A comparison of multifaceted versus Clostridium difficile-focused VRE surveillance strategies in a low-prevalence setting

Infect Control Hosp Epidemiol. 2001 Apr;22(4):219-21. doi: 10.1086/501896.

Abstract

We compared our current screening strategy for vancomycin-resistant Enterococcus (VRE) with a focused strategy that screens all stool samples sent for Clostridium difficile toxin assay but limits rectal swab screening to wards with new VRE cases detected via C. difficile samples. The proposed strategy detects 72.7% of new VRE cases, with substantial cost savings.

MeSH terms

  • Clostridioides difficile / drug effects
  • Clostridioides difficile / isolation & purification*
  • Clostridium Infections / diagnosis*
  • Clostridium Infections / epidemiology
  • Enterotoxins / isolation & purification*
  • Feces / microbiology*
  • Hospitals, University
  • Humans
  • Incidence
  • Infection Control / methods
  • Ontario
  • Population Surveillance / methods*
  • Vancomycin Resistance*

Substances

  • Enterotoxins