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Published on: October 25, 2013
Identification and characterization of vanB2 glycopeptide resistance elements in enterococci isolated in Scotland
1Department of Biological Sciences, University of Dundee, United Kingdom.
Abstract:
Thirty-two vanB glycopeptide-resistant enterococci (28 Enterococcus faecium and 4 Enterococcus faecalis) were collected from hospitalized patients in Glasgow, Edinburgh, Dundee, and Aberdeen, Scotland, and the vanB element in each was compared to vanB1 of E. faecalis strain ATCC 51299. HhaI digestion of PCR fragments of the vanB ligase gene was used to identify vanB subtypes. All E. faecium isolates were vanB2, and all E. faecalis isolates were vanB1. Restriction fragment length polymorphism analysis of a 5,180-bp vanS(B)-vanX(B) long-PCR fragment of the vanB cluster showed the loss of HaeII restriction sites in vanS(B), vanW, and vanX(B) in strains containing a vanB2 ligase gene. Partial sequences of genes in the vanB2 cluster for two genomically distinct Scottish isolates were >99.8% identical to each other. vanS(B2), vanX(B2), and vanB2 sequences differed at the nucleotide level from those of vanS(B), vanX(B), and vanB by 4.2, 4.6, and 4.8%, respectively. The vanB2 resistance element appears to be widespread among VanB glycopeptide-resistant E. faecium strains isolated in Scottish hospitals.
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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