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1 VRE and VSE isolates from each patient were closely rela
2 VRE BSI incidence was 6.5% of admissions (2.7 VRE BSI pe
3 VRE colonization (adjusted odds ratio [aOR] = 8.4; 95% c
4 VRE therapy is a particularly promising format to test t
5 VRE were initially isolated from 147 cultures, and the V
6 VRE-BMX provided the identification of 10 isolates of va
7 VRE-colonized patients bathed with chlorhexidine had a l
8 in the fidaxomicin group (5.9 vs 3.8 log(10) VRE/g stool; P = .01) but not the vancomycin group (5.3
11 ons, we probed the plasmids obtained from 75 VRE isolates for the presence of toxin-antitoxin (TA) ge
12 VRE) increases in hospitals, knowledge about VRE reservoirs and improved accuracy of epidemiologic me
13 70; P < .001) and 80% less likely to acquire VRE (IRR, 0.20; 95% CI, .08-.52; P < .001) after adjusti
14 ent of mice enabled exogenously administered VRE to efficiently and nearly completely displace the no
17 pediatric patients, mortality 30 days after VRE and VSE bacteremia was 20% (95% CI, 5.4%-59%) and 4.
19 has in vitro bacteriostatic activity against VRE, but its clinical use for serious enterococcal infec
20 se compounds possess potent activity against VRE, inhibiting growth of clinical isolates at concentra
22 n has in vitro bactericidal activity against VRE; however, clinical use of this compound for VRE has
26 ovide even more potent antimicrobial agents [VRE minimum inhibitory concentration (MIC) = 0.01-0.005
28 (Copan, Brescia, Italy) software to analyze VRE chromogenic agar and compared the results to technol
29 rence in CAPS between the VRE-DCS (n=13) and VRE-placebo (n=12) groups increased over time beginning
32 The MICs for 9a, 9b, and 9c against MRSA and VRE (Van B phenotype) range from 0.12 to 0.25 mug/mL.
33 or rapid screening (PCR testing for MRSA and VRE and chromogenic screening for highly resistant Enter
35 c centers measured the incidence of MRSA and VRE colonization and BSI during a period of bathing with
36 ated the effect of surveillance for MRSA and VRE colonization and of the expanded use of barrier prec
38 oped and standardized a registry of MRSA and VRE patients and created Web forms that infection preven
39 establishing metrics for monitoring MRSA and VRE rates in ICUs; promoting hand hygiene compliance; gu
41 nd that the two Gram-positive ARBs (MRSA and VRE) were more resistant to UV disinfection than the two
42 t Gram-positive bacteria, including MRSA and VRE, rapid time-kill, avoidance of antibiotic resistance
47 C = 0.59-9.38 microM) against MRSA, MRSE and VRE biofilms while showing minimal red blood cell lysis
48 n activities to date against MRSA, MRSE, and VRE biofilms (MBEC = 0.2-12.5 muM), as well as the effec
49 (MBEC < 10 muM), MRSE (MBEC = 2.35 muM), and VRE (MBEC = 0.20 muM) biofilms while 11 and 12 demonstra
50 of vancomycin-resistant pathogens (VRSA and VRE), the studies pave the way for the examination of sy
53 thod of guiding rational use of empiric anti-VRE antimicrobial therapy in patients with hematological
54 Performance was assessed using S. aureus, VRE, and vancomycin-intermediate and -susceptible isolat
55 ity 30 days after infection was 38% for both VRE (95% CI, 25%-54%) and VSE cases (95% CI, 21%-62%).
