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. 2022 Jan 15;61(2):249-252.
doi: 10.2169/internalmedicine.6088-20. Epub 2021 Jun 26.

Digestive Decolonization of Colorectal Carriage of Vancomycin-resistant Enterococcus faecium in a Japanese Adult

Shunsuke Uno  1   2 , Yaoko Takano  2 , Osamu Iketani  2 , Tomohiro Abiko  3 , Tomoru Miwa  3 , Kosaku Nanki  4 , Tomohiro Kurihara  2   5 , Yuko Tamura  2 , Miyuki Ara  2 , Yoshifumi Uwamino  2   6 , Masayoshi Shinjoh  2   7 , Takehiko Mori  2   8 , Naoki Hasegawa  1   2
Affiliations

Digestive Decolonization of Colorectal Carriage of Vancomycin-resistant Enterococcus faecium in a Japanese Adult

Shunsuke Uno et al. Intern Med. .

Abstract

Patients with vancomycin-resistant Enterococcus (VRE) colonization should be managed in an isolation room with contact precautions. We herein report a patient whose colorectal carriage of VRE was successfully decolonized using concomitant bowel irrigation with polyethylene glycol, probiotics, and oral antimicrobials, linezolid and orally-administered daptomycin, for release from isolation and contact precautions. We therefore would like to suggest a potential strategy for managing patients with VRE colonization.

Keywords: decolonization; isolation precautions; vancomycin-resistant Enterococcus.

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Conflict of interest statement

The authors state that they have no Conflict of Interest (COI).

Figures

Figure.
Figure.
Protocol for vancomycin-resistant Enterococcus faecium decolonization. PEG: polyethylene glycol
See this image and copyright information in PMC

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