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• W2146292093 abstract "Abstract Objective: To determine the occurrence of co-colonization or co-infection with VRE and MRSA among medical patients requiring intensive care. Design: Prospective, single-center, observational study. Setting: A 19-bed medical ICU in an urban teaching hospital. Patients: Adult patients requiring at least 48 hours of intensive care and having at least one culture performed for microbiologie evaluation. Results: Eight hundred seventy-eight consecutive patients were evaluated. Of these patients, 402 (45.8%) did not have microbiologie evidence of colonization or infection with either VRE or MRSA 355 (40.4%) were colonized or infected with VRE, 38 (4.3%) were colonized or infected with MRSA, and 83 (9.5%) had co-colonization or co-infection with VRE and MRSA. Multiple logistic regression analysis demonstrated that increasing age, hospitalization during the preceding 6 months, and admission to a long-term-care facility were independently associated with colonization or infection due to VRE and co-colonization or co-infection with VRE and MRSA. The distributions of positive culture sites for VRE (stool, 86.7%; blood, 6.5%; urine, 4.8%; soft tissue or wound, 2.0%) and for MRSA (respiratory secretions, 34.1%; blood, 32.6%; urine, 17.1%; soft tissue or wound, 16.2%) were statistically different ( P < .001). Conclusions: Co-colonization or co-infection with VRE and MRSA is common among medical patients requiring intensive care. The recent emergence of vancomycin-resistant Staphylococcus aureus and the presence of a patient population co-colonized or co-infected with VRE and MRSA support the need for aggressive infection control measures in the ICU." @default.
• W2146292093 created "2016-06-24" @default.
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• W2146292093 date "2004-02-01" @default.
• W2146292093 modified "2023-10-01" @default.
• W2146292093 title "Occurrence of Co-colonization or Co-Infection with Vancomycin-Resistant Enterococci and Methicillin-Resistant<i>Staphylococcus aureus</i>in a Medical Intensive Care Unit" @default.
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• W2146292093 doi "https://doi.org/10.1086/502357" @default.
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• W2146292093 hasPublicationYear "2004" @default.
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