Evaluation of Screening Results for Vancomycin-Resistant Enterococci: Three-Year Surveillance.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Zeynep Ayaydın, Ayşe Batgi Azarkan, Özge Alkan Bilik, Ali Cem Tekin
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引用次数: 0

Abstract

Background: Enterococci are facultative anaerobic, binary, or chained Gram-positive cocci. The gastrointestinal colonization of hospitalized patients is the most important reservoir of vancomycin-resistant enterococci. We aimed to evaluate retrospectively the screening results of vancomycin-resistant enterococci, studied by the simultaneous (real-time) polymerase chain reaction method on rectal swabs of adult and pediatric patients hospitalized in our hospital in 2019-2021.

Methods: Adult and pediatric patients were included in our study between Jan 2019 and Dec 2021. The results of vancomycin-resistant enterococci, studied with the real-time polymerase chain reaction method from rectal swabs sent from intensive care units and services, were analyzed retrospectively. Isolation of the samples was performed using the Fluorion VRE QLP 1.0 real-time polymerase chain reaction kit (Iontek, Turkey), and detection was performed with the Fluorion Detection System (Iontek, Turkey) real-time polymerase chain reaction device.

Results: Overall, 31,725 patients were included in our study. When evaluated in order of years, in 2019, 379 (7%) of 5,389 adults, 322 (7.4%) of 4,003 children, 234 (5.5%) of 4,185 adults in 2020, 157 (2.4%) of 6,499 children, and in 2021, vancomycin-resistant enterococci were detected in 469 (7.5%) of 6,232 adults and 224 (4.1%) of 5,417 children.

Conclusion: The prevalence of vancomycin-resistant enterococci is greater in adults, particularly in intensive care units, compared to children. Infection control precautions and training be augmented in high-risk clinics, while the unnecessary utilization of glycopeptides should be limited.

耐万古霉素肠球菌筛查结果评估:三年监测。
背景:肠球菌是兼性厌氧、二元或链状革兰氏阳性球菌。住院患者的胃肠道定植是耐万古霉素肠球菌最重要的储存库。我们旨在回顾性评估 2019-2021 年在我院住院的成人和儿童患者直肠拭子上采用同步(实时)聚合酶链反应法进行的耐万古霉素肠球菌筛查结果:研究对象包括 2019 年 1 月至 2021 年 12 月期间的成人和儿童患者。采用实时聚合酶链反应法对重症监护室和服务部门送检的直肠拭子中耐万古霉素肠球菌的检测结果进行了回顾性分析。样本的分离使用 Fluorion VRE QLP 1.0 实时聚合酶链反应试剂盒(Iontek,土耳其),检测使用 Fluorion Detection System(Iontek,土耳其)实时聚合酶链反应装置:我们的研究共纳入了 31 725 名患者。按年份顺序评估,2019 年,5,389 名成人中有 379 人(7%)、4,003 名儿童中有 322 人(7.4%)、2020 年,4,185 名成人中有 234 人(5.5%)、6,499 名儿童中有 157 人(2.4%)、2021 年,6,232 名成人中有 469 人(7.5%)、5,417 名儿童中有 224 人(4.1%)检出耐万古霉素肠球菌:结论:与儿童相比,耐万古霉素肠球菌在成人中的流行率更高,尤其是在重症监护病房。高风险诊所应加强感染控制预防措施和培训,同时限制不必要地使用糖肽类药物。
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来源期刊
Iranian Journal of Public Health
Iranian Journal of Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.20
自引率
7.10%
发文量
300
审稿时长
3-8 weeks
期刊介绍: Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above men­tioned research areas.
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