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Vancomycin resistant Enterococci: A brief review
Taskeen Raza1, Sidra Rahmat Ullah1, Khalid Mehmood2
1Department of Industrial Biotechnology, Atta ur Rahman School of Applied Biosciences, National University of Sciences and Technology, Islamabad, Pakistan.
Abstract:
Enterococci are known as opportunistic pathogens and today are accepted as leading cause of nosocomial infections. Various enterococcal species have been identified, but the major two which cause human diseases are enterococcus faecalis and enterococcus faecium. Most common and important infections caused by them are bacteraemia, endocarditis, urinary tract infections, surgical wound infections, intra-abdominal and intra-pelvic infections. Over the last two decades the emergence of vancomycin-resistant enterococci is alarming because of high mortality rate. Being resistant nosocomial infectious agents, vancomycin-resistant enterococci are a serious threat to current healthcare practices. Antibiotic resistance determinants VanA and VanB are globally reported in vancomycin-resistant enterococci clinical isolates. This paper covers a comprehensive overview of vancomycin-resistant enterococci infection epidemiology, virulence, drug resistance, its prevention and treatment.
Insights
Vancomycin-resistant enterococci (VRE) are leading causes of dangerous hospital infections. This overview details VRE epidemiology, virulence, resistance, and strategies for prevention and treatment.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Enterococci are significant opportunistic pathogens, frequently causing nosocomial infections.
- Enterococcus faecalis and Enterococcus faecium are the primary species responsible for human diseases.
- Common infections include bacteremia, endocarditis, UTIs, and surgical site infections.
Purpose of the Study:
- To provide a comprehensive overview of vancomycin-resistant enterococci (VRE) infections.
- To cover the epidemiology, virulence factors, and antibiotic resistance mechanisms of VRE.
- To discuss current prevention and treatment strategies for VRE.
Main Methods:
- Literature review of epidemiological data.
- Analysis of virulence factors and antibiotic resistance determinants (VanA, VanB).
- Synthesis of information on prevention and treatment protocols.
Main Results:
- VRE infections are a growing concern due to high mortality rates.
- VanA and VanB are key antibiotic resistance determinants globally identified in VRE.
- VRE pose a serious threat to healthcare settings.
Conclusions:
- Effective prevention and treatment strategies are crucial to combat VRE.
- Understanding VRE epidemiology and resistance is vital for infection control.
- Continued research into novel therapeutic approaches is necessary.
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