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. 2024 Aug 14;12(8):1676. doi: 10.3390/microorganisms12081676

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© 2024 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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Transmission networks of VRE isolates differing by 5 or less SNPs in their core genomes during 2016 to 2019 in the hospital setting. Potential index cases of VRE are marked with a red triangle. The transmission time period ranged from 1 to 2 years with a median of 206 days. LKM, leukemia; HCT, hematopoietic cell transplant; ICU, intensive care unit. Note: There are 2 distinct clusters of ST80 VRE strains originating from the same room (different patients, different dates) and spread to patients on different floors, indicating possible recombination events and/or horizontal transmission.