title: Heteroresistance to vancomycin in Enterococcus faecium.
abstract: This study presents the first report of vancomycin heteroresistance in an Enterococcus faecium isolate from a patient. The original isolate was susceptible in vitro to vancomycin. E-tests showed growth of subcolonies in a zone of inhibition with a vancomycin MIC of >256 microg/ml. Both the susceptible and resistant colonies were from the same strain as determined by PFGE, and both contained the vanA gene as determined by PCR.
authors.affiliation: Division of Infectious Disease, Department of Medicine, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
authors.forename: M R
authors.initials: MR
authors.lastname: Alam
authors.forename: S
authors.initials: S
authors.lastname: Donabedian
authors.forename: W
authors.initials: W
authors.lastname: Brown
authors.forename: J
authors.initials: J
authors.lastname: Gordon
authors.forename: J W
authors.initials: JW
authors.lastname: Chow
authors.forename: M J
authors.initials: MJ
authors.lastname: Zervos
authors.forename: E
authors.initials: E
authors.lastname: Hershberger
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D016521:Electrophoresis, Gel, Pulsed-Field; D016984:Enterococcus faecium / Q000145:classification* / Q000187:drug effects* / Q000235:genetics; D016908:Gram-Positive Bacterial Infections / Q000382:microbiology; D006801:Humans; D008826:Microbial Sensitivity Tests / Q000379:methods; D016133:Polymerase Chain Reaction; D014640:Vancomycin / Q000494:pharmacology*; D020713:Vancomycin Resistance / Q000235:genetics*
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin