamze; Dr. Behçet Uz Children's Hospital. Department of Pediatric Infectious Disease. İzmir. TR
Braz. j. infect. dis ; 19(1): 58-61, Jan-Feb/2015. graf
Article in English | LILACS | ID: lil-741233
ABSTRACT

Background:

Vancomycin-resistant enterococci colonization has been reported to increase the risk of developing infections, including bloodstream infections.

Aim:

In this study, we aimed to share our experience with the vancomycin-resistant enterococci bloodstream infections following gastrointestinal vancomycin-resistant enterococci colonization in pediatric population during a period of 18 months.

Method:

A retrospective cohort of children admitted to a 400-bed tertiary teaching hospital in Izmir, Turkey whose vancomycin-resistant enterococci colonization was newly detected during routine surveillances for gastrointestinal vancomycin-resistant enterococci colonization during the period of January 2009 and December 2012 were included in this study. All vancomycin-resistant enterococci isolates found within 18 months after initial detection were evaluated for evidence of infection.

Findings:

Two hundred and sixteen patients with vancomycin-resistant enterococci were included in the study. Vancomycin-resistant enterococci colonization was detected in 136 patients (62.3%) while they were hospitalized at intensive care units; while the remaining majority (33.0%) were hospitalized at hematology-oncology department. Vancomycinresistant enterococci bacteremia was present only in three (1.55%) patients. All these patients were immunosuppressed due to human immunodeficiency virus (one patient) and intensive chemotherapy (two patients).

Conclusion:

In conclusion, our study found that 1.55% of vancomycin-resistant enterococcicolonized children had developed vancomycin-resistant enterococci bloodstream infection among the pediatric intensive care unit and hematology/oncology patients; according to our findings, we suggest that immunosupression is the key point for developing vancomycinresistant enterococci bloodstream infections. .
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Cross Infection / Gram-Positive Bacterial Infections / Bacteremia / Vancomycin-Resistant Enterococci Type of study: Etiology study / Incidence study / Observational study / Risk factors Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Infant, Newborn Language: English Journal: Braz. j. infect. dis Journal subject: Communicable Diseases Year: 2015 Type: Article Affiliation country: Turkey Institution/Affiliation country: Dr. Behçet Uz Children's Hospital/TR

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Full text: Available Index: LILACS (Americas) Main subject: Cross Infection / Gram-Positive Bacterial Infections / Bacteremia / Vancomycin-Resistant Enterococci Type of study: Etiology study / Incidence study / Observational study / Risk factors Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Infant, Newborn Language: English Journal: Braz. j. infect. dis Journal subject: Communicable Diseases Year: 2015 Type: Article Affiliation country: Turkey Institution/Affiliation country: Dr. Behçet Uz Children's Hospital/TR