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 4

Global distribution of complex-17 isolates. Red circles indicate cities where complex-17 isolates were recovered. Numbers indicate epidemiologic sources: 1, animal isolates; 2, human community surveillance isolates; 3, surveillance (feces) isolates from hospitalized patients; 4, human clinical isolates; 5, isolates from documented hospital outbreaks. Numbers of isolates are indicated in parentheses.

Figure 4. . Global distribution of complex-17 isolates. Red circles indicate cities where complex-17 isolates were recovered. Numbers indicate epidemiologic sources: 1, animal isolates; 2, human community surveillance isolates; 3, surveillance (feces) isolates from hospitalized patients; 4, human clinical isolates; 5, isolates from documented hospital outbreaks. Numbers of isolates are indicated in parentheses.

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