scholarly journals High level of vancomycin resistance in invasive strains of Enterococcus faecalis and Enterococcus faecium in Italy: initial results from the national AR-ISS antibiotic resistance project

2002 ◽  
Vol 6 (24) ◽  
Author(s):  
D Boccia ◽  
F D'Ancona ◽  
A Pantosti
Keyword(s):  
Antibiotic Resistance ◽  
Enterococcus Faecalis ◽  
Enterococcus Faecium ◽  
Vancomycin Resistance ◽  
Blood Cultures ◽  
Vancomycin Resistant ◽  
High Level ◽  
Initial Results

A total of 5.9% of isolates from blood cultures of enterococci in Italy during the last half of 2001 were resistant to three or more antibiotics (of different classes) (1). The frequency of vancomycin resistance and overall multiresistance in invasive strains of Enterococcus faecalis and Enterococcus faecium are reported in table 1. It is of note that 80.0% of those isolates that were vancomycin resistant were also multiresistant.

scholarly journals Failure of VITEK2 to reliably detect vanB- mediated vancomycin resistance in Enterococcus faecium

2020 ◽  
Author(s):  
Sarah V. Walker ◽  
Martina Wolke ◽  
Georg Plum ◽  
Robert E. Weber ◽  
Guido Werner ◽  
...  
Keyword(s):  
Enterococcus Faecium ◽  
Vancomycin Resistance ◽  
Bacterial Suspension ◽  
Initial Growth ◽  
Low Level ◽  
Test Kit ◽  
Before And After ◽  
Vancomycin Resistant ◽  
High Level ◽  
Level Resistance

AbstractObjectivesThe increasing prevalence of vancomycin resistant enterococci (VRE) necessitates a reliable detection of VRE especially for low level resistance mediated by vanB in Enterococcus faecium. In this prospective study we analyzed if vanB mediated vancomycin resistance can be reliably detected by Vitek2.Methods1344 enterococcal isolates from routine clinical specimens were tested by Vitek2 (bioMérieux, Nürtingen, Germany). Additionally, a bacterial suspension (0.5 McFarland) was inoculated on a chromID VRE screening agar (bioMérieux) and incubated for 48 hours. If vancomycin was tested susceptible by Vitek2 but growth was detected on the screening agar a PCR for vanA/vanB was performed (GeneXpert vanA/B test kit, Cepheid, Frankfurt, Germany). MICs of vancomycin susceptible by Vitek but vanA/B positive isolates were determined before and after cultivation in a broth with increasing concentration of vancomycin.Results156/492 of E. faecium were VRE, predominantly vanB (87.0%) of which 14 were not identified as VRE by Vitek2 (sensitivity 91.0%). The majority (9/14) demonstrated high-level MICs by broth dilution. Even after exposure to increasing vancomycin concentrations MICs remained nearly identical. Three of the undetected isolates demonstrated initial growth on chromID VRE, after the vancomycin exposure additional 7 isolates demonstrated growth on chromID VRE.ConclusionsVitek2 fails to detect vanB mediated vancomycin resistance consistently, especially but not limited to low-level resistance. As this may lead to treatment failure and further dissemination of vanB VRE, additional methods (e.g. culture on VRE screening agar or PCR) are necessary to reliably identify vanB-positive enterococci in clinical routine.

scholarly journals Antibiotic resistance of hospital strains of Enterococcus faecalis and Enterococcus faecium

2002 ◽  
Vol 59 (5) ◽  
pp. 499-506 ◽  
Author(s):  
Veljko Mirovic
Keyword(s):  
Enterococcus Faecalis ◽  
Enterococcus Faecium ◽  
Clinical Laboratory ◽  
Streptomycin Resistance ◽  
National Committee ◽  
High Incidence ◽  
Gentamicin Resistance ◽  
Vancomycin Resistant ◽  
High Level ◽  
Very High

The aim of this study was to determine the resistance of Enterococcus faecalis (E. faecalis) and Enterococcus faecium (E. faecium) to penicillin, ampicillin, vancomycin, teicoplanin, gentamicin (high level), streptomycin (high level), oxytetracycline, chloramphenicol, rifampin, erythromycin, ciprofloxacin, norfloxacin, and nitrofurantoin from clinical specimens during 1999. The resistance of enterococci to antibiotics was determined by disk diffusion and dilution methods according to the American National Committee for Clinical Laboratory Standards guidelines. The production of ?-lactamase was determined by nitrocefin disks. In E. faecalis and E. faecium isolates (n=111 and n=48) the frequency of the resistance to both penicillins was 0.9% and 89.6%, respectively. All enterococci isolates were ?-lactamase negative. Only one strain of E. faecium was vancomycin resistant (Van A fenotype). Among E. faecalis isolates (n=109) high level gentamicin resistance (HLGR), high level streptomycin resistance (HLSR), and resistance to both agents was 52.3%, 50.4%, and 43.7%, respectively. Among E. faecium isolates (n=48) HLGR, HLSR, and to both agents were 68.7%, 75%, and 62.5% respectively. The majority of E. faecium isolates were resistant to both penicillin and ampicillin. E. faecalis remained susceptible to penicillins. Moreover, there was a very high incidence of enterococci resistant to high level aminoglycosides.

