TABLE 1.
Patientm | Isolate | Onseta (days) | Sexb | Age (yr) | Infection statusc | Underlying diseased | Treatmente | MICf (μg/ml) of VA/TEC | PFGEn | PCRg |
||
---|---|---|---|---|---|---|---|---|---|---|---|---|
vanA | IS16 | IS16-vanY | ||||||||||
I | 8 | 20 | M | 85 | UTI | Prostatic cancer | None | 256/16 | A | + | + | + |
II | 13 | 15 | F | Peritonitis | Lymphoma | LZD, SXT | 12/4 | A | + | + | + | |
III | 11 | 20 | F | 64 | Bacteremia | Transplantation + ESRD | None | 24/6 | A | + | + | + |
IV | 9 | 7 | F | 77 | UTI | Diabetes + ARF | None | 24/6 | A | + | + | + |
10h | 21 | F | 77 | C | Diabetes + ARF | - | 16/8 | A | + | + | + | |
V | 5 | 21 | M | 80 | Peritonitis | ESRD | LZD, SXT | 256/8 | A | + | + | + |
VI | 4 | 22 | F | 67 | UTI | Diabetes + ARF | None | 24/8 | A | + | + | + |
VII | 1 | 4 | F | 63 | UTI | Transplantation + ESRD | None | 12/6 | A | + | + | + |
VIII | 3 | 15 | F | 68 | C | ESRD | - | 24/6 | A | + | + | + |
IX | 14 | 10 | F | 75 | C | Myeloma | - | 24/8 | A | + | + | + |
X | 2 | 11 | F | 48 | C | Transplantation | - | 12/6 | A | + | + | + |
XI | 12 | 8 | F | 45 | C | Transplantation | - | 256/48 | A | + | + | − |
XII | 20i | 23 | F | 54 | C | Transplantation | - | 256/32 | B | + | + | − |
21 | 23 | F | 48 | C | Transplantation | - | 32/8 | A | + | + | + | |
XIII | 17 | 10 | 59 | C | Transplantation + polycystic kidney disease | - | 24/8 | A | + | + | + | |
XIV | 15 | 5 | M | 55 | C | Nephroangiosclerosis | - | 256/16 | A | + | + | + |
XV | 16 | 24 | F | 39 | C | Transplantation | - | 96/16 | A | + | + | + |
XVI | 18 | 15 | F | 44 | C | Immunoglobulin A nephropathy | - | 32/6 | A | + | + | + |
XVII | 19 | 21 | F | 69 | C | Amyloid kidney | - | 24/12 | A | + | + | + |
XVIII | 23 | 4 | M | 75 | C | Myeloma | - | 16/6 | A | + | + | + |
XIX | 22 | 4 | M | 65 | C | Liver cirrhosis | - | 32/16 | A | + | + | + |
XX | 24 | 23 | F | 45 | C | Transplantation | - | 32/12 | A | + | + | + |
XXI | 28 | 2 | M | 69 | C | Transplantation + diabetes | - | 256/6 | A1 | + | + | + |
XXII | 25 | 14 | F | 30 | C | ESRD | - | 16/6 | A | + | + | + |
XXIII | 27 | 5 | M | 77 | C | ESRD | - | 256/48 | A | + | + | − |
XXIV | 29 | 24 | F | 62 | C | ARF | - | 32/12 | A | + | + | + |
C1j | 6 | 256/48 | C | + | − | − | ||||||
C2k | 7 | 48/0.5 | D | − | − | − | ||||||
C3l | 26 | 0.25/0.25 | E | - | - | - |
Onset corresponds to the number of days of hospitalization prior to VRE isolation.
M, male; F, female.
UTI, urinary tract infection; C, colonization.
Reason for hospital admission. ARF, acute renal failure; ESRD, end-stage renal disease.
Treatment is only indicated for VRE infections. LZD, linezolid; SXT, trimethoprim-sulfamethoxazole; None, no antibiotic. -, Not relevant (since colonized patients were not treated for VRE).
MICs of vancomycin (VA) and teicoplanin (TEC).
PCR results for vanA gene, IS16, and IS16 inserted within the vanY gene.
This isolate was resistant to trimethoprim-sulfamethoxazole.
This isolate was resistant at low levels to gentamicin and to trimethoprim-sulfamethoxazole.
CI, BM4147 VanA prototype.
C2, E. faecium V883 VanB prototype.
C3, E. faecium Gil (vancomycin susceptible).
The numbering in Roman numerals corresponds to the patients listed in chronological order. For two patients, two strains were identified with a different antibiotic susceptibility profile. The strain numbering in Arabic numerals corresponds to the order in which the strains were identified as vanA genotype.
Pulsotypes are according to Tenover et al. (34).