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[Vancomycin-resistant enterococci(VRE)].

A Ohno¹, K Yamaguchi

¹Department of Microbiology, Toho University, School of Medicine.

Nihon Rinsho. Japanese Journal of Clinical Medicine

|April 18, 2001

Summary

Vancomycin-resistant Enterococci (VRE) infections are rising due to antibiotic resistance. This review examines VRE emergence, resistance mechanisms, and spread prevention strategies.

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Area of Science:

Microbiology
Infectious Diseases
Antimicrobial Resistance

Context:

Enterococcal nosocomial infections have increased significantly since the 1980s.
Intrinsic resistance of Enterococci limits therapeutic options to ampicillin, gentamicin, and vancomycin.
Rising resistance to ampicillin and aminoglycosides necessitates vancomycin use, further driving resistance.

Purpose:

To review the emergence and spread of vancomycin-resistant Enterococci (VRE).
To explore the link between avoparcin use in agriculture and VRE development.
To detail VRE resistance mechanisms and outline strategies for preventing resistance spread.

Summary:

Vancomycin-resistant Enterococci (VRE) emerged in the 1980s and have spread globally.
High-level resistance to ampicillin, gentamicin, and vancomycin in Enterococci presents significant therapeutic challenges.
Avoparcin, an animal growth promoter, is implicated in the rise of VRE.

Impact:

Understanding VRE emergence is crucial for developing effective treatment strategies.
Identifying resistance mechanisms aids in combating antimicrobial resistance.
Preventing VRE spread is essential for public health and patient safety in healthcare settings.

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