Outbreak of vancomycin-resistant Enterococcus in a renal transplant unit

Outbreaks of Vancomycin-Resistant Enterococci in Hospital Settings: A Systematic Review and Calculation of the Basic Reproductive Number

“…The average duration of latency plus infectious periods (D) was considered as median time to VRE acquisition after admission, on the basis of observational data in outbreak setting, 17 that applied the duration of 5 days for R 0 calculation. R 0 ranged from 1.02 to 1.99 in the studies selected, 12,[18][19][20][21][22][23][24][25][26] and the pooled R 0 , found after weighting by population proportions in every outbreak, was 1.32 (interquartile range, 1.03-1.46) ( Figure 3). R 0 tended to increase with time (Spearman rank order correlation: R = 0.46, P = .11).…”

“…Among them, 10 studies were included for R 0 calculation (epidemic duration <6 months). 12,[18][19][20][21][22][23][24][25][26]…”

“…21 Surveillance programs generally consist of rectal swab samples from all patients during or 24 h after admission in the unit, then weekly. 19,20,23,[26][27][28][29]…”