What are the CDC guidelines for preventing and controlling the spread of VRE?

Updated: Jun 10, 2021
  • Author: Susan L Fraser, MD; Chief Editor: John L Brusch, MD, FACP  more...
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Answer

In addition to medical and surgical treatment, the management of enterococcal colonization and infection also includes measures to limit the spread of VRE. In 2006, the Healthcare Infection Control Practices Advisory Committee published guidelines on the management of multidrug-resistant organisms, including VRE, in healthcare settings. This resource can be found at the Centers for Disease Control and Prevention Web site.

In 1994, the US Centers for Disease Control Hospital Infection Control Practices Advisory Committee published recommendations for preventing and controlling the spread of vancomycin resistance. Specific recommendations were made for surveillance measures to identify patients colonized or infected with VRE, for isolation measures to prevent person-to-person transmission of VRE, and for the prudent use of vancomycin.

Surveillance measures to identify patients colonized or infected with VRE include the following:

  • At hospitals where VRE has not been detected previously, clinical enterococcal isolates should be periodically screened for vancomycin resistance.

  • Once VRE is identified in a medical facility, all clinical enterococcal isolates should be tested for vancomycin resistance. Some form of surveillance for intestinal colonization is recommended because most patients harboring VRE are not identified when only clinical samples are screened.


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