Abstract
Vancomycin resistant enterococcus (VRE) is rare but emerging problem in Japan. We describe the difficulties in control of a hospital-wide vancomycin low-level resistant enterococcus faecium outbreak in 635-bed community teaching hospital in Kitakyushu, Japan. Despite of implementing standard infection control methods such as standard precaution, contact precaution of colonized patient and staff education, the outbreak had not controlled. The endemic VRE strain in Kitakyushu area is enterococcus faecium with van B gene. The strain is known to have low-level resistance to vancomycin and standard screening method may not detect the strain correctly. We applied three additional methods to halt the outbreak.
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