A Case of Diarrhea-related Outbreak that Suggested a Nosocomial Infection

We experienced an outbreak of vancomycin-resistant Enterococcusfaecium (VRE, Van A type) after the end of clostridium difficile infection (CDI) outbreak. We conducted a screening of ward staff and patients; three patients were detected with VRE. The infection control team evaluated the ward, and a f...

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Bibliographic Details
Published inJapanese Journal of Infection Prevention and Control Vol. 38; no. 4; pp. 215 - 219
Main Authors SAITOU, Shunpei, KOMATU, Mamoru, TAKAMURA, Kei, AOYAMA, Yuka, SATOU, Rie, KADOWAKI, Osamu, EBINA, Yuuki
Format Journal Article
LanguageJapanese
Published Japanese Society for Infection Prevention and Control 25.07.2023
Subjects
infection control team
outbreak
vancomycin-resistant enterococci
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Summary:We experienced an outbreak of vancomycin-resistant Enterococcusfaecium (VRE, Van A type) after the end of clostridium difficile infection (CDI) outbreak. We conducted a screening of ward staff and patients; three patients were detected with VRE. The infection control team evaluated the ward, and a few problems, such as the timing of hand hygiene and putting on and off of protector, were pointed out. We introduced continuous instruction and environmental maintenance. Thereafter, the number of enforcements per inpatient of hand disinfectants increased and the diaper exchange procedure observance rate was improved. The VRE outbreak was over within 1 month.We conducted a workshop on the outbreak of CDI and VRE using this experience and planned reinforcement of infection measures inside the hospital.In the future, the ward staff can continue environmental maintenance and hand hygiene.
ISSN:1882-532X
1883-2407
DOI:10.4058/jsei.38.215