2004
DOI: 10.1590/s0100-879x2004000900008
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Clonal dissemination of VanA-type glycopeptide-resistant Enterococcus faecalis between hospitals of two cities located 100 km apart

Abstract: Nosocomial dissemination of glycopeptide-resistant enterococci represents a major problem in hospitals worldwide. In Brazil, the dissemination among hospitals in the city of São Paulo of polyclonal DNA profiles was previously described for vancomycin-resistant Enterococcus faecium. We describe here the dissemination of VanA phenotype E. faecalis between two hospitals located in different cities in the State of São Paulo. The index outbreak occurred in a tertiary care university hospital (HCUSP) in the city of … Show more

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Cited by 10 publications
(11 citation statements)
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“…Similar results were obtained by others (Kuriyama et al. 2003; Moretti et al. 2004), showing the potential of enterococci to be transmitted within a hospital as well as between settings.…”
Section: Discussionsupporting
confidence: 90%
See 1 more Smart Citation
“…Similar results were obtained by others (Kuriyama et al. 2003; Moretti et al. 2004), showing the potential of enterococci to be transmitted within a hospital as well as between settings.…”
Section: Discussionsupporting
confidence: 90%
“…In epidemiological studies of enterococcal infections, several genotypic methods have been applied. Among these, DNA fingerprinting by pulsed-field gel electrophoresis (PFGE) is the most frequently used (Murray et al 1990;Moretti et al 2004).…”
Section: Introductionmentioning
confidence: 99%
“…The spread of genetically related enterococci has occurred within hospitals of São Paulo and Brasília 3,18,25 and, in addition, between hospitals located in different cities of the Federal District and the State of São Paulo. 12,19 The isolates belonging to clusters IV, V, and VI represent additional examples of interhospital spread of genetically related strains in Brazil. The ability of isolates from the clusters I-VI to persist within ICUs and spread between hospitals in Brazil suggest that they have adapted extremely well to the hospital environment.…”
Section: Discussionmentioning
confidence: 99%
“…However, no other VanD strains have been reported in Brazil. On the other hand, a predominant clone of vancomycin-resistant E. faecalis (VREFS) VanA has recently been disseminating throughout hospitals in Sao Paulo and other cities (8,18,19). It was of interest to identify virulence factors and antibiotic resistance profiles among isolates of the disseminating clone and compare them with subsets of vancomycin-sensitive E. faecalis (VSEFS) from several sources in Brazil.…”
Section: Introductionmentioning
confidence: 99%