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首页> 外文期刊>Journal of Clinical Microbiology >A Single Negative Result for van Quantitative PCR on Enrichment Broth Can Replace Five Rectal Swab Cultures in Screening for Vancomycin-Resistant Enterococci
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A Single Negative Result for van Quantitative PCR on Enrichment Broth Can Replace Five Rectal Swab Cultures in Screening for Vancomycin-Resistant Enterococci

机译：富集肉汤van定量PCR的单个阴性结果可替代五种直肠拭子培养物，筛选耐万古霉素的肠球菌

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In Europe, the rate of vancomycin-resistant Enterococcus (VRE) colonization on intensive care unit (ICU) admission is estimated at 2.7%, compared to 12.3% in the United States (1). However, VRE prevalence increased significantly in Europe between 2011 and 2014, from 6.2% to 7.9% (2). Although VRE prevalence in The Netherlands is low at 0.9%, 16 VRE hospital outbreaks have been reported to the Signaling Consultation of Hospital acquired Infections and AntiMicrobial Resistance (SO-ZI/AMR) in 2015 (3). Infection control practices for VRE differ globally, but most hospitals give patients who are VRE colonized a VRE flag (4), and this flag stays with the patient upon hospital dismissal until the criteria for removing the flag are met. In The Netherlands, it is common practice to preemptively flag patients who have been in contact with known VRE-colonized patients in an outbreak situation (5). Large outbreaks can result in thousands of patients being flagged, and since contact isolation precautions are taken when flagged patients are hospitalized, isolation room capacity can become insufficient. It is therefore important to optimize VRE screening methods to reduce the time between sampling a patient and that of establishing the colonization status of the patient (currently 7 days in culturing sets of five rectal samples).
机译：在欧洲，重症监护病房（ICU）入院后对万古霉素耐药的肠球菌（VRE）的定殖率为2.7％，而美国为12.3％（1）。但是，在2011年至2014年期间，欧洲的VRE患病率显着上升，从6.2％上升至7.9％（2）。尽管荷兰的VRE患病率很低，仅为0.9％，但2015年医院获得性感染和抗菌素耐药性（SO-ZI / AMR）的信号咨询已报告了16例VRE医院暴发（3）。 VRE的感染控制做法在全球范围内有所不同，但是大多数医院都给VRE殖民化的患者设置VRE标志（4），并且在医院解散后，该标志一直伴随着患者，直到满足移除标志的标准。在荷兰，通常的做法是在爆发情况下预先标记与已知VRE殖民化患者接触过的患者（5）。大爆发可能导致成千上万的病人被标记，并且由于在标记病人住院期间采取了接触隔离的预防措施，隔离室的容量可能会不足。因此，重要的是要优化VRE筛选方法，以减少对患者进行采样与确定患者定植状态之间的时间（目前在培养5组直肠样本的过程中为7天）。

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