Molecular typing of ampicillin-resistant, non-beta-lactamase-producing Enterococcus faecium isolates from diverse geographic areas
- 1 November 1992
- journal article
- research article
- Published by American Society for Microbiology in Journal of Clinical Microbiology
- Vol. 30 (11) , 2757-61
- https://doi.org/10.1128/jcm.30.11.2757-2761.1992
Abstract
Molecular typing methods were compared by using 66 ampicillin-resistant, non-beta-lactamase-producing Enterococcus faecium clinical isolates from diverse geographic areas. Whole-plasmid analysis, restriction enzyme analysis of plasmid DNA with EcoRI and HindIII, and contour-clamped homogeneous electric field electrophoresis with digestion by SmaI and ApaI were performed on all isolates. Whole-plasmid analysis identified 47 different groups. Restriction enzyme analysis of plasmid DNA identified 50 groups when EcoRI was used and 51 groups when HindIII was used. Results with EcoRI and HindIII differed in 9 of 66 isolates. Grouping results with whole-plasmid analysis differed from results of restriction enzyme analysis of plasmid DNA (combining EcoRI and HindIII) in 20 of 66 isolates. Contour-clamped homogeneous electric field electrophoresis identified 46 groups when SmaI was used and 44 groups when ApaI was used. Results with SmaI and ApaI differed in 3 of 66 isolates. Grouping results with contour-clamped homogeneous electric field electrophoresis (combining SmaI and ApaI) differed from results of restriction enzyme analysis of plasmid DNA (combining EcoRI and HindIII) in 17 of 66 isolates. The combined use of whole-plasmid analysis, restriction enzyme analysis of plasmid DNA with two enzymes, and contour-clamped homogeneous electric field electrophoresis with two restriction enzymes should be considered when E. faecium is typed for epidemiologic investigation.Keywords
This publication has 22 references indexed in Scilit:
- Emergence and nosocomial transmission of ampicillin-resistant enterococciAntimicrobial Agents and Chemotherapy, 1992
- Antimicrobial susceptibility and molecular epidemiology of beta-lactamase-producing, aminoglycoside-resistant isolates of Enterococcus faecalisAntimicrobial Agents and Chemotherapy, 1991
- Rapid Dissemination of β-Lactamase–Producing, Aminoglycoside-ResistantEnterococcus faecalisamong Patients and Staff on an Infant–Toddler Surgical WardNew England Journal of Medicine, 1990
- Molecular epidemiology of beta-lactamase-producing enterococciAntimicrobial Agents and Chemotherapy, 1990
- Inducible, transferable resistance to vancomycin in Enterococcus faecalis A256Antimicrobial Agents and Chemotherapy, 1989
- Serious Infection Due to -Lactamase-Producing Streptococcus faecalis with High-Level Resistance to GentamicinThe Journal of Infectious Diseases, 1988
- Plasmid-Mediated Resistance to Vancomycin and Teicoplanin in Enterococcus FaeciumNew England Journal of Medicine, 1988
- Gentamicin Resistance Plasmids of Enterococci from Diverse Geographic Areas Are HeterogeneousThe Journal of Infectious Diseases, 1988
- High-level aminoglycoside-resistant enterococci. Colonization of nursing home and acute care hospital patientsArchives of internal medicine (1960), 1987
- Heterogeneity of plasmids determining high-level resistance to gentamicin in clinical isolates of Streptococcus faecalisAntimicrobial Agents and Chemotherapy, 1986