PMID- 19622078
OWN - NLM
STAT- MEDLINE
DCOM- 20110118
LR  - 20141120
IS  - 1469-0691 (Electronic)
IS  - 1198-743X (Linking)
VI  - 16
IP  - 6
DP  - 2010 Jun
TI  - High prevalence of ST-78 infection-associated vancomycin-resistant Enterococcus 
      faecium from hospitals in Asuncion, Paraguay.
PG  - 624-7
LID - 10.1111/j.1469-0691.2009.02898.x [doi]
AB  - Forty infection-associated VanA-type vancomycin-resistant Enterococcus faecium 
      (VRE) strains obtained from five collaborating hospitals in Asuncion, Paraguay 
      were investigated. Genotyping using pulsed-field gel electrophoresis (PFGE) and 
      multilocus sequence typing revealed the presence of 17 cluster types and four 
      STs, with 93% (37/40) of isolates comprising ST type 78. Other ST types included 
      ST-132, ST-210 and one new ST type (ST-438). All but one isolate (ST-438) were 
      associated with clonal complex 17 (CC17), and 97% of the total isolates carried 
      the esp gene. Three Tn1546 variants were found, including a new lineage 
      containing an ISEfa5 insertion in an existing IS1251 element.
FAU - Khan, M A
AU  - Khan MA
AD  - Department of Medical Microbiology and Infectious Diseases, Erasmus MC, 
      Rotterdam, The Netherlands.
FAU - Northwood, J B
AU  - Northwood JB
FAU - Loor, R G J
AU  - Loor RG
FAU - Tholen, A T R
AU  - Tholen AT
FAU - Riera, E
AU  - Riera E
FAU - Falcon, M
AU  - Falcon M
CN  - Paraguayan Antimicrobial Network,
FAU - van Belkum, A
AU  - van Belkum A
FAU - van Westreenen, M
AU  - van Westreenen M
FAU - Hays, J P
AU  - Hays JP
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20090720
PL  - England
TA  - Clin Microbiol Infect
JT  - Clinical microbiology and infection : the official publication of the European 
      Society of Clinical Microbiology and Infectious Diseases
JID - 9516420
RN  - 0 (Bacterial Proteins)
RN  - 0 (DNA Transposable Elements)
RN  - 0 (DNA, Bacterial)
RN  - 0 (VanA ligase, Bacteria)
RN  - EC 6.1.- (Carbon-Oxygen Ligases)
SB  - IM
MH  - Bacterial Proteins/genetics
MH  - Bacterial Typing Techniques
MH  - Carbon-Oxygen Ligases/genetics
MH  - Cluster Analysis
MH  - Cross Infection/*epidemiology/*microbiology
MH  - DNA Fingerprinting
MH  - DNA Transposable Elements
MH  - DNA, Bacterial/genetics
MH  - Electrophoresis, Gel, Pulsed-Field
MH  - Enterococcus faecium/*drug effects/isolation & purification
MH  - Genotype
MH  - Gram-Positive Bacterial Infections/*epidemiology/*microbiology
MH  - Hospitals
MH  - Humans
MH  - Paraguay/epidemiology
MH  - Prevalence
MH  - Sequence Analysis, DNA
MH  - *Vancomycin Resistance
EDAT- 2009/07/23 09:00
MHDA- 2011/01/19 06:00
CRDT- 2009/07/23 09:00
PHST- 2009/07/23 09:00 [entrez]
PHST- 2009/07/23 09:00 [pubmed]
PHST- 2011/01/19 06:00 [medline]
AID - S1198-743X(14)61700-6 [pii]
AID - 10.1111/j.1469-0691.2009.02898.x [doi]
PST - ppublish
SO  - Clin Microbiol Infect. 2010 Jun;16(6):624-7. doi: 
      10.1111/j.1469-0691.2009.02898.x. Epub 2009 Jul 20.