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Home Topics Infectious Diseases Infections A-Z Enterococcus species and GRE Epidemiological Data Glycopeptide-Resistant Enterococci (GRE) Mandatory Surveillance of Glycopeptide-Resistant Enterococci (GRE) bacteraemia

Mandatory Surveillance of Glycopeptide-Resistant Enterococci (GRE) bacteraemia

The Department of Health has advised that from 1st April 2013, Glycopeptide-Resistant Enterococci (GRE) bacteraemias will no longer be the subject of mandatory surveillance. Trusts are still encouraged to report these data voluntarily via Co- Surv. 

The last annual results of the mandatory Glycopeptide-Resistant Enterococci (GRE) bacteraemia enhanced surveillance scheme:

Background information

Reporting of clinically significant GRE bacteraemia was mandatory for NHS acute trusts in England from September 2003 to April 2013.

This scheme was operated by Public Health England - PHE (formerly the Health Protection Agency) on behalf of the Department of Health.  Data were requested quarterly from each of the 161 acute NHS trusts in England by PHE Local and Regional Services Division (LARS) and collated and analysed by the Centre for Infections.

The National Glycopeptide-Resistant Enterococcal Bacteraemia Surveillance Working Group recommended that the significance of blood cultures containing GRE should be assessed clinically.  If a bacteraemia is found to be clinically significant and due to either a GRE or a GRE and other non-GRE organism(s), it should be reported as a GRE bacteraemia.

Positive blood cultures from the same patient within 14 days of the initial culture were considered to be part of the original episode and should not be reported.  Duplicate reports, more than 14 days apart should be reported as these are considered to be a separate episode.

Enterococci from blood cultures should be tested for susceptibility to the antibiotic vancomycin.  Teicoplanin is not an acceptable alternative to vancomycin for these purposes.

Previous publications

Results of the first year of mandatory GRE bacteraemia reporting: October 2003 - September 2004, are published on the Department of Health website and on the HPA website CDR Wkly 2005 15 (34).