VanB Phenotype- vanA Genotype Enterococcus faecium with Heterogeneous Expression of Teicoplanin Resistance

VanB phenotype-vanA genotype Enterococcus faecium with heterogeneous expression of teicoplanin resistance.

Six VanB phenotype-vanA genotype isolates of Enterococcus faecium with heterogeneous expression of teicoplanin resistance which gave rise to an outbreak at a Korean tertiary care teaching hospital have IS1216V in the coding region of vanS. This could be the underlying cause of the VanB phenotype-vanA genotype with heterogeneous expression of teicoplanin resistance.

VanB phenotype-vanA genotype Enterococcus faecium with heterogeneous expression

Emergence of VanB phenotype-vanA genotype Enterococcus faecium clinical isolate in Bulgaria.

anA glycopeptide resistance is characterized by acquired nducible resistance to both vancomycin and teicoplanin, hereas the VanB phenotype is characterized by variable evels of resistance to vancomycin but susceptibility to eicoplanin.1 Here we report a vancomycin-resistant Enterooccus faecium (VREFm) strain with VanB phenotype-vanA enotype incongruence. In the course of antimicrobial susceptib...

Heteroresistance to teicoplanin in Enterococcus faecium harboring the vanA gene.

Hospital-acquired infections caused by vancomycin-resistant enterococci (VRE) are increasing. The resistance of VRE to multiple antibiotics makes them clinically challenging. There are at least six phenotypes of VRE, including VanA, VanB, VanC, VanD, VanE, and VanG (2, 8). These phenotypes correspond with the genotypes vanA, vanB, vanC, vanD, vanE, and vanG. VanA and VanB phenotypes are common ...

Transferable, plasmid-mediated vanB-type glycopeptide resistance in Enterococcus faecium.

An approximately 60-kb transferable, vanB-carrying plasmid has been identified in a clinical Enterococcus faecium strain. A similar plasmid has been observed in an unrelated E. faecium strain, suggesting that plasmid transfer of vanB operons occurs in nature and plays a role in the dissemination of VanB-type resistance among strains of E. faecium.