56 ting, we found that intestinal domination by VRE preceded bloodstream infection in patients undergoin
58 little propensity for acquired resistance by VRE and that their durability against such challenges as
60 populations isolated from mice that cleared VRE following microbiota reconstitution revealed that re
62 tly detected 101 well-characterized clinical VRE isolates with no cross-reactivity in 27 non-VRE and
63 re chromogenic media, which included Colorex VRE (BioMed Diagnostics, White City, OR) or Oxoid VRE (O
66 f a diverse intestinal microbiota to densely VRE-colonized mice eliminates VRE from the intestinal tr
68 chlorhexidine had a lower risk of developing VRE bacteremia (relative risk 3.35; 95% confidence inter
70 he microbiota are ineffective at eliminating VRE, administration of obligate anaerobic commensal bact
71 ltures for vancomycin-resistant enterococci (VRE) and methicillin-resistant Staphylococcus aureus (MR
72 outcome of vancomycin-resistant enterococci (VRE) and vancomycin-sensitive enterococci (VSE) infectio
77 ishment of vancomycin-resistant enterococci (VRE) colonization by depleting nutrients within cecal co
78 (MRSA) and vancomycin-resistant enterococci (VRE) due to the scope of the medical threat posed by the
80 (MRSA) and vancomycin-resistant enterococci (VRE) for extended periods of time and temperatures using
81 illance of vancomycin-resistant enterococci (VRE) from rectal swabs in patients at high risk for VRE
83 caused by vancomycin-resistant enterococci (VRE) has become an important clinical challenge and comp
86 control of vancomycin-resistant enterococci (VRE) in hospitals also requires consideration of vancomy
87 eening for vancomycin-resistant enterococci (VRE) in rectal and stool specimens has been recommended
88 ction with vancomycin-resistant enterococci (VRE) increases in hospitals, knowledge about VRE reservo
89 nized with vancomycin-resistant enterococci (VRE) is central to the containment of this agent within
90 istance in vancomycin-resistant enterococci (VRE) is due to an alternative cell wall biosynthesis pat
91 SA) and/or vancomycin-resistant enterococci (VRE) on at least 1 occasion by any of 5 healthcare syste
93 (MRSA) and vancomycin-resistant enterococci (VRE) that are known to exert a high level of resistance
94 erred upon vancomycin-resistant enterococci (VRE) through the replacement of peptidoglycan (PG) stem
96 as well as vancomycin-resistant enterococci (VRE) with minimum inhibitory concentrations (MICs) rangi
97 us (MRSA), vancomycin-resistant enterococci (VRE), and ceftazidime-resistant (CAZ(r)) and ciprofloxac
98 ve against vancomycin-resistant enterococci (VRE), and fluoroquinolones with improved potency against
99 detecting vancomycin-resistant enterococci (VRE), and the results were available 24 to 48 h sooner.
100 valence of vancomycin-resistant enterococci (VRE), appropriate antibiotic therapy for enterococcal bl
102 s, such as vancomycin-resistant enterococci (VRE), necessitates the development of new antimicrobials
103 o identify vancomycin-resistant enterococci (VRE), was evaluated for the detection of vanA in Staphyl
113 I; 22 with vancomycin-resistant enterococci [VRE] and 61 with vancomycin-susceptible enterococci [VSE
114 [MRSA] and vancomycin-resistant enterococci [VRE]) or rapid screening (PCR testing for MRSA and VRE a
116 bacterium vancomycin-resistant Enterococcus (VRE) can exceed 10(9) organisms per gram of feces, even
118 MRSA) and vancomycin-resistant enterococcus (VRE) have achieved significant rates of colonization and
119 RSA), and vancomycin-resistant Enterococcus (VRE) in patients with and without penicillin "allergy" a
120 atment of vancomycin-resistant Enterococcus (VRE) infections is limited by the paucity of effective a
121 I) to due vancomycin-resistant Enterococcus (VRE) is an important complication of hematologic maligna
122 MRSA) and vancomycin-resistant Enterococcus (VRE) is driving the development of new technologies to i
123 utable to vancomycin-resistant Enterococcus (VRE) strains have become increasingly prevalent over the
124 ected for vancomycin-resistant Enterococcus (VRE) surveillance as well as from clinical C. difficile
125 s (MRSA), vancomycin-resistant Enterococcus (VRE), and MDR Enterobacteriaceae Fecal metagenomes were
126 , such as vancomycin-resistant Enterococcus (VRE), is a dangerous and costly complication of broad-sp
127 , such as vancomycin-resistant Enterococcus (VRE), is a growing clinical problem that increasingly de
128 tion with vancomycin-resistant Enterococcus (VRE), leading to bloodstream infection in hospitalized p
129 MRSA) and vancomycin-resistant Enterococcus (VRE), while also exhibiting a minimal potential to induc
134 e to vancomycin-resistant (VR) enterococcus (VRE) and methicillin-resistant Staphylococcus aureus (MR
136 vancomycin-resistant Enterococcus faecalis (VRE) and 2 patients with infectious crystalline keratiti
140 , vancomycin-resistant Enterococcus faecium (VRE FCM) (16), vancomycin-susceptible Enterococcus faeca
141 , vancomycin-resistant Enterococcus faecium (VRE), and beta-lactam-resistant Klebsiella pneumoniae.
