Emerging Infectious Disease ISSN: 1080-6059

Global Spread of Vancomycin-resistant Enterococcus faecium from Distinct Nosocomial Genetic Complex

Rob J.L. Willems*

, Janetta Top*, Marga van Santen†, D. Ashley Robinson‡, Teresa M. Coque§, Fernando Baquero§, Hajo Grundmann†, and Marc J.M. Bonten*

Author affiliations: *University Medical Center Utrecht, Utrecht, the Netherlands; †National Institute for Public Health and the Environment, Bilthoven, the Netherlands,; ‡New York Medical College, Valhalla, New York, USA; §Hospital Ramon y Cajal, Madrid, Spain

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Figure 2

Relative abundance of complex-17 in various sampled categories and proportion increase explained by combined effect of 3 parameters. 0, animal surveillance samples; 1, human community surveillance samples; 2, human hospitalized patient samples; 3, human clinical samples; 4, hospital outbreak samples; amp, ampicillin resistance; PAI, pathogenicity island; gly, glycopeptide resistance.

Figure 2. . Relative abundance of complex-17 in various sampled categories and proportion increase explained by combined effect of 3 parameters. 0, animal surveillance samples; 1, human community surveillance samples; 2, human hospitalized patient samples; 3, human clinical samples; 4, hospital outbreak samples; amp, ampicillin resistance; PAI, pathogenicity island; gly, glycopeptide resistance.

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