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Inhibition of Vancomycin‐Resistant Enterococci by an In Vitro Continuous‐Flow Competitive Exclusion Culture Containing Human Stool Flora
Author(s) -
Curtis J. Donskey,
Michael E. Hume,
Todd R. Callaway,
Sarbani M. Das,
Claudia Hoyen,
Louis B. Rice
Publication year - 2001
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 - 10.1086/324533
Subject(s) - microbiology and biotechnology , enterococcus faecium , flora (microbiology) , enterococcus , in vitro , competitive exclusion , biology , vancomycin , feces , bacteria , antibiotics , staphylococcus aureus , biochemistry , ecology , competition (biology) , genetics
An in vitro anaerobic continuous-flow competitive exclusion (CFCE) culture model was used to study the ability of human stool flora to inhibit the growth of vancomycin-resistant (VR) enterococci (VRE). The CFCE culture was established from a stool sample obtained from a healthy adult. When 10(3) or 10(6) cfu/mL of VR Enterococcus faecium were added to the CFCE culture, the VRE were eliminated within 6 or 9 days, respectively. When 10(7) cfu/mL of the CFCE culture was added to a continuous-flow culture that contained 10(7) cfu/mL of VRE, the density of VRE was reduced but not eliminated. These data support the hypothesis that the indigenous intestinal flora inhibit growth of VRE and suggest that CFCE cultures may be a useful means to study interactions between the indigenous flora and VRE.

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