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Glycopeptide-resistant enterococci (GRE) can carry more than one VanA element ([3][1], [5][2]), but we are unaware of previous evidence for separate transfer of such elements. Enterococcus faecalis JS3B was examined as one of 46 GRE isolated from fecal screens of a hematology patient at Addenbrooke'

Two Structurally Distinct VanA Resistance Elements at Different Locations in a Glycopeptide-Resistant Strain of Enterococcus faecalis