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You are here: Home > Journals > MA > MA14011
RESEARCH ARTICLE
Contents Vol 35(1)

Vancomycin-resistant enterococci in hospitals

John Ferguson
+ Author Affiliations
- Author Affiliations

Hunter New England Health
Tel: +61 2 4921 4444
Email: john.ferguson@hnehealth.nsw.gov.au

Microbiology Australia 35(1) 38-43 https://doi.org/10.1071/MA14011
Published: 13 February 2014

Abstract

Control measures for vancomycin-resistant enterococci (VRE) should be determined by the current epidemiology of infection and must be practical and effective. It is essential that emphasis is placed on consistent implementation of enhanced standard precautions (horizontal measures) in healthcare that reduce infections caused by all organisms, not just VRE. Effective antimicrobial stewardship programs are paramount and should target reduction in the use of extended-spectrum cephalosporins, carbapenems and fluoroquinolones. VRE causes marked morbidity in a limited range of at-risk patient groups who require additional active measures to prevent their acquisition of virulent strains. The use of additional measures for patients at low risk from VRE morbidity is unlikely to be cost-effective and should be reserved for outbreak situations or for patients who are more likely to transmit VRE.


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