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clonal spread of vancomycin-resistant enterococcus faecium between patients in three hospitals in two states.the dnas of 3* vancomycin-resistant enterococcus faecium isolates from five hospitals in three states were analyzed by contour-clamped homogeneous electric field electrophoresis and plasmid analysis. there were 22 strain types. one strain type was common to patients in three hospitals in two states. these results suggest the apparent intra- and interhospital spread of vancomycin-resistant e. faecium.19938315004
clonal dissemination and colony morphotype variation of vancomycin-resistant enterococcus faecium isolates in metropolitan detroit, michigan.thirty-two isolates of vancomycin-resistant enterococcus faecium (vre) recovered from 25 patients hospitalized at six hospitals in the metropolitan detroit, mich., area over a 32-month period were examined for relatedness by repetitive-sequence pcr (rep-pcr). all isolates were shown to carry the vana gene by pcr. the rep-pcr patterns generated from each isolate showed that the first three vre isolates obtained from hospital a between june 1992 and february 1994 were distinct strains. thereafter, ...19979003602
colonization with vancomycin-resistant enterococcus faecium: comparison of a long-term-care unit with an acute-care hospital.to compare the epidemiology of vancomycin-resistant enterococcus faecium (vre) in a long-term-care unit and an acute-care hospital.19979154476
molecular analysis of glycopeptide-resistant enterococcus faecium isolates collected from michigan hospitals over a 6-year period.the purpose of this study was to evaluate the molecular relatedness of clinical isolates of glycopeptide-resistant enterococcus faecium isolates collected from hospitals in michigan. a total of 379 isolates used in this study were all vancomycin-resistant e. faecium isolates collected from 28 hospitals and three extended-care facilities over a 6-year period from 1991 to 1996. for the 379 isolates, there were 73 pulsed-field gel electrophoresis (pfge) strain types. within strain types, there were ...19989774583
recurrent vancomycin-resistant enterococcus bacteremia: prevalence, predisposing factors, and strain relatedness.we studied the prevalence of recurrent vancomycin-resistant enterococcus (vre) bacteremia, predisposing factors, and strain relatedness during a 3 year period at our institution. of 36 inpatients who had episodes of bacteremia, 3 (8.3%) had recurrent episodes. predisposing factors were mucositis and neutropenia (1 patient) and chronic renal failure requiring hemodialysis (2). recurrent episodes separated by < or = 3 months were caused by identical or related strains, and those at greater interva ...200111303278
modeling the transport and inactivation of e. coli and enterococci in the near-shore region of lake michigan.to investigate the transport and fate of fecal pollution at great lakes beaches and the health risks associated with swimming, the near-shore waters of lake michigan and two tributaries discharging into it were examined for bacterial indicators of human fecal pollution. the enterococcus human fecal pollution marker, which targets a putative virulence factor--the enterococcal surface protein (esp) in enterococcus faecium, was detected in 2/28 samples (7%) in the tributaries draining into lake mic ...200616955902
characterization of vancomycin-resistant enterococcus faecium isolated from swine in three michigan counties.vancomycin-resistant enterococci are a major cause of nosocomial infections but are rarely found in humans in the community and have not been identified in food animals in the united states. we evaluated a total of 360 fecal specimens from humans and their animals being raised for exhibit at three county fairs in michigan. fecal samples from 158 humans, 55 swine, 50 cattle, 25 horses, 57 sheep, 14 goats, and 1 llama were obtained and plated onto enterococcosel agar containing 16 μg/ml of vancomy ...201020739498
outcomes of therapy: vancomycin-resistant enterococcal bacteremia in hematology and bone marrow transplant patients.purpose: the purpose of this study was to evaluate the risk factors associated with the treatment failure and 30-day mortality in hematology and bone marrow transplant patients treated with daptomycin or linezolid for vancomycin-resistant enterococci (vre) bacteremia. the safety and tolerability of therapy was also assessed. methods: this single-center, retrospective study included adult patients admitted to the hematology or bone marrow transplant service with documented vancomycin-resistant en ...201021110047
growing prevalence of vancomycin-resistant enterococcus faecalis in the region with the highest prevalence of vancomycin-resistant staphylococcus aureus. 201121828976
epidemiology of vancomycin-resistant enterococcus faecalis: a case-case-control study.although much is known about vancomycin-resistant (vr) enterococcus faecium, little is known about the epidemiology of vr enterococcus faecalis. the predilection of vr e. faecalis to transfer the vancomycin resistance determinant to staphylococcus aureus is much greater than that of vr e. faecium. the epidemiology of vr e. faecalis has important implications regarding the emergence of vancomycin-resistant s. aureus (vrsa); 8 of 13 reported vrsa cases have been from michigan. a retrospective case ...201323070173
studies on the drug resistance profile of enterococcus faecium distributed from poultry retailers to hospitals.the multidrug resistant enterococcus faecium (mef) strains originating from farm animals are proliferating at a substantial pace to impact downstream food chains and could reach hospitals. this study was conducted to elucidate the drug susceptibility profile of mef strains collected from poultry products in ann arbor, mi area and clinical settings from michigan state lab and moffitt cancer center (mcc) in florida. presumptive positive enterococcus isolates at species level were identified by mat ...201526357893
isolation and molecular characterization of vancomycin-resistant enterococcus faecium from swine in michigan, usa.in 2008, we identified vancomycin-resistant enterococci (vre) in michigan swine, which was the first report of vre in livestock from north america. continued sampling in 2009 and 2010 was conducted to determine whether vre persisted in michigan. in 2009, swine faecal and feed samples (n=56), county fair pig barn manure samples (n=9) and pooled michigan state fair pig barn manure samples (n=18) were screened for vre. in 2010, swine faecal samples were collected from 26 county fairs (n=73) and nin ...201322958312
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