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Polyclonal emergence of vanA vancomycin-resistant Enterococcus faecium in Australia
Journal article   Open access   Peer reviewed

Polyclonal emergence of vanA vancomycin-resistant Enterococcus faecium in Australia

S.J. van Hal, B.A. Espedido, G.W. Coombs, B.P. Howden, T.M. Korman, G.R. Nimmo, I.B. Gosbell and S.O. Jensen
Journal of Antimicrobial Chemotherapy, Vol.72(4), pp.998-1001
2017
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Abstract

Objectives: To investigate the genetic context associated with the emergence of vanA VRE in Australia. Methods: The whole genomes of 18 randomly selected vanA-positive Enterococcus faecium patient isolates, collected between 2011 and 2013 from hospitals in four Australian capitals, were sequenced and analysed. Results: In silico typing and transposon/plasmid assembly revealed that the sequenced isolates represented (in most cases) different hospital-adapted STs and were associated with a variety of different Tn1546 variants and plasmid backbone structures. Conclusions: The recent emergence of vanA VRE in Australia was polyclonal and not associatedwith the dissemination of a single 'dominant' ST or vanA-encoding plasmid. Interestingly, the factors contributing to this epidemiological change are not known and future studies may need to consider investigation of potential community sources.

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.23 Antibiotics & Antimicrobials
1.23.173 MRSA and VRE
Web Of Science research areas
Infectious Diseases
Microbiology
Pharmacology & Pharmacy
ESI research areas
Pharmacology & Toxicology
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