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Measures to control vancomycin resistant enterococci may not be
justified, as the organisms have low virulence but infection is
difficult to treat. Infection is endemic in US hospitals but rare in
European hospitals. Ridwan and colleagues (p 666) discuss how an
outbreak in a Dutch hospital was halted by strict control measures
which were expensive and occasionally stopped new admissions and
surgery. The authors recommend following European guidelines.

(Credit: D KUNKEL AND M SCHOUTEN)