Abstract
Background: Our 450-bed community hospital has a VRE reflex testing program that requires stool samples sent from inpatients for Clostridium difficile (CDI) to be reflex tested for VRE. The microbiology lab requested a study to determine if reflex testing was clinically relevant, as stopping this testing would save time and money, but may result in un-isolated patients with VRE. Research has suggested isolation precautions (IP) do not affect infection rates for VRE, but instead hand hygiene is the driving factor. With new research suggesting IP is not needed for VRE colonization, this study aimed to determine how many patients would not be put on IP if reflex testing was stopped and whether VRE infection rates were of concern at this facility.
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