“…Strains from human-adapted clonal complexes (CCs) causing most enterococcal infections may eventually be recovered from farm and companion animals (e.g., E. faecium clonal complex 17 [CC17] and E. faecalis CC2), and strains from CCs commonly found among animals have also been isolated from humans (E. faecium CC5, E. faecalis sequence type 16 [ST16], or E. faecalis CC21) (4,9,13,14,28,53). Documented cases of animal-human VRE transmission frequently involve healthy humans in close interaction (farming or petting) with animals, but most of these studies do not provide molecular characterization of either clones or their subcellular genetic elements (1,3,10,17,26,28,31,33), despite the comprehensive epidemiological studies of Tn1546 (vanA) and Tn5382 (vanB) (8,24,38,52,54).…”