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Molecular epidemiology of glycopeptide-resistant Enterococcus faecium on a renal unit

  • P. R. CHADWICK (a1), A. FOX (a1) and N. WOODFORD (a2)

Abstract

The clinical and molecular epidemiology of glycopeptide-resistant Enterococcus faecium was investigated during an outbreak on a renal unit. Forty-nine patients were colonized or infected during a 15-month period. Sites of colonization included faeces, urine, intravenous (IV) catheter tips and wound swabs. Ten patients had infections, which included five bacteraemias and three episodes of peritonitis. Pulsed-field gel electrophoresis of 43 patient isolates of glycopeptide-resistant E. faecium identified seven strains during the first 7 months of the outbreak. Three of these strains affected five or more patients. One strain accounted for 17/43 isolates. Isolates that were possibly related to another renal unit strain were cultured from patients at two other Manchester hospitals. These isolates were epidemiologically-related, and may represent a single Manchester epidemic strain. Of five patients who had multiple isolates of glycopeptide-resistant E. faecium, three had isolates representing a single strain and two were colonized or infected by more than one strain.

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Copyright

Corresponding author

Author for correspondence: Dr Paul Chadwick, Microbiology Department, Hope Hospital, Salford M6 8HD.

Molecular epidemiology of glycopeptide-resistant Enterococcus faecium on a renal unit

  • P. R. CHADWICK (a1), A. FOX (a1) and N. WOODFORD (a2)

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