142 , vancomycin-resistant Enterococcus faecium (VRE), Escherichia coli SMS-3-5, and Pseudomonas aerugino
143 ; however, clinical use of this compound for VRE has not been well studied, and the reports of resist
148 re or after transplant was a risk factor for VRE bacteremia (odds ratio [OR], 3.3 [95% CI, 1.3-8.3] a
149 ed a prediction score using risk factors for VRE BSI and evaluated the model's predictive performance
153 ctive surveillance of high-risk patients for VRE colonization can aid in reducing HAIs; however, thes
155 eOhm VanR assay is a good screening test for VRE in our population of predominantly vanA-colonized pa
166 condary outcomes, there was no difference in VRE acquisition with the intervention (difference, 0.89
167 -Ala, d-Ala-d-Ala, and d-Ala-d-Lac levels in VRE were then determined in the presence of variable van
170 type on damage to ARGs was only observed in VRE and P. aeruginosa, the latter potentially because of
171 l biosynthesis and modification processes in VRE that contribute to lysozyme resistance and enhanced
172 lysis demonstrated significant reductions in VRE bacteremia (p = 0.02) following the introduction of
176 atment of gram-positive keratitis, including VRE, and is both significantly more comfortable and less
177 sis of clinical cultures alone and increased VRE precaution days by 2.4-fold (unit range, 2.0-2.6-fol
179 sistant Enterococcus bloodstream infections (VRE-BSIs) are associated with significant mortality.
183 esiella genus enable clearance of intestinal VRE colonization and may provide novel approaches to pre
186 While C. bolteae did not directly mediate VRE clearance, it enabled intestinal colonization with B
187 aluated a prototype chromogenic agar medium (VRE-BMX; bioMerieux, Marcy l'Etoile, France) used to rec
188 RSA, and 30.1% (95% CI, 12.5% to 50.4%) more VRE infections than expected compared with control subje
190 against Gram-positive bacteria (e.g., MRSA, VRE, PRSP (penicillin-resistant Streptococcus pneumoniae
192 problematic fluoroquinolone-resistant MRSA, VRE, and S. pneumoniae, and the possibility to offer pat
194 the CDM was accurate at identifying negative VRE plates, which comprised 84% (87,973) of the specimen
196 , color distinction, and breakthrough of non-VRE organisms vary among the chromogenic media tested an
197 -treated patients had reduced acquisition of VRE (7% vs 31%, respectively; P < .001) and Candida spec
199 barrier precautions to reduce acquisition of VRE and MRSA and the subsequent development of healthcar
204 eillance markedly increases the detection of VRE, despite variability across patient-care units.
