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The prevalence and clonal expansion of high-level... (1999) Open access

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Title The prevalence and clonal expansion of high-level gentamicin-resistant enterococci isolated from blood cultures in a Dutch university hospital
Published in Journal of Antimicrobial Chemotherapy. ISSN 0305-7453.
Author Braak, van den N.P.W.C.J. (Nicole); Belkum, van A.F. (Alex); Kreft, D.; Witt, te R. (René); Verbrugh, H.A. (Henri); Endtz, H.P. (Hubert)
Date 1999-01-01
Language English
Type article
Abstract We studied the prevalence and clonality of high-level gentamicin-resistant enterococci (HLGRE) in a Dutch university hospital. Of 238 enterococcal strains isolated from blood cultures between 1991 and 1997, 57 were HLGRE. Genomic analysis of these strains revealed 19 different genotypes, two of which were encountered more frequently [type A (12/57), type B (23/57)]. The spread of these types largely explained the rise in HLGRE incidence from 14% in 1991 to 31% in 1997. However, the contribution of unique strains to the total HLGRE burden also increased from 4% to 16%. We conclude that both clonal expansion and the emergence of unique HLGRE have contributed significantly to the increasing incidence of HLGRE.
Publication http://hdl.handle.net/1765/9210
Persistent Identifier urn:NBN:nl:ui:15-1765/9210
Metadata XML
Repository Erasmus University Rotterdam
Erasmus University Rotterdam

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