Ten clinical isolates of high-level gentamicin-resistant (HLGR) Enterococcus faecium, collected from six hospitals throughout the UK, were studied to determine whether HLGR was attributed to widespread dissemination of a single plasmid or whether different plasmid types were implicated in the dissemination of this phenotype. HLGR was attributed to the presence of the AAC6'-APH2" bifunctional am...

OBJECTIVES The enterococcal surface protein gene, esp, is a major putative pathogenicity marker in clinical isolates of Enterococcus faecium and Enterococcus faecalis. This study demonstrates in vitro conjugative transfer of the esp gene among E. faecium and E. faecalis. MATERIALS AND METHODS Enterococcal isolates from clinical samples, positive for esp, were mated on filters with enterococca...

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 ...

Historically, most clinical microbiology laboratories report that 80 to 90% of enterococci are Enterococcus faecalis, whereas E. faecium accounts for 5 to 10% of isolates. At our medical center from 1993 to 2002, we evaluated the percentages of E. faecium among all enterococcal isolates and the percentages of E. faecium isolates that were vancomycin resistant. Over this 10-year period, the perc...

The present study was done to scrutinize the possible relation between infective genes and antimicrobial resistance in Enterococcus faecalis and Enterococcus faecium. Considering the fact that the presence of recognized infective determinants among clinical isolates may promote the emergence of infections and persistence of Enterococci in hospital settings, which can lead to an increase in anti...

22 A linezolid resistant, vancomycin susceptible E. faecium strain was isolated from three 23 patients who had not received linezolid. The first patient was hospitalised in the same 24 hospitals and wards as the two following patients. The E. faecium isolates were resistant to 25 linezolid (MIC 8-32 mg/L), ampicillin and high levels of gentamicin. Resistance to linezolid 26 was associated with ...

Enterococci are increasingly recognized as an important nosocomial pathogen. The present study was done to establish the changing paradigm of blood culture enterococcal isolates and emergence of Enterococcus faecium as a nosocomial pathogen. A total of 150 Enterococcal isolates were obtained during the study period from January 2013 to March 2014. 68.3% and 31.7% of adult and 53% and 43% of pae...

Six high-level evernimicin-resistant Enterococcus faecium isolates were identified among 304 avilamycin-resistant E. faecium isolates from animals and 404 stool samples from humans with diarrhea. All four animal isolates, and one of the human isolates, were able to transfer resistance to a susceptible E. faecium strain. The resulting transconjugants all tested positive for the presence of emtA,...