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Abstract

A large outbreak of vancomycin-resistant enterococci (VRE) is affecting four hospitals in the Canton of Bern, Switzerland, since December 2017. Of 89 cases identified as carriers, 77 (86.5%) VRE isolates were virtually indistinguishable using whole genome sequencing, and identified as multilocus sequence type (MLST) ST796. This clone, previously only described in Australia and New Zealand, is characterised by rapid spread and the ability to cause bloodstream infections. It requires a multifaceted infection prevention effort.

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/content/10.2807/1560-7917.ES.2018.23.29.1800351
2018-07-19
2024-03-28
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2018.23.29.1800351
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References

  1. Rubinstein E, Keynan Y. Vancomycin-resistant enterococci. Crit Care Clin. 2013;29(4):841-52.  https://doi.org/10.1016/j.ccc.2013.06.006  PMID: 24094380 
  2. Prematunge C, MacDougall C, Johnstone J, Adomako K, Lam F, Robertson J, et al. VRE and VSE Bacteremia Outcomes in the Era of Effective VRE Therapy: A Systematic Review and Meta-analysis. Infect Control Hosp Epidemiol. 2016;37(1):26-35.  https://doi.org/10.1017/ice.2015.228  PMID: 26434609 
  3. Mahony AA, Buultjens AH, Ballard SA, Grabsch EA, Xie S, Seemann T, et al. Vancomycin-resistant Enterococcus faecium sequence type 796 - rapid international dissemination of a new epidemic clone. Antimicrob Resist Infect Control. 2018;7(1):44.  https://doi.org/10.1186/s13756-018-0335-z  PMID: 29588851 
  4. Leong KWC, Cooley LA, Anderson TL, Gautam SS, McEwan B, Wells A, et al. Emergence of Vancomycin-Resistant Enterococcus faecium at an Australian Hospital: A Whole Genome Sequencing Analysis. Sci Rep. 2018;8(1):6274.  https://doi.org/10.1038/s41598-018-24614-6  PMID: 29674657 
  5. Buultjens AH, Lam MM, Ballard S, Monk IR, Mahony AA, Grabsch EA, et al. Evolutionary origins of the emergent ST796 clone of vancomycin resistant Enterococcus faecium. PeerJ. 2017;5:e2916.  https://doi.org/10.7717/peerj.2916  PMID: 28149688 
  6. Tacconelli E, Carrara E, Savoldi A, Harbarth S, Mendelson M, Monnet DL, et al. , WHO Pathogens Priority List Working Group. Discovery, research, and development of new antibiotics: the WHO priority list of antibiotic-resistant bacteria and tuberculosis. Lancet Infect Dis. 2018;18(3):318-27.  https://doi.org/10.1016/S1473-3099(17)30753-3  PMID: 29276051 
  7. European Centre for Disease Prevention and Control (ECDC). Surveillance of antimicrobial resistance in Europe. Stockholm: ECDC; 2016. Available from: https://ecdc.europa.eu/sites/portal/files/documents/AMR-surveillance-Europe-2016.pdf
  8. Noskin GA, Stosor V, Cooper I, Peterson LR. Recovery of vancomycin-resistant enterococci on fingertips and environmental surfaces. Infect Control Hosp Epidemiol. 1995;16(10):577-81.  https://doi.org/10.2307/30141097  PMID: 8568202 
  9. Satilmis L, Vanhems P, Bénet T. Outbreaks of Vancomycin-Resistant Enterococci in Hospital Settings: A Systematic Review and Calculation of the Basic Reproductive Number. Infect Control Hosp Epidemiol. 2016;37(3):289-94.  https://doi.org/10.1017/ice.2015.301  PMID: 26669221 
  10. Mahony AAGE, Ballard SA, Wang J, Xie S, Roberts SA, Stuart RL, et al. Vancomycin-resistant Enterococcus faecium sequence type 796, the new trans-Tasman epidemic clone. In: Program and abstracts of the Australian Society for Antimicrobials - antimicrobials 2014 (Melbourne). Australian Society for Antimocrobials; 2014.
  11. Lister DM, Kotsanas D, Ballard SA, Howden BP, Carse E, Tan K, et al. Outbreak of vanB vancomycin-resistant Enterococcus faecium colonization in a neonatal service. Am J Infect Control. 2015;43(10):1061-5.  https://doi.org/10.1016/j.ajic.2015.05.047  PMID: 26190380 
  12. The Australian group on Antimicrobial Resistance (AGAR). Australian Enterococcal Sepsis Outcome Program (AESOP) 2016. Australia: AGAR; 2016. Available from: http://agargroup.org.au/wp-content/uploads/2017/08/AESOP-2016-Final-Report-2017.pdf
  13. Pidot SJ, Gao W, Buultjens AH, Monk IR, Guerillot R, Carter GP, et al. Increasing tolerance of hospital Enterococcus faecium to hand-wash alcohols. bioRxiv. 2016;053728
  14. de Been M, Pinholt M, Top J, Bletz S, Mellmann A, van Schaik W, et al. Core Genome Multilocus Sequence Typing Scheme for High- Resolution Typing of Enterococcus faecium. J Clin Microbiol. 2015;53(12):3788-97.  https://doi.org/10.1128/JCM.01946-15  PMID: 26400782 
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