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2012, Cilt 42, Sayı 3, Sayfa(lar) 115-121
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The First Detection of Vancomycin Resistant Enterococcus faecium Strains Isolated from Intensive Care Unit of Etlik Training and Research Hospital, Ankara, Turkey
Salih CESUR1, Nilgün ALTIN1, Göknur YAPAR TOROS1, Gülkan SOLGUN2, Ayşe TEKİN1, Aysun ALTUNTOP1, Ebru SALMAN3, Özlem ÜNALDI4, İrfan ŞENCAN5
1Sağlık Bakanlığı Etlik İhtisas Eğitim ve Araştırma Hastanesi, Enfeksiyon Kontrol Komitesi, Ankara
2Sağlık Bakanlığı Etlik İhtisas Eğitim ve Araştırma Hastanesi, Mikrobiyoloji Laboratuvarı, Ankara
3Sağlık Bakanlığı Etlik İhtisas Eğitim ve Araştırma Hastanesi, Anestezi ve Reanimasyon Kliniği, Ankara
4Refik Saydam Hıfzıssıhha Merkezi Başkanlığı, Moleküler Tanı ve Araştırma Laboratuvarı, Ankara
5Sağlık Bakanlığı Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Ankara
Keywords: Vancomycin resistant enterococcus, rectal carriage, PFGE

Vancomycin-resistant enterococci (VRE) which were initially isolated from patients in the United States and European countries, have been increasingly reported from most countries in the world and Turkey. In this study we aimed to screen for the presence of VRE rectal carriage and environmental contamination following the first isolation of a vancomycin resistant Enterococcus faecium strain from the urine culture of a 65 year- old patient in Anestesiology and Reanimation intensive care unit of Etlik Training and Research Hospital, Ankara, Turkey. The associated risk factors for VRE infection and rectal carriage were also investigated. The in-vitro susceptibilities of the VRE strains to linezolid, daptomycin and teicoplanin were determined by the Etest method. A total of 18 rectal swabs from patients and 78 environmental samples from the intensive care unit were screened for VRE. Apart from the index case, two VRE strains were isolated from the rectal swab samples of two screened patients and also one VRE from the rectal swab sample of an infected patient. All VRE strains were identified as E. faecium with the same antibiotic susceptibility pattern. Four VRE strains isolated from the three patients revealed the same DNA pattern by pulsed- field gel electrophoresis. These first cases of VRE infection and colonization detected in our center emphasized the need for routine VRE screening in intensive care units, and implementation of effective infection control measures.

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Ana Sayfa | Dergi Hakkında | Yayın Kurulu | Telif Hakkı Devir Formu | Arşiv | Yayın Arama | Yazarlara Bilgi | Etik Politikalar | İletişim