Show simple item record

dc.contributor.authorJackson, S.S.
dc.contributor.authorHarris, A.D.
dc.contributor.authorMagder, L.S.
dc.date.accessioned2019-09-13T14:49:29Z
dc.date.available2019-09-13T14:49:29Z
dc.date.issued2019
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85053877873&doi=10.1016%2fj.ajic.2018.07.011&partnerID=40&md5=5317cbf5d83564cb579269f79901eb5a
dc.identifier.urihttp://hdl.handle.net/10713/10560
dc.description.abstractBackground: Health care workers (HCWs) are significant vectors for transmission of multidrug-resistant organisms among patients in intensive care units (ICUs). We studied ICU patients on contact precautions, colonized with vancomycin-resistant Enterococcus (VRE), to assess whether bacterial burden is associated with transmission to HCWs’ gloves or gowns, a surrogate outcome for transmission to subsequent patients. Methods: From this prospective cohort study, we analyzed 96 VRE-colonized ICU patients and 5 HCWs per patient. We obtained samples from patients’ perianal area, skin, and stool to assess bacterial burden and cultured HCWs’ gloves and gowns for VRE after patient care. Results: Seventy-one of 479 (15%) HCW-patient interactions led to contamination of HCWs’ gloves or gowns with VRE. HCW contamination was associated with VRE burden on the perianal swab (odds ratio [OR], 1.37; 95% confidence interval [CI], 1.19, 1.57), skin swabs (OR, 2.14; 95% CI, 1.51, 3.02), and in stool (OR, 1.95; 95% CI, 1.39, 2.72). Compared with colonization with Enterococcus faecalis, colonization with Enterococcus faecium was associated with higher bacterial burden and higher odds of transmission to HCWs. Conclusions: We show that ICU patients with higher bacterial burden are more likely to transmit VRE to HCWs. These findings have implications for VRE decolonization and other infection control interventions. Copyright 2019 Association for Professionals in Infection Control and Epidemiology, Inc.en_US
dc.description.urihttps://doi.org/10.1016/j.ajic.2018.07.011en_US
dc.language.isoen-USen_US
dc.publisherMosby Inc.en_US
dc.relation.ispartofAmerican Journal of Infection Control
dc.subjectBacterial burdenen_US
dc.subjectContact precautionsen_US
dc.subjectHealth care workersen_US
dc.subjectVancomycin-resistant Enterococcusen_US
dc.titleBacterial burden is associated with increased transmission to health care workers from patients colonized with vancomycin-resistant Enterococcusen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.ajic.2018.07.011
dc.identifier.pmid30268592


Files in this item

Thumbnail
Name:
Publisher version

This item appears in the following Collection(s)

Show simple item record