Healthcare-associated XXXX resistant @entity6375 infections in the Mansoura University Hospitals intensive care units, Egypt.

@entity1 @entity801 @entity2176 @entity2177 @entity2886 @entity177 @entity281 @entity6375
@entity2176 resistant @entity6375 (VREF) ia an emerging and challenging nosocomial pathogen. This study aimed to determine the prevalence, risk factors and clonal relationships between different VREF isolates in the intensive care units (ICUs) of the university hospitals in our geographic location. This prospective study was conducted from July, 2012 until September, 2013 on 781 @entity1 who were admitted to the ICUs of the Mansoura University Hospitals (MUHs), and fulfilled the healthcare-associated @entity281 (HAI) criteria. Susceptibility testing was determined using the disk diffusion method. The clonal relationships were evaluated with pulsed field gel electrophoresis (PFGE). Out of 52 @entity6375 isolates, 12 (23.1%) were @entity2176 resistant. The significant risk factors for the @entity281 were: transfer to the ICU from a ward, @entity177 , an extended ICU stay and use of third-generation @entity2886 , @entity801 , or @entity2177 . PFGE with the 12 isolates showed 9 different patterns; 3 belonged to the same pulsotype and another 2 carried a second pulsotypes. The similar pulsotypes isolates were isolated from ICUs of one hospital (EICUs); however, all of the isolates from the other ICUs had different patterns. Infection control policy, in conjunction with antibiotic stewardship, is important to combat VREF transmission in these high-risk @entity1 .
