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dc.contributor.CRUESPUniversidade Estadual de Campinaspt_BR
dc.typeArtigo de periódicopt_BR
dc.titleControlling a vancomycin-resistant enterococci outbreak in a Brazilian teaching hospitalpt_BR
dc.contributor.authorMoretti, MLpt_BR
dc.contributor.authorCardoso, LGDpt_BR
dc.contributor.authorLevy, CEpt_BR
dc.contributor.authorVon Nowakosky, Apt_BR
dc.contributor.authorBachur, LFpt_BR
dc.contributor.authorBratfich, Opt_BR
dc.contributor.authorLeichsenring, MLpt_BR
dc.contributor.authorFagnani, Rpt_BR
dc.contributor.authorDantas, SMPEpt_BR
dc.contributor.authorResende, MRpt_BR
dc.contributor.authorTrabasso, Ppt_BR
unicamp.author.emailmoretti.luiza@gmail.compt_BR
unicamp.authorMoretti, M. L. Bratfich, O. Resende, M. R. Trabasso, P. State Univ Campinas UNICAMP, Fac Med Sci, Div Infect Dis, Dept Internal Med, BR-13083970 Campinas, SP, Brazilpt_BR
unicamp.authorMoretti, M. L. de Oliveira Cardoso, L. G. Bachur, L. F. Leichsenring, M. L. Fagnani, R. Peres Evangelista Dantas, S. M. Resende, M. R. Trabasso, P. State Univ Campinas UNICAMP, Hosp & Clin, Hosp Epidemiol Div, BR-13083970 Campinas, SP, Brazilpt_BR
unicamp.authorLevy, C. E. Von Nowakosky, A. State Univ Campinas UNICAMP, Fac Med Sci, Clin Microbiol Lab, Dept Clin Pathol, BR-13083970 Campinas, SP, Brazilpt_BR
dc.subject.wosIntensive-care-unitpt_BR
dc.subject.wosStaphylococcus-aureuspt_BR
dc.subject.wosRisk-factorpt_BR
dc.subject.wosTransmissionpt_BR
dc.subject.wosFaeciumpt_BR
dc.subject.wosDeterminantspt_BR
dc.subject.wosSurveillancept_BR
dc.subject.wosAcquisitionpt_BR
dc.subject.wosInfectionspt_BR
dc.subject.wosBacteriapt_BR
dc.description.abstractThe purpose of this article was to describe a 2.5-year interventional program designed to control the dissemination after a large hospital outbreak of vancomycin-resistant enterococci (VRE) in a tertiary-care university hospital. A VRE working group was designated to work specifically on controlling VRE intrahospital dissemination after the detection of the first VRE infection at in our hospital in June 2007. The intervention consisted in the interruption of new admissions during a period of 15 days and closure of the index case unit, microbiological surveillance of rectal swabs for VRE, cohorting patients and staff, immediate application of contact precautions, and continuous education. From July 2007 to December 2009, 8,692 rectal swabs were cultured for VRE and 321 (3.7%) were positive. An expressive reduction of the detection of new positive rectal swabs cultures was seen during the year 2009 (1.5%) when compared to 2008 (4.2%) and 2007 (7.2%) (p < 0.005). The annual ratio of VRE per 1,000 admissions reduced from 20.3 in 2007 to 10.07 and 3.82 in 2008 and 2009, respectively (p < 0.001). The continuous microbiologic surveillance for VRE and strict and prompt contact precautions for VRE patients were the fundamental aids in the control of VRE.pt
dc.relation.ispartofEuropean Journal Of Clinical Microbiology & Infectious Diseasespt_BR
dc.relation.ispartofabbreviationEur. J. Clin. Microbiol. Infect. Dis.pt_BR
dc.publisher.cityNew Yorkpt_BR
dc.publisher.countryEUApt_BR
dc.publisherSpringerpt_BR
dc.date.issued2011pt_BR
dc.date.monthofcirculationMARpt_BR
dc.identifier.citationEuropean Journal Of Clinical Microbiology & Infectious Diseases. Springer, v. 30, n. 3, n. 369, n. 374, 2011.pt_BR
dc.language.isoenpt_BR
dc.description.volume30pt_BR
dc.description.issuenumber3pt_BR
dc.description.firstpage369pt_BR
dc.description.lastpage374pt_BR
dc.rightsfechadopt_BR
dc.rights.licensehttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0pt_BR
dc.sourceWeb of Sciencept_BR
dc.identifier.issn0934-9723pt_BR
dc.identifier.wosidWOS:000287097600010pt_BR
dc.identifier.doi10.1007/s10096-010-1095-8pt_BR
dc.description.sponsorshipHospital & Clinics of UNICAMPpt_BR
dc.date.available2014-07-30T14:02:23Z
dc.date.available2015-11-26T16:59:05Z-
dc.date.accessioned2014-07-30T14:02:23Z
dc.date.accessioned2015-11-26T16:59:05Z-
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dc.identifier.urihttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/57088
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/57088-
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