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 Dear Elyse

 "A dramatic rise in frequency of enterococcal infections and the prevalence
 of vancomycin-resistant enterococci (VRE) occurred during the 1990s in the
 USA, first in ICUs, then essentially throughout hospitals [8-10]. The 2004
 NNIS report indicated that nearly 30% of all enterococci isolated from
 patients infected in ICUs were resistant to vancomycin [4]."
 http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=17442104#B8 4. NNIS. National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control. 2004;32:470-485. doi: 10.1016/j.ajic.2004.10.001. [PubMed] 8. Willems RJ, Top J, van Santen M, Robinson DA, Coque TM, Baquero F, Grundmann H, Bonten MJ. Global spread of vancomycin-resistant Enterococcus faecium from distinct nosocomial genetic complex. Emerg Infect Dis. 2005;11:821-828. [PubMed] 10 Stevens MP, Edmond MB. Endocarditis due to vancomycin-resistantenterococci: Case report and review of the literature. Clin Infect Dis. 2005;41:1134-1142. doi: 10.1086/444459. [PubMed] Best Wishes as Nephrologist (Hemodialysis and Peritoneal dialysis we have about 10 %)  Jean-Marie JM FAIVRE M.D Nephrology CHU LYON.France> ----- Original Message -----> From: "Library" <[log in to unmask]>> To: <[log in to unmask]>> Sent: Friday, 
 May 25, 2007 7:40 PM> Subject: request for incidence of Vancomyicin resistant VRE>>> Throwing myself on the collective wisdom of the group - I need to find> out the most recent estimates of the incidence of VRE in the general> population or more specifically in the populations of long term care> facilities or nursing homes/ retirement residences.>>>> i.e. are we fighting a losing battle because   X % of the patients> entering our facility already have VRE or is it really something we can> still keep under control in the hospital setting.>>>> Any leads on good statistical data.  I have checked medline, google> scholar, Scirus and CDC and found some but nothing definitive.  It may> be that the studies have not yet been done. Or they may all be lurking> in the grey lit,>>>> Elyse Pike>> Health Sciences Librarian>> Grey Bruce Health Services>> 1800 8th Street E>> Owen Sound, Ont, Canada>> N4K 6M9>>>> 519-376-2121 ext 2043>> fax 519 372-3947>>>> [log in to unmask]>>>>>>> --> No v
 irus found in this incoming message.> Checked by AVG Free Edition..> Version: 7.5.467 / Virus Database: 269.8.0/817 - Release Date: 24/05/200716:01>>>>>