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Prevalence and Molecular Epidemiology of Glycopeptide‐Resistant Enterococci in Belgian Renal Dialysis Units
Author(s) -
P. Descheemaeker,
M. Ieven,
Sabine Chapelle,
Christine Lammens,
M. Hauchecorne,
M. Wijdooghe,
Peter Vandamme,
Herman Goossens
Publication year - 2000
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/315182
Subject(s) - microbiology and biotechnology , enterococcus faecalis , dialysis , glycopeptide , epidemiology , enterococcus , gentamicin , molecular epidemiology , biology , enterococcus faecium , ampicillin , population , medicine , antibiotics , staphylococcus aureus , bacteria , genetics , genotype , gene , environmental health
The molecular epidemiology of glycopeptide-resistant enterococci (GRE) colonizing the intestinal tracts of Belgian renal dialysis patients was studied among 1318 patients of a population of 1800 dialysis patients from 29 dialysis centers. Of these, 185 patients (14.0%) were colonized with a VANA-positive GRE; GRE harboring the VANB gene were not detected. The majority of the VANA GRE (80.5%) were identified as Enterococcus faecium; 14.8% were identified as E. faecalis; and a limited number were identified as E. avium, E. casseliflavus, E. dispar, E. durans, or E. gallinarum. Genome analysis of 277 VANA-positive GRE by pulsed-field gel electrophoresis revealed a high genetic variability both within the different dialysis centers and within the patients' own GRE flora. No high-level gentamicin-resistant VANA-positive GRE were detected, and most strains remained susceptible to ampicillin. These findings do not support a hospital-driven endemicity of VANA-positive enterococcal isolates in Belgium.

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