Prevalence of vancomycin-resistant enterococci among children with end-stage renal failure
To evaluate the prevalence of colonization with vancomycin-resistant enterococcus (VRE) in end-stage renal failure (ESRF), we screened the intestinal flora from 338 pediatric ESRF patients treated in 13 pediatric nephrology units in mid-Europe. Eighty-one patients were undergoing hemodialysis, 66 we...
Gespeichert in:
| Hauptverfasser: | , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
15 August 1999
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| In: |
Clinical infectious diseases
Year: 1999, Jahrgang: 29, Heft: 4, Pages: 912-916 |
| ISSN: | 1537-6591 |
| DOI: | 10.1086/520455 |
| Online-Zugang: | Resolving-System, lizenzpflichtig, Volltext: https://doi.org/10.1086/520455 Verlag, lizenzpflichtig, Volltext: https://academic.oup.com/cid/article/29/4/912/451624 
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| Verfasserangaben: | Heike von Baum, Joachim Schehl, Heinrich K. Geiss, Franz Schaefer, and the Mid-European Pediatric Peritoneal Dialysis Study Group |
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| 500 | |a Participating members of the Mid-European Pediatric Peritoneal Dialysis Study Group: M. Zimmering (Berlin), U. Querfeld (Cologne, Germany), M. Böswald (Erlangen, Germany), K.E. Bonzel (Essen, Germany), D.E. Müller-Wiefel (Hamburg, Germany), O. Mehls and F. Schaefer (coordinator) (Heidelberg, Germany), J. Misselwitz (Jena, Germany), C. Greiner (Leipzig, Germany), G. Klaus (Marburg, Germany), B. Klare (Munich), E. Simkova (Prague), H.-J. Stolpe (Rostock, Germany), and M. Fischbach (Strasbourg, France) | ||
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| 520 | |a To evaluate the prevalence of colonization with vancomycin-resistant enterococcus (VRE) in end-stage renal failure (ESRF), we screened the intestinal flora from 338 pediatric ESRF patients treated in 13 pediatric nephrology units in mid-Europe. Eighty-one patients were undergoing hemodialysis, 66 were undergoing chronic peritoneal dialysis, and 191 were transplant recipients. A total of 363 enterococcal strains were recovered from 232 patients. Twenty-seven enterococcal strains from 24 patients (7.1%) had reduced susceptibility to vancomycin (minimal inhibitory concentration [MIC], >4 μg/mL). Although two patients (0.6%) carried enterococci with high-level resistance to vancomycin (MIC, >32 μg/mL; i.e., VRE), strains of enterococcus with reduced susceptibility to vancomycin (ERSV) were recovered from the other 22 subjects. Past use of vancomycin (P = .05) and tacrolimus therapy (P = .011) were independent risk factors for ERSV or VRE carriage. Enterococcal infections occurred with a similar frequency among enterococcal carriers and noncarriers; no infections with VRE or ERSV were reported. In conclusion, the prevalence of ERSV carriage and the rate of VRE colonization among mid-European children and adolescents with ESRF currently are moderate and low, respectively. | ||
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