Article
Culture-enriched metagenomic sequencing reveals within-patient diversity and transmission of vancomycin-resistant Enterococcus faecium.
Microbial genomics - 1 Jul 2026
Mills Emma G, Evans Kirsten M, Dorazio Ava J, Squires Kevin M, Sundermann Alexander J, Stellfox Madison E, Culyba Matthew J, Shields Ryan K, Van Tyne Daria
Abstract excerpt
Colonization of the gastrointestinal (GI) tract by vancomycin-resistant Enterococcus faecium (VREfm) often precedes bloodstream infection and serves as a reservoir for onward patient transmission in healthcare settings. Routine clonal isolate-based sequencing often underestimates within-patient diversity and can miss transmission involving low-abundance and co-colonizing strains. Here, we applied culture-enriched...
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