Identification and characterization of vanB2 glycopeptide resistance elements in enterococci isolated in Scotland

K F McGregor1, H K Young

  • 1Department of Biological Sciences, University of Dundee, United Kingdom.

Insights

Glycopeptide-resistant enterococci carrying the vanB gene were identified in Scottish hospitals. The vanB2 subtype was prevalent in Enterococcus faecium, indicating its widespread presence in these healthcare settings.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Antimicrobial Resistance

Background:

  • Glycopeptide-resistant enterococci (GRE) are a significant healthcare concern.
  • The vanB gene confers resistance to glycopeptide antibiotics.
  • Enterococci are common nosocomial pathogens.

Purpose of the Study:

  • To characterize vanB subtypes in enterococci isolated from Scottish hospitals.
  • To investigate the genetic variations within the vanB resistance element.
  • To determine the prevalence of specific vanB subtypes in clinical isolates.

Main Methods:

  • Collection of enterococci isolates from hospitalized patients in Scotland.
  • Polymerase chain reaction (PCR) and HhaI digestion for vanB subtype identification.
  • Restriction fragment length polymorphism (RFLP) and sequencing of the vanB gene cluster.

Main Results:

  • Thirty-two vanB GRE isolates (28 Enterococcus faecium, 4 Enterococcus faecalis) were analyzed.
  • All Enterococcus faecium isolates harbored the vanB2 subtype.
  • All Enterococcus faecalis isolates harbored the vanB1 subtype.
  • Genetic analysis revealed distinct variations in the vanB2 cluster compared to vanB1.
  • The vanB2 resistance element was found to be widespread in Scottish Enterococcus faecium isolates.

Conclusions:

  • The vanB2 resistance element is prevalent among vanB GRE Enterococcus faecium strains in Scottish hospitals.
  • This finding highlights the importance of monitoring vanB subtypes in clinical settings.
  • Further research is needed to understand the transmission dynamics of these resistant strains.

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