scholarly journals Antimicrobial Susceptibility Patterns of Enterococci Causing Infections in Europe

1999 ◽  
Vol 43 (10) ◽  
pp. 2542-2546 ◽  
Author(s):  
M. A. Schouten ◽  
A. Voss ◽  
J. A. A. Hoogkamp-Korstanje
Keyword(s):  
Enterococcus Faecalis ◽  
Antimicrobial Susceptibility ◽  
Enterococcus Faecium ◽  
Vancomycin Resistance ◽  
European Countries ◽  
High Level ◽  
Susceptibility Patterns ◽  
Level Resistance

ABSTRACT In vitro susceptibilities of 4,208 enterococci (83%Enterococcus faecalis isolates, 13.6% Enterococcus faecium isolates, and 3.4% isolates of other species) from patients in 27 European countries towards 16 antibiotics were determined. High-level resistance to gentamicin varied by country (range, 1 to 49%; mean, 22.6% ± 12.3%) and per species (19.7%E. faecalis isolates, 13.6% E. faeciumisolates, 3.4% by other species). Vancomycin resistance was detected in 0.06% E. faecalis, 3.8% E. faecium, and 19.1% isolates of other species. All enterococci were susceptible to LY 333328 and everninomicin, and 25% of E. faecalisisolates and 85% of other enterococci were susceptible to quinupristin-dalfopristin. The MIC of moxifloxacin and trovafloxacin for ciprofloxacin-susceptible E. faecalis at which 90% of the isolates were inhibited was 0.25 to 0.5 μg/ml.

scholarly journals Novel genomic islands and a new vanD-subtype in the first sporadic VanD-type vancomycin resistant enterococci in Norway

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0255187
Author(s):  
Mushtaq T. S. AL Rubaye ◽  
Jessin Janice ◽  
Jørgen Vildershøj Bjørnholt ◽  
Aleksandra Jakovljev ◽  
Maria Elisabeth Hultström ◽  
...  
Keyword(s):  
Gene Clusters ◽  
Vancomycin Resistance ◽  
Genomic Islands ◽  
Vancomycin Resistant Enterococci ◽  
Chromosomal Site ◽  
Enterococcus Casseliflavus ◽  
Temporal Occurrence ◽  
Vancomycin Resistant ◽  
High Level

Background Vancomycin-resistant enterococci (VRE) represent several types of transferable vancomycin resistance gene clusters. The vanD type, associated with moderate to high level vancomycin resistance, has only sporadically been described in clinical isolates. The aim of this study was to perform a genetic characterization of the first VanD-type VRE strains detected in Norway. Methods The VanD-type VRE-strains (n = 6) from two patient cases were examined by antimicrobial susceptibility testing and whole genome sequencing (WGS) to uncover Van-phenotype, strain phylogeny, the vanD gene clusters, and their genetic surroundings. The putative transferability of vanD was examined by circularization PCR and filter mating. Results The VanD-type Enterococcus faecium (n = 4) and Enterococcus casseliflavus (n = 2) strains recovered from two cases (A and B), expressed moderate to high level vancomycin resistance (MIC 64—>256 mg/L) and various levels of teicoplanin susceptibility (MIC 2—>256 mg/L). WGS analyses revealed phylogenetically different E. faecium strains (A1, A2, and A3 of case A and B1 from case B) as well as vanD gene clusters located on different novel genomic islands (GIs). The E. casseliflavus strains (B2 and B3 of case B) were not clonally related, but harbored nearly identical novel GIs. The vanD cluster of case B strains represents a novel vanD-subtype. All the vanD-GIs were integrated at the same chromosomal site and contained genes consistent with a Clostridiales origin. Circular forms of the vanD-GIs were detected in all strains except B1. Transfer of vanD to an E. faecium recipient was unsuccessful. Conclusions We describe the first VanD-type E. casseliflavus strains, a novel vanD-subtype, and three novel vanD-GIs with a genetic content consistent with a Clostridiales order origin. Despite temporal occurrence, case A and B E. faecium strains were phylogenetically diverse and harbored different vanD subtypes and vanD-GIs.

The effects of ultraviolet disinfection on vancomycin-resistant Enterococcus faecalis

2020 ◽  
Vol 22 (2) ◽  
pp. 418-429 ◽  
Author(s):  
Jingyu Wang ◽  
Minghao Sui ◽  
Hongwei Li ◽  
Bojie Yuan
Keyword(s):  
Antibiotic Resistance ◽  
Resistance Gene ◽  
Enterococcus Faecalis ◽  
Removal Efficiency ◽  
Antibiotic Resistance Gene ◽  
Vancomycin Resistant Enterococcus ◽  
Ultraviolet Disinfection ◽  
Antibiotic Resistant ◽  
Antibiotic Resistant Bacterium ◽  
Vancomycin Resistant

Ultraviolet disinfection could effectively inactivate the antibiotic resistant bacterium vancomycin resistant Enterococcus faecalis, but had a limited removal efficiency for the antibiotic resistance gene–vanB gene.

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