Cessation of Rectal Screening for Vancomycin-Resistant Enterococci: Experience from a Tertiary Care Hospital from Turkiye

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dc.authoridcelik kavaklilar, basak/0000-0003-3660-6066
dc.authoridUNAL, SERHAT/0000-0003-1184-4711
dc.authoridOTLU, BARIS/0000-0002-6220-0521
dc.authoridZarakolu, Pınar/0000-0003-4918-4085
dc.authoridTelli Dizman, Gülçin/0000-0001-8195-3345
dc.authoridTanriverdi, Elif Seren/0000-0002-0449-0356
dc.authoridUzun, Mertcan/0000-0003-1996-6828
dc.authorwosidcelik kavaklilar, basak/JVZ-7050-2024
dc.authorwosidUNAL, SERHAT/I-9034-2013
dc.authorwosidOTLU, BARIS/ABI-5532-2020
dc.authorwosidZarakolu, Pınar/KEH-6744-2024
dc.authorwosidTelli Dizman, Gülçin/ABV-3036-2022
dc.authorwosidTanriverdi, Elif Seren/ABE-4472-2021
dc.contributor.authorDizman, Guelcin Telli
dc.contributor.authorMetan, Goekhan
dc.contributor.authorZarakolu, Pinar
dc.contributor.authorTanriverdi, Elif Seren
dc.contributor.authorHazirolan, Guelsen
dc.contributor.authorAytac Ak, Hanife
dc.contributor.authorKilincarslan, Dilek
dc.date.accessioned2024-08-04T20:54:46Z
dc.date.available2024-08-04T20:54:46Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective:Here, we compared the impact of different polices on the epidemiology of Vancomycin-resistant Enterococcus faecium bloodstream infections (VRE-BSIs) in a tertiary care hospital including two hospital buildings (oncology and adult hospitals) in the same campus. Material and Methods:All patients who were hospitalized in high-risk units were screened weekly for VRE colonization via rectal swab between January 2006 and January 2013. After January 2013, VRE screening was only performed in cases of suspicion of VRE outbreak and during point prevalence studies to evaluate the epidemiology of VRE colonization. Contact precautions were in place for all VRE-positive patients. The incidence density rates of hospital-acquired (HA)-VRE-BSIs were compared between two periods. Results:While the rate of VRE colonization was higher in the second period (5% vs. 9.5% (p < 0.01) for the adult hospital, and 6.4% vs. 12% (p = 0.02 for the oncology hospital), there was no increase in the incidence rate HA-VRE BSIs after the cessation of routine rectal screening in either of the hospitals. Conclusion:Screening policies should be dynamic and individualized according to the epidemiology of VRE as well as the workforce and cost. Periodical rectal screening of VRE can be discontinued if suspicion of an outbreak can be carefully monitored.en_US
dc.description.sponsorshipThis study was presented as a poster in ECCMID 2023 (15.04.2023, Copenhagen/Denmark, 687/P0776). [15.04.2023, 687/P0776]en_US
dc.description.sponsorshipThis study was presented as a poster in ECCMID 2023 (15.04.2023, Copenhagen/Denmark, 687/P0776).en_US
dc.identifier.doi10.3390/healthcare11192641
dc.identifier.issn2227-9032
dc.identifier.issue19en_US
dc.identifier.pmid37830678en_US
dc.identifier.scopus2-s2.0-85173866397en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.3390/healthcare11192641
dc.identifier.urihttps://hdl.handle.net/11616/101618
dc.identifier.volume11en_US
dc.identifier.wosWOS:001094708500001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMdpien_US
dc.relation.ispartofHealthcareen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectvancomycin-resistant Enterococcien_US
dc.subjectrectal screeningen_US
dc.subjectsurveillanceen_US
dc.subjectoutbreaken_US
dc.titleCessation of Rectal Screening for Vancomycin-Resistant Enterococci: Experience from a Tertiary Care Hospital from Turkiyeen_US
dc.typeArticleen_US

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