0
Editor's Correspondence |

Novel Intervention for Eliminating VRE From the Environment

Roy F. Chemaly, MD, MPH; Shashank S. Ghantoji, MD, MPH; Mark Stibich, PhD
Arch Intern Med. 2011;171(18):1684-1685. doi:10.1001/archinternmed.2011.456.
Text Size: A A A
Published online

Extract

We read with great interest the article by Datta et al1 examining the impact of an environmental cleaning intervention on the risk of acquiring multidrug-resistant organisms (MDROs) from the prior room occupant. They noted that the environmental cleaning intervention eliminated the increased risk of methicillin-resistant Staphylococcus aureus (MRSA) acquisition from an MRSA-positive prior room occupant but did not eliminate the increased risk of vancomycin-resistant enterococci (VRE) acquisition from a VRE-positive prior room occupant. The authors speculated that the lower effectiveness of the environmental intervention in reducing transmission of VRE may be due to a higher burden of VRE contamination in the environment and a greater difficulty in eliminating VRE contamination. The residual presence of VRE in the environment, even after terminal cleaning, is not surprising considering the work of Carling et al,2 who showed in multiple studies that standard housekeeping failed to properly disinfect approximately half of the high-touch surfaces in patient rooms.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
JAMAevidence.com
brightcove.createExperiences();