First vancomycin-resistant blood isolate of Enterococcus faecium in a children's hospital and molecular analysis of the mechanism of resistance

The first clinical isolate of vancomycin-resistant Enterococcus spp. in Hacettepe University Children's Hospital was isolated from a blood culture of a patient hospitalized in the intensive care unit. He had been on vancomycin therapy for the last four months for consecutive pneumoniae a...

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Main Authors: Belgin Altun, A Bülent Cengiz, Ateş Kara, Mehmet Ceyhan, Serhat Unal, Gülten Seçmeer, Deniz Gür
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2008-12-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2489
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author Belgin Altun
A Bülent Cengiz
Ateş Kara
Mehmet Ceyhan
Serhat Unal
Gülten Seçmeer
Deniz Gür
author_facet Belgin Altun
A Bülent Cengiz
Ateş Kara
Mehmet Ceyhan
Serhat Unal
Gülten Seçmeer
Deniz Gür
author_sort Belgin Altun
collection DOAJ
description The first clinical isolate of vancomycin-resistant Enterococcus spp. in Hacettepe University Children's Hospital was isolated from a blood culture of a patient hospitalized in the intensive care unit. He had been on vancomycin therapy for the last four months for consecutive pneumoniae and sepsis. The isolate was identified as Enterococcus faecium (E. faecium) and minimal inhibitor concentration (MIC) values were determined as >256 microg/ml and 256 microg/ml for vancomycin and teicoplanin, respectively, with E-test. The isolate was shown to carry the vanA gene with polymerase chain reaction (PCR). Twelve colonizing strains were isolated from the surveillance cultures during the same period and identified as E. faecium, and were also shown to carry the vanA gene. However, arbitrarily-primed-PCR and pulsed-field gel electrophoresis results could not confirm the source of the resistant strain nor did they suggest a clonal spread in the hospital.
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issn 0041-4301
2791-6421
language English
publishDate 2008-12-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-d5fe7c19acd9458eb11dbe12c591314e2025-08-20T02:55:42ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212008-12-01506First vancomycin-resistant blood isolate of Enterococcus faecium in a children's hospital and molecular analysis of the mechanism of resistanceBelgin Altun0A Bülent CengizAteş KaraMehmet CeyhanSerhat UnalGülten SeçmeerDeniz GürDepartment of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey. The first clinical isolate of vancomycin-resistant Enterococcus spp. in Hacettepe University Children's Hospital was isolated from a blood culture of a patient hospitalized in the intensive care unit. He had been on vancomycin therapy for the last four months for consecutive pneumoniae and sepsis. The isolate was identified as Enterococcus faecium (E. faecium) and minimal inhibitor concentration (MIC) values were determined as >256 microg/ml and 256 microg/ml for vancomycin and teicoplanin, respectively, with E-test. The isolate was shown to carry the vanA gene with polymerase chain reaction (PCR). Twelve colonizing strains were isolated from the surveillance cultures during the same period and identified as E. faecium, and were also shown to carry the vanA gene. However, arbitrarily-primed-PCR and pulsed-field gel electrophoresis results could not confirm the source of the resistant strain nor did they suggest a clonal spread in the hospital. https://turkjpediatr.org/article/view/2489
spellingShingle Belgin Altun
A Bülent Cengiz
Ateş Kara
Mehmet Ceyhan
Serhat Unal
Gülten Seçmeer
Deniz Gür
First vancomycin-resistant blood isolate of Enterococcus faecium in a children's hospital and molecular analysis of the mechanism of resistance
The Turkish Journal of Pediatrics
title First vancomycin-resistant blood isolate of Enterococcus faecium in a children's hospital and molecular analysis of the mechanism of resistance
title_full First vancomycin-resistant blood isolate of Enterococcus faecium in a children's hospital and molecular analysis of the mechanism of resistance
title_fullStr First vancomycin-resistant blood isolate of Enterococcus faecium in a children's hospital and molecular analysis of the mechanism of resistance
title_full_unstemmed First vancomycin-resistant blood isolate of Enterococcus faecium in a children's hospital and molecular analysis of the mechanism of resistance
title_short First vancomycin-resistant blood isolate of Enterococcus faecium in a children's hospital and molecular analysis of the mechanism of resistance
title_sort first vancomycin resistant blood isolate of enterococcus faecium in a children s hospital and molecular analysis of the mechanism of resistance
url https://turkjpediatr.org/article/view/2489
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