Abstract
<p>Introduction. Vancomycin-resistant enterococci (VRE) represent a major healthcare problem all around the world. The most effective methods for the control and prevention of these infections, as well as the methods controlling the growth of hospital-acquired VRE, have not been established yet. The aim of this systematic review of the literature was to investigate the research papers concerned with various preventive measures against the operative field infections caused by VRE, as well as to examine the level of effectiveness of these measures in reducing the infection incidence rate. Methods. PubMed and EBSCO databases were used in order to find the research papers concerned with the measures for preventing the transmission of VRE. The process of searching for the above-mentioned databases was ended on 8 September 2018. Results. Using different combinations of the key words, the databases were thoroughly searched for, which led to the identification of 174 appropriate studies on the basis of the title and the abstract. After the detailed examination of the papers, based on the clearly defined criteria, 7 studies were included in the final analysis. The results showed that the VRE contamination was reduced to 70%, using the personal protective equipment such as aprons and gloves in all types of patient-centered interactions. Ecological cleaning, environmental and equipment disinfection as well as the rational use of antibiotics led to reduction in Clostridium difficile infection rates from 12% to 6.6 %, reduction in Staphylococcus aureus infection rates of 25%, while the rate of VRE bacteremia was also significantly lower. The number of patients whose isolation was required due to VRE infection was reduced. Conclusion. The current measures recommended by the Center for Disease Control and Prevention and used to prevent the spread of VRE are effective if the existing protocols are used adequately.</p>
Highlights
Vancomycin-resistant enterococci (VRE) represent a major healthcare problem all around the world
Upotreba zaštitnih kecelja i rukavica za sve interakcije sa pacijentima i prilikom ulaska u bilo koju sobu bolesnika
ConclusionThe current measures recommended by the Center for Disease Control and Prevention and used to prevent the spread of Vancomycin-resistant enterococci (VRE) are effective if the existing protocols are used adequately
Summary
Zbog dramatičnog porasta VRE, u cilju sprečavanja daljeg razvoja i širenja rezistentnih sojeva, Centre for Disease Control and Prevention (CDC) dao je sljedeće preporuke: razumna upotreba vankomicina, smanjenje upotrebe cefalosporina treće generacije i drugih antibiotika koji mogu da dovedu do kolitisa izazvanog Clostridium difficile; edukacija bolničkog osoblja o epidemiologiji VRE i njihovom uticaju na ishod i cijenu liječenja, efikasno korišćenje mikrobioloških laboratorija u cilju ranog otkrivanja pacijenata kolonizovanih ili inficiranih VRE, primjena mjera prevencije infekcija, nošenje rukavica i zaštitne odjeće, kao i izolacija ili grupisanje pacijenata [13]. Cilj ovog sistematskog pregleda literature je bio da se istraže radovi u kojima su bile sprovedene različite preventivne mjere za infekcije operativnog polja uzrokovane VRE, kao i da se ispita njihovu efikasnost na smanjenje stopa ovih infekcija
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