Article
Strains of glycopeptide-resistant Enterococcus faecium can alter their van genotypes during an outbreak.
Journal of clinical microbiology - 1 Nov 1997
Woodford N, Chadwick P R, Morrison D, Cookson B D
Abstract excerpt
Two isolates of Enterococcus faecium with VanA glycopeptide resistance were isolated during a hospital outbreak of E. faecium with plasmid-mediated VanB resistance. Both were found to be identical to the VanB outbreak strain by pulsed-field gel electrophoresis. The genotype of this strain changed from vanB to vanA through an intermediate isolate that contained both the vanA and vanB gene clusters on distinct...
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