Effects of Infection Control Strategies & Analysis of Risk Factors for Vancomycin Resistant Enterococci

Hong, Hae Kyung; Lee, Kkot Sil; Park, Sung Choon; Chung, Eun Kyung; Park, Mi Ra; Kim, Sae Chul

Quality Improvement in Health Care 2013;19(1): 30.
Published online August 30, 2013.

신경외과 병동에 적용한 Vancomycin 내성 장구균의 감염관리 전략효과 및 균집락의 위험인자 분석

홍혜경, 이꽃실, 박성춘, 정은경, 박미라, 김세철

클린 & 세이프 운동본부

Effects of Infection Control Strategies & Analysis of Risk Factors for Vancomycin Resistant Enterococci

Hae Kyung Hong, Kkot Sil Lee, Sung Choon Park, Eun Kyung Chung, Mi Ra Park, Sae Chul Kim

Clean & Safe Movement Headquarters, Myongji Hospital

Abstract

Objectives
This study was intended to check if the "Creating Clean Wards" project, which is an innovative reinforced campaign activity targeting infection control strategies and active surveillance cultures for VRE (vancomycin resistant enterococci) high-risk patients to be admitted in the NS (neuro-surgery) wards, would be reduced the incidence rates of VRE acquisition, transmission rates.
Methods
75 subjects of the VRE high-risk patients were surveyed by carrying out active surveillance cultures of VRE colonization 11 times from January to March, 2012. And the retrospective study was conducted dividing them into two groups.
Results
The incidence rates of VRE acquisition was reduced to 3.67 cases per 1,000 patients day in the control group and to 2.88 cases in experimental group, which was not statistically significant (p = .753). VRE transmission rates of 0.0015 per day before the project tended to increase to 0.0019, although not statistically significant (p = .650). As a result of multivariate analysis with regard to using glycopeptide antibiotics in order to find out risk factors of VRE colonization, the patients who had been treated with glycopeptide until VRE colonization showed 274.41 times higher rate.
Conclusion
For effective VRE infection control in NS wards, We should carry out active surveillance culture regularly, especially patient of using glycopeptide. And block the spread of VRE by strengthening infection control through the strict isolation and the changed mind-set of members motivated by the "Creating Clean Wards" campaign.

Key words VRE;Infection Control;Active Surveillance;