Brote de infección por Enterococcus Faecium resistentes a glicopéptidos en un hospital de Rosario, Argentina
DOI:
https://doi.org/10.31053/1853.0605.v60.n2.36667Keywords:
Enterococcus faecium, vancomycin resistant Enterococcus, outbreak, glycopeptidesAbstract
Eriterococci causes serious ihlness in immunocompromised patients and in severely ill. hospi talized patienis. Thcy are comrnonly isolated from the human gastrointestinal tract, and rcsistance to vancomycin has increased in frequency during the past fewyears. We report three cases of nosocomial vancomycin resistant Enterococcus faecium (VRE) infections from September to December
of 2000. A 54-year-old man presented post surgical wound infection due lo VRE after 2 months of hospitaliza tion. The seconcl is a 65-year-old neutropenic patient with a medical history of acute mieloici leukemia and esophageal carcinoma. In this case, central venous catheter was colonized with EVR. The third, a 65-year-old wornan who received therapy with ceftriaxone, ciprofloxacin and clindamicin had a urinary tract infection due to EVR. The three isolates were resistant to vancornycin (MIC value > 256 pg/ml). The DNA amplification pattern obtained by OD-PCR were similar in the three cases
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References
Koneman E, Allen S, Janda W, Sehreckenberger P, Winn W: Diagnóstico Microbiológico, Editorial Panamericana SA., Buenos Aires 1999, p 583.
CDC. Nosocomial enterococci resistant to vancomycin, United States, 1989-1993. MMWR42:597-9, 1993.
Uttley A, Collins C, Naidoo J, George R: Vancomycin resistant enterococci. Laneet, 1988, 1:57-8.
Woodford N. Glycopeptide - resistant enterococci: A decade of experience: J Med Microbio], 1998, 47:849-62.
NCCLS. Performance Standards for Antimicrobial Suceptibility testing, Eleventh Informational Supplement NCCLS document M 100 Sil NCCLS,
West Valley Road, Suite 1400, Wayne, PA 19087-1898, 2001.
Limansky A, Sutich EG, Guardati MC, Toresani 1, Viale A: Genomic diversity among Streptococcus agalacttae isolates detected by a degenerate
oligonucleotide-primed amplification assay. J lnfect Dis, 1998. 177:1308-13.
Van cler Zee A, Verbakel H, Van Zon JC, Frenay 1, Van Belkum A. Peeters M, Buiting A, Bergmans A: Molecular genotyping of Staphylococcus aureus strains: comparison of repetitive element sequence-baseci PCR with various typing rnethods and isolation of a novel epidemicity rnarker. J Clin Microbiol, 1999. 37:342-349.
S. Recommendations for preventing t.he spread of vancomycin resístance, Recornmendations of the Hospital Infection Control Practices Advisory Comrnittee (HICPAC). MMWR Recomm Rep, 1995. 44:1-13.
Handwerger S. Raucher B. Altarac D, Monka J, Marchione S, Singh K Murray BE, Wolff J, Walters B: Nosocomial outbreak due to Enterococcus
faeciurn highly resistant to vancomycin, penicillin and gentamicin. Clin lnfect Dis, 1993. 16:750-5.
Bonten MJ, Hayden MK, Nathan C, van Voorhis J. Matushek M. Slaughter S. Rice T, Weinstein RA: Epidcmiology of colonization of pathogen and
environrnent with vancomycin resistant enterococci. Lancet, 1996.348:1615-19.
Pegues D. Pegues C, Ford D, Hooper D: Emergence and dissemination of a highly vancomycin resistant van A strain ofErtterococcusfaeciuniat
a large teaching hospital. ,J Clin Microbiol, 1997. 35:1565-1570.
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