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

Jeong Won Shin; Dongeun Yong; Yunsop Chong; June Myung Kim; Kyungwon Lee; Kyung Hee Chang; Myung Sook Kim

doi:10.1007/s10156-002-0215-5

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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 Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers

Yonsei Authors: Kim, June Myung(김준명)
Yong, Dong Eun(용동은) https://orcid.org/0000-0002-1225-8477
Lee, Kyungwon(이경원) https://orcid.org/0000-0003-3788-2134

URI: https://ir.ymlib.yonsei.ac.kr/handle/22282913/114090

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