{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T07:20:54Z","timestamp":1782976854362,"version":"3.54.5"},"reference-count":53,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T00:00:00Z","timestamp":1636675200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Vancomycin\u2010resistant enterococci (VRE) colonization in nonliver solid organ transplantation (SOT) is poorly defined. Infection control management of these patients is influenced by the association of VRE with adverse outcomes in liver transplantation. This study examines the frequency and clinical impact of VRE colonization specifically on nonliver SOT patients and discusses implications for nosocomial VRE control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed all nonliver SOT patients at a single transplant center from 2005 to 2015. We determined colonization rates in the peritransplant period and the rate of VRE infections. The association between VRE colonization with 90\u2010day mortality and other clinical outcomes was examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 1786 nonliver SOTs from 2005 to 2015, with 81 (4.6%) colonized with VRE in the peritransplantation period. The colonization prevalence varied by organ type: 45 of 423 lung (10.6%), 12 of 352 heart (3.4%), one of 18 heart\u2013lung (5.6%), 20 of 884 kidney (2.3%), three of 63 kidney\u2013pancreas (4.8%), zero of 11 pancreas, zero of five small bowel, and zero of 11 multivisceral. Peritransplant VRE colonization was not associated with 90\u2010day mortality odds ratio\u00a0=\u00a02.35 (95% CI\u00a0=\u00a00.53, 10.29) and adjusted odds ratio\u00a0=\u00a01.52 (95% CI\u00a0=\u00a00.34, 6.88). In the multivariable logistic regression, there was no association with mortality at 1 year or 5 years, hospital length of stay, rehospitalization, or days alive out of hospital. There were 14 inpatient VRE infections up to 1 year after transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Nonliver SOT patients have lower rates of VRE colonization than liver SOT, and colonization was not associated with increased adverse clinical outcomes. Although infection control strategies for VRE in hospital remain controversial, nonliver SOT should be considered among typical hospitalized patients when designing strategies for prevention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tid.13747","type":"journal-article","created":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T17:19:37Z","timestamp":1634836777000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Clinical impact of vancomycin\u2010resistant enterococci colonization in nonliver solid organ transplantation and its implications for infection control strategies: A single\u2010center, 10\u2010year retrospective study"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4118-0349","authenticated-orcid":false,"given":"Alexandra C.","family":"McFarlane","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3785-1098","authenticated-orcid":false,"given":"Dima","family":"Kabbani","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3658-2554","authenticated-orcid":false,"given":"Jeffrey A.","family":"Bakal","sequence":"additional","affiliation":[{"name":"Provincial Research Data Services Alberta Health Services  Edmonton Alberta Canada"},{"name":"Alberta SPOR SUPPORT Unit Data Platform University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4910-0083","authenticated-orcid":false,"given":"Stephanie W.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/tid.12612"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-018-0374-5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2018.05.003"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1469-0691.12687"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.12690"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/23.4.767"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1086\/498903"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/tri.12987"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1086\/587187"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.3.302"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.11.1400"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1086\/524331"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.500030605"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2017.e00473"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1086\/676535"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/2047-2994-2-18"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2010.05.002"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2006.03.008"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/5352625"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhin.2002.1247"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2017.06.017"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2015.06.003"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2017.08.031"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0000000000000311"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1086\/502213"},{"key":"e_1_2_9_27_1","unstructured":"Public HealthAgency of Canada.Routine Practices and Additional Precautions for Preventing the Transmission of Infection in Healthcare Settings.https:\/\/www.canada.ca\/en\/public-health\/services\/publications\/diseases-conditions\/routine-practices-precautions-healthcare-associated-infections.html. 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