Vancomycin-resistant Enterococci are bacteria (germs) that are normally present in the human intestines and in the female genital tract and are often found in the environment, like in soil and water. These bacteria can cause infections. Who is at risk? people who have been previously treated with antibiotics, including vancomycin, for long periods of time. people who are hospitalized, have undergone surgical procedures, or have medical devices inserted in their bodies (such as catheters). people with weakened immune systems, such as patients in intensive care units, or in cancer or transplant wards. How is it spread? VRE can spread from one person to another through contact with contaminated surfaces or equipment or through person to person spread, often via contaminated hands. It is not spread through the air by coughing or sneezing.

How is a VRE infection treated?

You will not need treatment if you carry the bacteria but do not have an active infection. Antibiotics will be given to treat an active infection. If a medical device has caused your infection, it may be removed or changed.

How do I prevent the spread of VRE?

Do the following if you or someone you care for has an active VRE infection:

• Wash your hands often. This is the most important thing you can do to prevent the spread of infection. Wash your hands after you use the bathroom or touch body fluids such as urine or bowel movement. Wash your hands after you clean an infected wound or change the bandage. Wash your hands before you prepare or eat food. Carry germ-killing gel with you and use it to clean your hands when you do not have soap and water. Tell others to wash your hands after they visit you.
• Wear disposable gloves when you clean a wound, change a bandage, or handle body fluids. Do this if you care for someone with an active VRE infection. If you are infected with VRE, you do not need to wear gloves. Instead, make sure you wash your hands often. Throw away gloves after you use them. Put on a new pair with each task. Never use the same pair of gloves.
• Clean bathroom surfaces daily. This includes the counter, bathtub, and shower. Use a bleach-based cleaner. You can also create a cleaning solution by mixing 1 part bleach to 10 parts water.
• Tell all healthcare providers that you have a VRE infection. Healthcare providers will place you in a private hospital room to prevent the spread of infection to others.

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