2003
DOI: 10.1128/aac.47.12.3950-3953.2003
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Structures,Locations, and Transfer Frequencies of Genetic Elements ConferringHigh-Level Gentamicin Resistance in Enterococcusfaecalis Isolates inGreece

Abstract: The elements conferring high-level gentamicin resistance in 64 clinical isolates of Enterococcus faecalis were characterized by PCR and by restriction enzyme hybridization analysis of genomic and plasmid DNA. There was a strong association between gentamicin resistance and the aac(6)-aph(2؆) gene carried on IS256-based elements with different structures, locations, and transfer characteristics.

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Cited by 12 publications
(6 citation statements)
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“…By contrast, the Tn4001-related element is able to render transposition [15]. However, the findings of Daikos et al [16] indicate that the non-truncated elements are more stable, whereas the truncated variants are mobile and transfer GM resistance more efficiently.…”
Section: Resultsmentioning
confidence: 85%
“…By contrast, the Tn4001-related element is able to render transposition [15]. However, the findings of Daikos et al [16] indicate that the non-truncated elements are more stable, whereas the truncated variants are mobile and transfer GM resistance more efficiently.…”
Section: Resultsmentioning
confidence: 85%
“…It is becoming more and more common to find many bacteria developing resistance to most common antibiotics. Enterococci exhibiting HLGR have been reported as an important cause of hospital acquired infection from many geographical locations, including European countries and the United States [ 13 , 14 ]. Gentamicin together with a cell wall active agent is one of the common antibiotics used against serious enterococcal infections [ 4 ].…”
Section: Discussionmentioning
confidence: 99%
“…In parallel, none or low resistant rates against synercid or linezolid were seen among our isolates because these antimicrobial agents have recently been introduced into the market for the treatment of Gram‐positive bacterial infections in Iran. Of all gentamicin resistant‐associated genes, the aac ( 6 ′) ‐Ie‐aph ( 2 ″) ‐Ia gene is considered as the most important and widely reported gene involved in the human HLGR enterococcal isolates (Daikos et al. 2003).…”
Section: Discussionmentioning
confidence: 99%
“…HLGR could, however, eliminate the synergistic effect penicillin and an aminoglycoside (Daikos et al. 2003).…”
Section: Introductionmentioning
confidence: 99%