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Antibiotic Selection00:57

Antibiotic Selection

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Related Experiment Video

Updated: Jun 29, 2025

Characterization of a Pathogenic Escherichia coli Strain Derived from Oreochromis spp. Farms Using Whole-Genome Sequencing
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Promiscuous, persistent and problematic: insights into current enterococcal genomics to guide therapeutic strategy.

David Hourigan1,2, Ewelina Stefanovic1,3, Colin Hill1,2

  • 1APC Microbiome Ireland, Biosciences Institute, Biosciences Research Institute, College Rd, University College, Cork, Ireland.

BMC Microbiology
|March 28, 2024
PubMed
Summary

Vancomycin-resistant enterococci (VRE) are dangerous pathogens causing severe infections. Genomics reveals VRE

Keywords:
Antimicrobial resistance (AMR)BacteriocinsBacteriophageColonisation-resistanceEnterococcusSynergy

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Area of Science:

  • Microbiology
  • Genomics
  • Infectious Diseases

Background:

  • Vancomycin-resistant enterococci (VRE) are significant opportunistic pathogens responsible for serious infections like urinary tract infections and endocarditis.
  • VRE, primarily Enterococcus faecium and E. faecalis, colonize the gastrointestinal tract and can lead to systemic dissemination.
  • Hospital-associated VRE strains exhibit increased mobile genetic elements, numerous antibiotic resistance genes, and often lack functional CRISPR-Cas systems.

Purpose of the Study:

  • To review current knowledge on VRE genomics.
  • To discuss state-of-the-art therapeutic advances against VRE infections.

Main Methods:

  • Genomic analysis of VRE isolates.
  • Comparative genomics to understand dissemination routes.
  • Literature review of therapeutic strategies.

Main Results:

  • Genomic studies highlight VRE characteristics including increased mobile genetic elements and antibiotic resistance genes.
  • Comparative genomics aids in understanding VRE transmission pathways among patients and healthcare workers.
  • Declining antibiotic efficacy necessitates novel control measures.

Conclusions:

  • New strategies are crucial for controlling VRE infections due to diminishing antibiotic effectiveness.
  • Potential approaches include antibiotic combinations, enhancing gut microbiota resistance, and utilizing non-antibiotic agents like bacteriophages or bacteriocins.