Vancomycin-resistant enterococci: A road map on how to prevent the emergence and transmission of antimicrobial resistance

Research output: Contribution to journalReview article

61 Citations (Scopus)

Abstract

Nosocomial acquisition of microorganisms resistant to multiple antibiotics represents a threat to patient safety. Here we review the mechanisms that have allowed highly resistant strains belonging to the Enterococcus genus to proliferate within our health-care institutions. These mechanisms indicate that decreasing the prevalence of resistant organisms requires active surveillance, adherence to vigorous isolation, hand hygiene and environmental decontamination measures, and effective antibiotic stewardship. We suggest how to tailor such a complex, multidisciplinary program to the needs of a particular health-care setting so as to maximize cost-effectiveness.

Original languageEnglish (US)
JournalChest
Volume123
Issue number5 SUPPL.
StatePublished - May 1 2003

Fingerprint

Anti-Bacterial Agents
Hand Hygiene
Delivery of Health Care
Decontamination
Enterococcus
Patient Safety
Cost-Benefit Analysis
Vancomycin-Resistant Enterococci

Keywords

  • Antibiotic control
  • Antibiotic management
  • Antibiotic stewardship
  • Enterococcus
  • Infection control
  • Resistance
  • Review
  • Surveillance
  • Vancomycin
  • Vancomycin-resistant enterococci

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Vancomycin-resistant enterococci: A road map on how to prevent the emergence and transmission of antimicrobial resistance",
abstract = "Nosocomial acquisition of microorganisms resistant to multiple antibiotics represents a threat to patient safety. Here we review the mechanisms that have allowed highly resistant strains belonging to the Enterococcus genus to proliferate within our health-care institutions. These mechanisms indicate that decreasing the prevalence of resistant organisms requires active surveillance, adherence to vigorous isolation, hand hygiene and environmental decontamination measures, and effective antibiotic stewardship. We suggest how to tailor such a complex, multidisciplinary program to the needs of a particular health-care setting so as to maximize cost-effectiveness.",
keywords = "Antibiotic control, Antibiotic management, Antibiotic stewardship, Enterococcus, Infection control, Resistance, Review, Surveillance, Vancomycin, Vancomycin-resistant enterococci",
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T2 - A road map on how to prevent the emergence and transmission of antimicrobial resistance

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AU - Perl, Trish M.

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Y1 - 2003/5/1

N2 - Nosocomial acquisition of microorganisms resistant to multiple antibiotics represents a threat to patient safety. Here we review the mechanisms that have allowed highly resistant strains belonging to the Enterococcus genus to proliferate within our health-care institutions. These mechanisms indicate that decreasing the prevalence of resistant organisms requires active surveillance, adherence to vigorous isolation, hand hygiene and environmental decontamination measures, and effective antibiotic stewardship. We suggest how to tailor such a complex, multidisciplinary program to the needs of a particular health-care setting so as to maximize cost-effectiveness.

AB - Nosocomial acquisition of microorganisms resistant to multiple antibiotics represents a threat to patient safety. Here we review the mechanisms that have allowed highly resistant strains belonging to the Enterococcus genus to proliferate within our health-care institutions. These mechanisms indicate that decreasing the prevalence of resistant organisms requires active surveillance, adherence to vigorous isolation, hand hygiene and environmental decontamination measures, and effective antibiotic stewardship. We suggest how to tailor such a complex, multidisciplinary program to the needs of a particular health-care setting so as to maximize cost-effectiveness.

KW - Antibiotic control

KW - Antibiotic management

KW - Antibiotic stewardship

KW - Enterococcus

KW - Infection control

KW - Resistance

KW - Review

KW - Surveillance

KW - Vancomycin

KW - Vancomycin-resistant enterococci

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AN - SCOPUS:0038215528

VL - 123

JO - Chest

JF - Chest

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IS - 5 SUPPL.

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