Article
High-Level Fosfomycin Resistance in Vancomycin-Resistant Enterococcus faecium.
Emerging infectious diseases - 1 Nov 2017
Guo Yan, Tomich Adam D, McElheny Christi L, Cooper Vaughn S, Tait-Kamradt Amelia, Wang Minggui, Hu Fupin, Rice Louis B, Sluis-Cremer Nicolas, Doi Yohei
Abstract excerpt
Of 890 vancomycin-resistant Enterococcus faecium isolates obtained by rectal screening from patients in Pittsburgh, Pennsylvania, USA, 4 had MICs >1,024 μg/mL for fosfomycin. These isolates had a Cys119Asp substitution in the active site of UDP-N-acetylglucosamine enolpyruvyl transferase. This substitution increased the fosfomycin MIC >4-fold and rendered this drug inactive in biochemical assays.
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