First outbreak of vancomycin-resistant enterococci in a tertiary hospital in Turkey | Zendy

Dilek Çolak | Zendy

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First outbreak of vancomycin-resistant enterococci in a tertiary hospital in Turkey

Author(s) -

Dilek Çolak

Publication year - 2002

Publication title -

journal of antimicrobial chemotherapy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.124

H-Index - 194

eISSN - 1460-2091

pISSN - 0305-7453

DOI - 10.1093/jac/dkf134

Subject(s) - outbreak , enterococcus faecium , vancomycin resistant enterococci , plasmid , microbiology and biotechnology , transposable element , enterococcus , concomitant , biology , intensive care unit , vancomycin , molecular epidemiology , tertiary care , antibiotics , medicine , gene , virology , bacteria , staphylococcus aureus , genotype , genetics , intensive care medicine , emergency medicine , mutant

Twenty multidrug-resistant vancomycin-resistant Enterococcus faecium strains of the VanA phenotype were isolated over a 1 year period from five patients in the intensive care unit at the University Hospital of Antalya, Turkey. Molecular investigation showed that these strains belonged to five different pulsotypes and that the vanA gene was carried by a Tn1546-like transposon inserted onto a self-transferable plasmid of approximately 200 kb. One patient was infected by two different strains, suggesting horizontal gene transfer within that patient. This is the first documented outbreak of VRE in Turkey with concomitant spread of plasmid and strains.

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