The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Vancomycin-Resistant Enterococcus faecium Bacteremia: Risk Factors for Infection
Abstract
We describe an outbreak of vancomycin-resistant Enterococcus faecium (vanA phenotype) bacteremia on the oncology ward of a tertiary care community hospital. In 10 of the 11 cases the patients had leukemia and were neutropenic (median duration of neutropenia, 21 days) at the time of bacteremia. On average, patients received six antibiotic agents for a total of 61 agent-days prior to development of vancomycin-resistant E. faecium bacteremia. The mortality rate was 73%. Molecular typing of 22 isolates revealed that the majority (83%) represented a common strain, indicating nosocomial spread. When the 11 cases were compared to 22 matched control patients, gastrointestinal colonization with vancomycin-resistant E. faecium (odds ratio [denominator, 0] infinity, P = .005) and the use of antimicrobial agents with significant activity against anaerobes (metronidazole, clindamycin, and imipenem; odds ratio infinity, P = .02) were found to be risk factors for the development of vancomycin-resistant E. faecium bacteremia. Since no proven therapy for such infection exists, there is an urgent need to identify effective measures to prevent and control the development of vancomycin-resistant E. faecium bacteremia.
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Citations
Cites
Secular trends in nosocomial primary bloodstream infections in the United States, 1980–1989.
Banerjee, S. N., Emori, T. G., Culver, D. H., Gaynes, R. P., Jarvis, W. R., Horan, T., Edwards, J. R., Tolson, J., Henderson, T., Martone, W. J., et al. (1991) · The American Journal of Medicine · doi:10.1016/0002-9343(91)90349-3 · Cited by 880
Cited by
Vancomycin-Resistant Enterococci
Cetinkaya, Y., Falk, P., & Mayhall, C. G. (2000) · Clinical Microbiology Reviews · doi:10.1128/cmr.13.4.686 · Cited by 1,163
Vancomycin-resistant enterococci: why are they here, and where do they come from?
Bonten, M. J., Willems, R., & Weinstein, R. A. (2001) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(01)00145-1 · Cited by 400
Selective pressure by antibiotic use in livestock
Witte, W. (2000) · International Journal of Antimicrobial Agents · doi:10.1016/s0924-8579(00)00301-0 · Cited by 315
Historical Yearly Usage of Vancomycin
Kirst, H. A., Thompson, D. G., & Nicas, T. I. (1998) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.42.5.1303 · Cited by 276
McDonald, L. C., Kuehnert, M. J., Tenover, F. C., & Jarvis, W. R. (1997) · Emerging Infectious Diseases · doi:10.3201/eid0303.970307 · Cited by 206
Metadata
- Authors
- Edmond, M. B., Ober, J. F., Weinbaum, D. L., Pfaller, M. A., Hwang, T., Sanford, M. D., & Wenzel, R. P.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1995-05-01
- Volume
- 20
- Issue
- 5
- Pages
- 1126-1133
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2091288343
- Cited by
- 500
- References
- 1
- FWCI
- 24.30
- Type
- journal article
- Language
- en
- Open access
- closed
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- The paper
- Edmond, M. B., Ober, J. F., Weinbaum, D. L., Pfaller, M. A., Hwang, T., Sanford, M. D., & Wenzel, R. P. (1995). Vancomycin-Resistant Enterococcus faecium Bacteremia: Risk Factors for Infection. Clinical Infectious Diseases. https://doi.org/10.1093/clinids/20.5.1126
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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