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Enterococci and vancomycin resistance

G L French1

  • 1Department of Microbiology, United Medical School, Guy's Hospital, London, United Kingdom.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|August 26, 1998
PubMed
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The rise of antibiotic-resistant bacteria is concerning, especially glycopeptide-resistant enterococci. These resistant strains may spread to other dangerous bacteria, posing a significant public health threat.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Increasing incidence of infections caused by multiply antibiotic-resistant gram-positive bacteria.
  • Limited treatment options, with glycopeptides (vancomycin, teicoplanin) as a last resort.
  • Emergence of transferable high-level glycopeptide resistance in enterococci is a significant concern.

Purpose of the Study:

  • To highlight the growing threat of glycopeptide-resistant enterococci (GRE).
  • To discuss the potential for GRE to spread resistance to other pathogens.
  • To identify factors contributing to the emergence and spread of GRE.

Main Methods:

  • Literature review and synthesis of current research on antibiotic resistance.
  • Analysis of the epidemiology and transmission dynamics of enterococci.

Related Experiment Videos

  • In vitro experimental data on resistance transfer.
  • Main Results:

    • Enterococci readily colonize the bowel and spread rapidly in hospitals.
    • Transferable high-level glycopeptide resistance has been observed in enterococci.
    • Experimental in vitro transfer of resistance to Staphylococcus aureus has been achieved.
    • Antibiotic use (aminoglycosides, cephalosporins, quinolones, glycopeptides) and avoparcin in animal feed promote GRE.

    Conclusions:

    • Enterococci are a potential vehicle for disseminating glycopeptide resistance to other gram-positive bacteria.
    • Continued emergence of GRE poses a serious threat to public health.
    • Stewardship of antibiotic use and monitoring of resistance are critical.