Journal article

A nonclonal outbreak of vancomycin-sensitive Enterococcus faecalis bacteremia in a neonatal intensive care unit

D Kotsanas, K Tan, C Scott, B Baade, MHL Cheng, ZV Tan, JE Taylor, JC Kwong, T Seemann, GW Coombs, BP Howden, RL Stuart

Infection Control and Hospital Epidemiology | CAMBRIDGE UNIV PRESS | Published : 2019

Abstract

Objective: To describe an outbreak of bacteremia caused by vancomycin-sensitive Enterococcus faecalis (VSEfe).Design: An investigation by retrospective case control and molecular typing by whole-genome sequencing (WGS).Setting: A tertiary-care neonatal unit in Melbourne, Australia.Methods: Risk factors for 30 consecutive neonates with VSEfe bacteremia from June 2011 to December 2014 were analyzed using a case control study. Controls were neonates matched for gestational age, birth weight, and year of birth. Isolates were typed using WGS, and multilocus sequence typing (MLST) was determined.Results: Bacteremia for case patients occurred at a median time after delivery of 23.5 days (interquart..

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