PMID- 17892630 OWN - NLM STAT- MEDLINE DCOM- 20080904 LR - 20220316 IS - 0950-2688 (Print) IS - 1469-4409 (Electronic) IS - 0950-2688 (Linking) VI - 136 IP - 8 DP - 2008 Aug TI - Emergence of increasing linezolid-resistance in enterococci in a post-outbreak situation with vancomycin-resistant Enterococcus faecium. PG - 1131-3 AB - During 2004 and at the start of 2005 a university hospital in Southwest Germany was affected by an extensive outbreak of vancomycin-resistant Enterococcus faecium (VRE). Although the outbreak was contained, linezolid-resistant enterococci emerged during and after the outbreak as the usage of linezolid became more common. Linezolid resistance was no longer limited to VRE. Nosocomial spread of linezolid-resistant but vancomycin-susceptible E. faecium was detected and these strains also emerged in patients without prior drug exposure. Linezolid should therefore be used with caution and the susceptibility of isolates monitored over time. Isolation precautions and screening of contacts should be considered to avoid spread of resistant isolates. FAU - Schulte, B AU - Schulte B AD - Institut fur Medizinische Mikrobiologie und Hygiene, Eberhard-Karls-Universitat, Tubingen, Germany. berit.schulte@med.uni-tuebingen.de FAU - Heininger, A AU - Heininger A FAU - Autenrieth, I B AU - Autenrieth IB FAU - Wolz, C AU - Wolz C LA - eng PT - Journal Article DEP - 20070925 PL - England TA - Epidemiol Infect JT - Epidemiology and infection JID - 8703737 RN - 0 (Acetamides) RN - 0 (Anti-Bacterial Agents) RN - 0 (Oxazolidinones) RN - 0 (Protein Synthesis Inhibitors) RN - ISQ9I6J12J (Linezolid) SB - IM MH - Acetamides/*pharmacology MH - Anti-Bacterial Agents/pharmacology MH - Disease Outbreaks MH - Drug Resistance, Bacterial MH - Enterococcus faecium/*drug effects/isolation & purification MH - Germany/epidemiology MH - Hospitals, University MH - Humans MH - Linezolid MH - Microbial Sensitivity Tests MH - Oxazolidinones/*pharmacology MH - Protein Synthesis Inhibitors/*pharmacology MH - Vancomycin Resistance PMC - PMC2870893 EDAT- 2007/09/26 09:00 MHDA- 2008/09/05 09:00 PMCR- 2009/08/01 CRDT- 2007/09/26 09:00 PHST- 2007/09/26 09:00 [pubmed] PHST- 2008/09/05 09:00 [medline] PHST- 2007/09/26 09:00 [entrez] PHST- 2009/08/01 00:00 [pmc-release] AID - S0950268807009508 [pii] AID - 00950 [pii] AID - 10.1017/S0950268807009508 [doi] PST - ppublish SO - Epidemiol Infect. 2008 Aug;136(8):1131-3. doi: 10.1017/S0950268807009508. Epub 2007 Sep 25.