207 edictive values for prompt identification of VRE-colonized patients in hospitals with relatively high
209 e care units; and (5) defining the impact of VRE bacteremia and daptomycin susceptibility on patient
212 ay in engraftment increased the incidence of VRE bacteremia from 4.5% (95% CI, 2.9-6.6) if engrafted
218 The positive predictive values (PPV) of VRE-BMX and BEAV at 24 h were 89.8% and 80.7%, respectiv
220 A decrease in the endemic prevalence of VRE also occurs with a decrease in the length of hospita
225 d that VRE-BMX provided improved recovery of VRE from stool specimens, with the added advantage of be
227 s the factors that contribute to the rise of VRE as an important health care-associated pathogen, the
229 , selection of preexisting subpopulations of VRE with elevated fidaxomicin MICs was common during fid
230 C(90), 256 microg/mL), and subpopulations of VRE with elevated fidaxomicin MICs were common before th
232 rol practices can reduce the transmission of VRE and aid in the prevention of hospital-acquired infec
233 Administration approval for the treatment of VRE (E. faecium) infections, namely, linezolid and quinu
235 y novel protein targets for the treatment of VRE infections, we probed the plasmids obtained from 75
236 inezolid and daptomycin for the treatment of VRE-BSI among Veterans Affairs Medical Center patients a
242 a first positive clinical culture of MRSA or VRE at least 48 hours postadmission (July 1, 1998-July 1
243 e primary outcome was acquisition of MRSA or VRE based on surveillance cultures collected on admissio
245 ereas control ICUs had a decrease in MRSA or VRE from 19.02 acquisitions per 1000 patient-days (95% C
246 a decrease in the primary outcome of MRSA or VRE from 21.35 acquisitions per 1000 patient-days (95% C
247 ts of colonization or infection with MRSA or VRE per 1000 patient-days at risk, adjusted for baseline
248 reviously infected or colonized with MRSA or VRE registered for admission to a study hospital from Ju
249 who were colonized or infected with MRSA or VRE were assigned to barrier precautions more frequently
250 who were colonized or infected with MRSA or VRE were assigned to care with contact precautions; all
251 tive in reducing the transmission of MRSA or VRE, although the use of barrier precautions by provider
255 rt review of 31 patients with MRSA, MSSA, or VRE demonstrated that the Nanosphere BC-GP assay might h
259 ation of broad-spectrum antibiotics promotes VRE colonization by down-regulating homeostatic innate i
260 ted the hypothesis that fidaxomicin promotes VRE and Candida species colonization less than vancomyci
265 nt limitations for the treatment of a severe VRE infection (ie, endocarditis), combination of oritava
266 owever, the use of these compounds in severe VRE infections is hampered by the lack of in vivo bacter
267 d vancomycin-resistant Enterococcus species (VRE) using a laboratory-developed real-time PCR test and
270 , respectively, were 98% and 95% for Spectra VRE chromogenic agar (Remel, Lenexa, KS), 86% and 92% fo
271 (Campy; BD Diagnostics, Sparks, MD), Spectra VRE (Remel, Lenexa, KS), and bile-esculin-azide-vancomyc
275 oal that, if achieved, would reduce systemic VRE infections and patient-to-patient transmission.
276 In this initial evaluation, we found that VRE-BMX provided improved recovery of VRE from stool spe
280 ion rates were significantly greater for the VRE-DCS group (46% vs 8% at post-treatment; 69% vs 17% a
283 n associated with colonization resistance to VRE, the specific bacterial species involved remain unde
285 VanA resistant bacteria ( E. faecalis , VanA VRE) at a level accurately reflecting these binding char
286 icrobial activity (VSSA, MRSA, VanA and VanB VRE) and impressive potencies (MIC = 0.06-0.005 mug/mL)
287 bial activity (VSSA, MRSA, and VanA and VanB VRE) and impressive potencies against both vancomycin-se
288 vancomycin aglycon derivatives exhibit VanB VRE antimicrobial activity at levels that approach (typi
289 exhibits concentration-dependent activity vs VRE in vitro, yet the clinical impact of higher-dose str
290 o was administered 90 min before each weekly VRE session, to ensure peak plasma concentrations during
298 and 2.7 (95% CI, 1.4-5.1) for patients with VRE and VSE BSIs, respectively, compared to patients wit
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