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identification of enterococcus faecium and enterococcus faecalis as vanc-type vancomycin-resistant enterococci (vre) from sewage and river water in the provincial city of miyazaki, japan.as a first step for assessing the risk to human health posed by vancomycin-resistant enterococci (vre) in the aquatic environment, we screened sewage and urban river water samples from miyazaki, japan for vre. because vancomycin-resistant organisms are not as prevalent in sewage and river water as vancomycin-susceptible organisms, the samples were screened by minimum inhibitory concentration test using the vancomycin-supplemented membrane-enterococcus indoxyl-β-d-glucoside (mei) agar. the isolat ...201525438128
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