id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-278592-67y4f9av	Kurup, Asok	Control of a hospital-wide vancomycin-resistant Enterococci outbreak	2008-03-24		.txt	text/plain	3037	174	49	To eradicate a hospital-wide outbreak, a coordinated strategy between March and June 2005 comprised (1) formation of a VRE task force, (2) hospital-wide screening, (3) isolation of carriers, (4) physical segregation of contacts, (5) surveillance of high-risk groups, (6) increased cleaning, (7) electronic tagging of VRE status, and (8) education and audits. 1 In 2004, a localized VRE outbreak in a hematology ward of Singapore General Hospital (SGH) involving 6 inpatients was blamed on overseas importation of the index case with breaches in infection control measures, resulting in subsequent dissemination in that ward. Patients with high-risk acquisition for VRE-like end-stage renal failure (ESRF) on dialysis, those with hematologic or oncologic malignancies, those transferred from other local or overseas hospitals, or those with hospital admissions after January 1, 2005 were defined as ''unknowns.'' Records of ''contacts'' and ''unknowns'' were electronically tagged to facilitate VRE screening by stool or rectal swab on 2 separate occasions at least 24 hours apart.	./cache/cord-278592-67y4f9av.txt	./txt/cord-278592-67y4f9av.txt