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      Epidemiology of glycopeptide-resistant enterococci colonizing high-risk patients in hospitals in Johannesburg, Republic of South Africa.

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          Abstract

          Recent cases of infections caused by glycopeptide-resistant enterococci (GRE) have highlighted the emergence of these organisms in the Republic of South Africa. During May 1998 we conducted a prevalence study in four hospitals in Johannesburg and obtained 184 rectal swabs from patients identified as being at high risk for GRE colonization. Twenty enterococcal isolates showing various glycopeptide resistance genotypes were recovered: 3 Enterococcus faecium vanA isolates, 10 E. faecium vanB isolates, 6 E. gallinarum vanC1 isolates, and 1 E. avium vanA isolate. Macrorestriction analysis was used to demonstrate the clonal spread of GRE strains within hospitals. Evidence also demonstrated the likely persistence of the original E. faecium vanA isolate associated with the first confirmed death contributed to by GRE infection in South Africa in March 1997.

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          Author and article information

          Journal
          J. Clin. Microbiol.
          Journal of clinical microbiology
          0095-1137
          0095-1137
          Feb 2000
          : 38
          : 2
          Affiliations
          [1 ] Department of Clinical Microbiology and Infectious Diseases, University of the Witwatersrand, and the South African Institute for Medical Research, Johannesburg, Republic of South Africa.
          Article
          86243
          10655414
          e557d432-d358-4a6e-af90-b9b1789ff38d
          History

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