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Updated: Jul 17, 2026

Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
[Molecular analysis of vancomycin-resistant enterococci isolated from clinical samples]
Abdullah Kiliç1, Zeynep Senses, Hakan Aydoğan
1GATA Mikrobiyoloji ve Klinik Mikrobiyoloji Anabilim Dall, Etlik, Ankara.
Abstract:
Enterococcus species are the inhabitants of gastrointestinal flora and can cause endocarditis, urinary tract infections, and bacteremia. In recent years, infections caused by vancomycin-resistant enterococci (VRE) have increased in our country. The infections caused by VRE are treated with glycopeptide antibiotics like vancomycin and teicoplanin. Although seven different resistant genes have been described in VRE, VanA is the most frequently detected one in Turkey. The aim of this study was (i) to genotype four vancomycin-resistant Enterococcus faecium strains isolated in our hospital, by using pulsed field gel electrophoresis (PFGE); and (ii) to detect the type of Van gene by using polymerase chain reaction. Three of the strains were isolated from blood cultures and one from cerebrospinal fluid of the hospitalized patients between the years 2000-2004, and identified by both conventional methods and commercial kits. By using PFGE, we detected that isolates were different according to Tenover criteria and they had VanA genes. As a result, VanA carrying VRE cause sporadic infections in our hospital. The molecular epidemiologic investigation of resistant microorganisms is important in terms of infection control and epidemiology.
Insights
Vancomycin-resistant Enterococcus faecium (VRE) strains carrying the VanA gene are causing sporadic infections. Molecular typing confirmed these VRE strains are distinct, highlighting the importance of tracking resistant organisms.
Area of Science:
- Microbiology
- Infectious Diseases
- Molecular Epidemiology
Context:
- Enterococcus species are common gut bacteria that can cause serious infections like endocarditis and bacteremia.
- Vancomycin-resistant Enterococci (VRE) infections are a growing concern, often treated with vancomycin and teicoplanin.
- The VanA gene is the most prevalent resistance gene in VRE in Turkey.
Purpose:
- To molecularly characterize four vancomycin-resistant Enterococcus faecium strains from a hospital.
- To determine the specific vancomycin resistance genes present in these strains using molecular methods.
Summary:
- Four VRE strains (three from blood, one from cerebrospinal fluid) were analyzed between 2000-2004.
- Pulsed field gel electrophoresis (PFGE) revealed genetic diversity among the isolates based on Tenover criteria.
- Polymerase chain reaction confirmed the presence of the VanA gene in all analyzed strains.
Impact:
- Identifies VanA-carrying VRE as causative agents of sporadic infections in the hospital setting.
- Emphasizes the critical role of molecular epidemiological studies for effective infection control.
- Provides insights into the genetic profiles of VRE strains circulating in a specific healthcare environment.
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