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- Title
Regional spread of vanA- or vanB-positive Enterococcus gallinarum in hospitals and long-term care facilities in Kyoto prefecture, Japan.
- Authors
SHIRANO, M.; TAKAKURA, S.; YAMAMOTO, M.; MATSUMURA, Y.; MATSUSHIMA, A.; NAGAO, M.; FUJIHARA, N.; SAITO, T.; ITO, Y.; IINUMA, Y.; SHIMIZU, T.; FUJITA, N.; ICHIYAMA, S.
- Abstract
Following an outbreak of vanA-positive Enterococcus faecium in 2005 in Kyoto prefecture, regional surveillance of vancomycin-resistant enterococci (VRE) was initiated. This revealed vanA- or vanB-positive Enterococcus gallinarum in multiple facilities. Eighty-eight vanA-positive E. gallinarum faecal carriers from 12 facilities and ten vanB-positive E. gallinarum faecal carriers from eight facilities were found. Pulsed-field gel electrophoresis profiles of the first isolate from each facility showed that 11 of the 12 vanA isolates and three of the eight vanB-positive E. gallinarum isolates belonged to a single clone. This study confirms the clonal spread of vanA- or vanB-positive E. gallinarum in a region and underlines the importance of surveillance of VRE for the presence of vancomycin resistance determinants.
- Subjects
KYOTO (Japan); JAPAN; ENTEROCOCCAL infections; ENTEROCOCCUS faecium; DRUG resistance; LONG-term care facilities; VANCOMYCIN resistance; PULSED-field gel electrophoresis; INFECTIOUS disease transmission; EPIDEMIOLOGY
- Publication
Epidemiology & Infection, 2011, Vol 139, Issue 3, p430
- ISSN
0950-2688
- Publication type
Article
- DOI
10.1017/S0950268810001123