Abstract

Vancomycin resistant enterococci (VRE) were first detected in the 1980s,since then VRE infections are reported worldwide. VRE can be isolated from healthy people, hospital environment and from farmed chicken.VRE infections are more severe, increased mortality and economic burden. Healthcare associated infections are mainly due to antibiotic therapy, patient characteristics, colonization pressure and exposure to contaminated environment.VRE are resistant to most commonly used antibiotics, with the ability to acquire resistance to other available antimicrobials and to transfer antibiotic resistance to other gut flora. CDC Hospital Infection Control Practices Advisory Committee (HICPAC) recommendations are useful to minimize transmission of VRE with multidisciplinary approach, and restricted cephalosporin usage has been associated with decreased VRE transmission in hospitals.

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