Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 11, Number 6—June 2005
Research

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

Rob J.L. Willems*Comments to Author , 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

Main Article

Table 1

Frequency of ampicillin and glycopeptide resistance, the presence of the pathogenicity island (PAI), and log odds of all complex-17 and non–complex-17

Epidemiologic source Genetic and phenotypic features*
Complex-17
Other†
Complex-17
Other†
Complex-17
Other†
Complex-17‡ Other†‡ Log odds§
AmR AmS AmR AmS PAI+ PAI– PAI+ PAI– VanR VanS VanR VanS
Animal surveillance (n = 96), % 1 0 2 93 0 1 0 94 0 1 43 52 1 [1] 95 [99] –4.55
Community surveillance (n = 57), % 0 0 1 46 3 0 0 47 3 0 17 37 3 [5] 54 [95] –2.89
Hospital surveillance (n = 64), % 14 0 7 40 7 8 0 49 13 2 32 17 15 [23] 49 [77] –1.18
Clinical (n = 162), % 85 2 13 47 47 47 4 57 21 73 22 45 95 [59] 67 [51 0.35
Hospital outbreak (n = 32), % 26 0 3 1 20 6 3 1 24 4 4 0 28 [88] 4 [12] 1.95

*Ampicillin resistant (AmR) or susceptible (AmS) not determined in 30 isolates, PAI present (PAI+) or absent (PA–) not determined in 17 isolates, vancomycin resistant (VanR) or susceptible (VanS) not determined in 1 isolate.
†Not belonging to complex-17.
‡Numbers in brackets refer to the percentage of isolates that belong to the complex.
§The natural logarithm of the proportion of samples from an epidemiologic source belonging to complex-17.

Main Article

Page created: April 24, 2012
Page updated: April 24, 2012
Page reviewed: April 24, 2012
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external