Control of an outbreak of vancomycin-resistant Enterococcus faecium in an oncology ward in South Africa: effective use of limited resources

McCarthy, Kerrigan; Nierop, W van; Dusé, Adriano; Gottberg, Anne von; Kassel, Merel N van; Perovic, Olga; Smego, Raymond A.

doi:10.1053/jhin.1999.0696

Cited by 29 publications

(18 citation statements)

References 25 publications

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“…A recent study identified vancomycin resistant enterococci (VRE) as the only drug resistant pathogen among isolates from ICUs from 18 developing countries which did not exceed the incidence seen in the respective data from surveys in the US [94]. However, from the sparse data available it seems that the problem is clearly emerging particularly in the developing countries of Asia [95][96][97][98], Latin America [99,100] and Africa [101]. A SENTRY study found 10,3% of E. faecium and 0.4% of E. faecalis resistant to vancomycin in the Asia-Pacific region [102].…”

Section: Enterococcusmentioning

confidence: 99%

“…Local outbreaks of VRE could be linked to inappropriate use of glycopeptides, as recently reported from Thailand [104], and could be controlled by strict measures, even with limited resources, as in an oncology ward from South Africa, facing a multi-clonal outbreak [105]. Lineages, such as Clonal Complex 17 (CC17) causing the majority of hospital outbreaks has spread globally [106] and is now being isolated from epidemics of developing countries as well [107].…”

Section: Enterococcusmentioning

confidence: 99%

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Update on Antibacterial Resistance in Low-Income Countries: Factors Favoring the Emergence of Resistance

Vilà

Pál

2010

TOIDJ

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Antimicrobial resistance has increased drastically in recent years in the developing countries, and it has rapidly become a leading public health concern. The prevalence of antimicrobial resistance varies greatly between and within countries and between different pathogens. However, overall a trend to the increase of the resistance to those antimicrobial agents more often used in these countries has been observed. Several factors can contribute to the rapid emergence and dissemination of antimicrobial resistance. In this paper, the current antimicrobial resistance in different microorganisms from different countries as well as the factors contributing to the emergence and spread of resistance in developing countries will be reviewed.

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Section: Enterococcusmentioning

confidence: 99%

Section: Enterococcusmentioning

confidence: 99%

Update on Antibacterial Resistance in Low-Income Countries: Factors Favoring the Emergence of Resistance

Vilà

Pál

2010

TOIDJ

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“…25 The recommendations have been successfully applied in the United States, 4 -814 ' 21 -23 -27 -30 the United Kingdom, 2425 and South Africa. 26 The recommendations proved effective when used in a country with limited resources. 26 The recommendations worked well when a polymerase chain reaction assay was used to detect VRE in rectal specimens in place of cultures.…”

mentioning

confidence: 98%

“…26 The recommendations proved effective when used in a country with limited resources. 26 The recommendations worked well when a polymerase chain reaction assay was used to detect VRE in rectal specimens in place of cultures. 31 In their most extensive test, the recommendations were effective in controlling VRE in 32 healthcare facilities in the Siouxland region of Iowa, Nebraska, and South Dakota.…”

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confidence: 98%

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Control of Vancomycin-Resistant Enterococci: It Is Important, It Is Possible, and It Is Cost-Effective

Mayhall

2002

Infect. Control Hosp. Epidemiol.

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Infection Control and Prevention Considerations

Daniels

Talbot

2014

Infectious Complications in Cancer Patients

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Due to the nature of their underlying illness and treatment regimens, cancer patients are at increased risk of infection. Though the advent and widespread use of anti-infective agents has allowed for the application of ever-greater immune-suppressing therapies with successful treatment of infectious complications, prevention of infection remains the primary goal. The evolutionary changes of microorganisms, whereby resistance to anti-infective therapy is increasingly common, have facilitated a paradigm shift in the field of healthcare epidemiology. No longer is the focus on "control" of infection once established in a healthcare environment. Rather, the emphasis is on prevention of infection before it occurs. The most basic tenet of infection prevention, and the cornerstone of all well-designed infection prevention and control programs, is hand hygiene. The hands of healthcare workers provide a common potential source for transmission of infectious agents, and effective decontamination of the hands reduces the risk of transmission of infectious material to other patients. Once infection is suspected or established; however, implementation of effective control strategies is important to limit the spread of infection within a healthcare environment. This chapter outlines the basic tenets of infection prevention, principles of isolation precautions and control measures, and elements for a successful infection control and prevention program.

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Control of an outbreak of vancomycin-resistant Enterococcus faecium in an oncology ward in South Africa: effective use of limited resources

Cited by 29 publications

References 25 publications

Update on Antibacterial Resistance in Low-Income Countries: Factors Favoring the Emergence of Resistance

Update on Antibacterial Resistance in Low-Income Countries: Factors Favoring the Emergence of Resistance

Control of Vancomycin-Resistant Enterococci: It Is Important, It Is Possible, and It Is Cost-Effective

Infection Control and Prevention Considerations

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