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Sudden increase of vancomycin-resistant enterococcal infections in a Korean tertiary care hospital: possible consequences of increased use of oral vancomycin

Authors
 Jeong Won Shin  ;  Dongeun Yong  ;  Yunsop Chong  ;  June Myung Kim  ;  Kyungwon Lee  ;  Kyung Hee Chang  ;  Myung Sook Kim 
Citation
 Journal of Infection and Chemotherapy, Vol.2003(9) : 62-67, 2003 
Journal Title
 Journal of Infection and Chemotherapy 
ISSN
 1341-321X 
Issue Date
2003
MeSH
Administration, Oral ; Adult ; Aged ; Anti-Bacterial Agents/pharmacology ; Child, Preschool ; Clostridium difficile/drug effects ; Cross Infection/epidemiology* ; Cross Infection/microbiology ; Cross Infection/prevention & control ; Electrophoresis, Gel, Pulsed-Field ; Enterococcus/classification ; Enterococcus/drug effects* ; Enterococcus/genetics ; Enterococcus/isolation & purification ; Enterococcus faecium/classification ; Enterococcus faecium/drug effects ; Enterococcus faecium/genetics ; Enterococcus faecium/isolation & purification ; Enterocolitis, Pseudomembranous/drug therapy ; Enterocolitis, Pseudomembranous/microbiology ; Female ; Gram-Positive Bacterial Infections/epidemiology* ; Gram-Positive Bacterial Infections/microbiology ; Hospitals, Urban* ; Humans ; Korea ; Male ; Microbial Sensitivity Tests ; Middle Aged ; Plasmids ; Polymerase Chain Reaction ; Vancomycin/administration & dosage ; Vancomycin/pharmacology ; Vancomycin/therapeutic use ; Vancomycin Resistance*/genetics
Keywords
Vancomycin-resistant enterococci ; enterococcus faecalis ; enterococcus faecium ; clostridium difficile ; hospital infection
Abstract
A sudden increase in vancomycin-resistant enterococci (VRE) infections was noted in 1998 in a tertiary care hospital in Korea. All of the VRE isolated in 1998 in the hospital were VanA type and most were multidrug-resistant Enterococcus faecium. The increase in VRE was probably due to the increased use of oral vancomycin to treat Clostridium difficile infections and clonal as well as horizontal spread. More restricted oral vancomycin use and stricter infection control measures are required to achieve a better control of the spread of VRE.
Full Text
http://link.springer.com/article/10.1007/s10156-002-0215-5
DOI
10.1007/s10156-002-0215-5
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, June Myung(김준명)
Yong, Dong Eun(용동은) ORCID logo https://orcid.org/0000-0002-1225-8477
Lee, Kyungwon(이경원) ORCID logo https://orcid.org/0000-0003-3788-2134
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114090
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