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Related Experiment Videos

Enterococcus: an old pathogen with new tricks.

L A Haglund1, D J Flournoy, M S Gilmore

  • 1Department of Infectious Diseases, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City.

The Journal of the Oklahoma State Medical Association
|July 1, 1991
PubMed
Summary
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High-level aminoglycoside resistance in enterococci is common in Oklahoma, particularly gentamicin resistance in blood isolates. Routine screening is recommended for serious infections to guide treatment effectively.

Area of Science:

  • Clinical Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Enterococci are significant nosocomial pathogens.
  • High-level aminoglycoside resistance (HLAR) can compromise treatment efficacy.
  • Vancomycin resistance and beta-lactamase production are other concerning enterococcal traits.

Purpose of the Study:

  • To determine the prevalence of HLAR, vancomycin resistance, beta-lactamase production, and hemolysin production among clinical enterococcal isolates.
  • To assess the co-occurrence of HLAR and hemolysin production in blood isolates.
  • To evaluate the correlation between antibiotic treatment and patient outcomes for enterococcal bacteremia.

Main Methods:

  • Screening of clinical enterococcal isolates for resistance phenotypes.

Related Experiment Videos

  • Phenotypic testing for high-level aminoglycoside resistance (gentamicin, kanamycin, streptomycin).
  • Testing for vancomycin resistance, beta-lactamase production, and hemolysin production.
  • Review of patient charts to assess treatment and outcomes.
  • Main Results:

    • 55% of isolates exhibited HLAR (gentamicin, kanamycin, or streptomycin).
    • 59% of HLAR isolates showed high-level gentamicin resistance; 21% of all isolates were hemolytic.
    • 46% of blood isolates with HLAR also produced hemolysin. No vancomycin-resistant or beta-lactamase-producing isolates were identified.
    • No correlation found between antibiotic treatment and outcomes for enterococcal bacteremia.

    Conclusions:

    • Enterococci with multiple HLAR are prevalent at this medical center.
    • Vancomycin resistance and beta-lactamase production were not detected in this study.
    • Routine screening for HLAR in enterococci from serious infections is crucial for clinical microbiology laboratories.