PMID- 38406568
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240227
IS  - 2223-8956 (Electronic)
IS  - 1016-3190 (Print)
IS  - 1016-3190 (Linking)
VI  - 36
IP  - 1
DP  - 2024 Jan-Mar
TI  - Factors affecting vancomycin-resistant Enterococcus faecium colonization of 
      in-hospital patients in different wards.
PG  - 83-91
LID - 10.4103/tcmj.tcmj_117_23 [doi]
AB  - OBJECTIVES: The prevalence of vancomycin-resistant Enterococcus faecium (VRE) 
      infection at a medical center in Eastern Taiwan rose to 80.6%, exceeding the 
      average prevalence of 55.6% among all medical centers nationwide during the same 
      period. In recent years, the number of cases of VRE infection detected among 
      hospitalized patients has increased annually. However, most of these patients in 
      different wards are asymptomatic carriers. Therefore, restricting active 
      screening to high-risk units will not improve the current situation, and it is 
      necessary to review the risk factors for VRE colonization to provide a reference 
      for future infection control policies. MATERIALS AND METHODS: Between 2014 and 
      2019, there were 3188 VRE-positive cultures reported at our institution, as per 
      the electronic medical records system. RESULTS: In the medical and surgical 
      wards, patients who received penicillin (odds ratios [ORs]: 2.84 and 4.16, 
      respectively) and third-generation cephalosporins (ORs: 3.17 and 6.19, 
      respectively) were at higher risk of VRE colonization. In intensive care units, 
      the use of carbapenems (OR: 2.08) was the most significant variable. CONCLUSION: 
      This study demonstrated that the risk factors for VRE colonization differed 
      between wards. Thus, policies should be established according to the attributes 
      of patients in each ward, and active screening tests should be performed 
      according to individual risks, instead of a policy for comprehensive mass 
      screening.
CI  - Copyright: (c) 2023 Tzu Chi Medical Journal.
FAU - Wang, Yun-Cheng
AU  - Wang YC
AD  - Department of Infection Prevention and Control, Hualien Tzu Chi Hospital, 
      Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
FAU - Wang, Lih-Shinn
AU  - Wang LS
AD  - Department of Internal Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi 
      Medical Foundation and Tzu Chi University, Hualien, Taiwan.
FAU - Hsieh, Tsung-Cheng
AU  - Hsieh TC
AD  - Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan.
FAU - Chung, Hui-Chun
AU  - Chung HC
AD  - Department of Nursing, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical 
      Foundation, Hualien, Taiwan.
AD  - Department of Nursing, Tzu Chi University, Hualien, Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20231213
PL  - India
TA  - Tzu Chi Med J
JT  - Tzu chi medical journal
JID - 101770275
PMC - PMC10887344
OTO - NOTNLM
OT  - Asymptomatic colonization
OT  - Colonization
OT  - Vancomycin-resistant Enterococcus
COIS- Dr. Tsung-Cheng Hsieh, an editorial board member at Tzu Chi Medical Journal, had 
      no role in the peer review process of or decision to publish this article. The 
      other authors declared no conflicts of interest in writing this paper.
EDAT- 2024/02/26 06:45
MHDA- 2024/02/26 06:46
PMCR- 2023/12/13
CRDT- 2024/02/26 04:58
PHST- 2023/05/09 00:00 [received]
PHST- 2023/08/22 00:00 [revised]
PHST- 2023/09/26 00:00 [accepted]
PHST- 2024/02/26 06:46 [medline]
PHST- 2024/02/26 06:45 [pubmed]
PHST- 2024/02/26 04:58 [entrez]
PHST- 2023/12/13 00:00 [pmc-release]
AID - TCMJ-36-83 [pii]
AID - 10.4103/tcmj.tcmj_117_23 [doi]
PST - epublish
SO  - Tzu Chi Med J. 2023 Dec 13;36(1):83-91. doi: 10.4103/tcmj.tcmj_117_23. 
      eCollection 2024 Jan-Mar.